<s>[INST] i have had an itchy scrotum for years now. there is no rash. it is worst late at night and early in the morning. the only visual sign is sometimes what appear to be  fordyce bump up but remain under the skin. i am 46,5'6" tall and weigh about 130lbs.some back trouble,occasional irregular heartbeat,and some dental issues but nothing else in this area and i'm pretty sure it's not a sexually transmitted virus. [/INST] Hello, It can be irritant dermatitis like condition due to constant friction. You should keep that area clean and dry. It's advisable to wear loose garments and avoid tight fitting clothes. Topical Clotrimazole powder can be sprinkled when bump appears. If there is any lesion than you can post photo of lesion. Hope I have answered your question. Let me know if I can assist you further. Thank you. Regards, Dr. Parth Goswami General & Family Physician </s>