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Rash on the penis, cold sore on the lips - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Penis Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hi,
I had unprotected sex with a one-time partner and am now worried about STDs. I have since seen a scab on my glans that peeled off and I thought was going away. The problem is that it hasn't gone away. It is visible as a shiny scare like color and seems to be spreading slowly. It is irregularly shaped like a crescent moon, but does not stick out much vertically from the skin if at all. Can you help me please?
User :   You there?
Doctor :   Hi
User :   hi
User :   please help me
User :   i am freakin out
Doctor :   May I know your age?
User :   23
Doctor :   Since when have you noticed these changes?
User :   about a month ago
Doctor :   Can you send us the scanned photocopy of the lesion?
User :   not really
User :   i have tested negative for..
User :   herpes 2
User :   syphillis
Doctor :   Ok
User :   aids
User :   hepatitas
User :   wondering if hpv can peel?
Doctor :   Ok
User :   scab over and peel that is
User :   ?
Doctor :   HPV infection presents as a wart which is very prominent.
Doctor :   It usually does not peel off.
Doctor :   Do you have itching?
User :   at the base of my penis but none on my glans
User :   i think they may be unrelated
Doctor :   Ok
User :   i had a simple scab that I thought might be dry cum or something from masterbation
User :   when it peeled off i felt better about it
User :   but then this scar like shiny crescent moon came and has not gone away
User :   and it may be spreading
Doctor :   Your symptoms does not seem like HPV infection.
User :   it is shiny
User :   compared to the skin surrounding it
Doctor :   Symptoms may be probably due to excoriation of skin.
Doctor :   Or may be a fungal infection.
Doctor :   It usually will settle down on its own.
Doctor :   But would take some time again.
User :   are there any over the counter products that i can get
Doctor :   Probably over a few weeks.
User :   i have been waiting a month
Doctor :   You can use vaseline or lactocalamine lotion.
User :   and it seems to get worse
Doctor :   These products are for local applications.
Doctor :   Do not try to peel the skin.
User :   it peeled awhile ago and doesn't seem possible to peel currently
Doctor :   One multivitamin pills a day for a month.
User :   i talked to a rn who looked at it and said it kinda resembled hpv
User :   shortly after it peeled
User :   at the time.... I told her that it was going away but it hasn't
Doctor :   Since the description does resemble those of an HPV infection.
Doctor :   But since you mention that it is persisting, and you are not able to send us the picture of the lesion, I would suggest you to consult a specialist for examination.
Doctor :   Have you followed?
User :   i had a doctor look at it and said he didn't think there was anything to be concerned about
User :   but then it keeps getting worse
User :   i am not sure what to do
Doctor :   The most probable cause could just be dryness of the skin and not a picture of sexually transmitted infection.
User :   so best thing to do is use the lotion you said
Doctor :   If you have seen a doctor and have ruled out the infection, then I would suggest you to follow the measures that I had suggested earlier.
User :   and take vitamin once a day
Doctor :   That is
Doctor :   1. Use vaseline or lactocalamine lotion for local application
Doctor :   2. Avoiding infection, by keeping the area clean and not handling the lesion.
Doctor :   3. Multivitamin pill supplement.
User :   one other item
User :   i had a cold sore a while back
User :   and since it went away..... in February
Doctor :   4. Avoiding stressors (increased stress can have an aggravating effect)
Doctor :   OK
User :   I still have a ball in my lip
User :   that is very bothersome
Doctor :   Can you describe the swelling?
User :   it is in the same spot
User :   as the cold sore
User :   it is a ball like bum
User :   p
User :   it seems to go up and doewn
User :   not very much though
Doctor :   Is it progressing in size?
User :   not really
Doctor :   Do you have redness?
User :   yes
Doctor :   Do you have fever?
User :   no
Doctor :   Ok.
Doctor :   It probably may be a cyst.
User :   i am not sure if it is a scar or still a cold sore under the skin that just won't go away or something els
User :   cyst from the cold sore?
User :   or unrelated?
Doctor :   A cyst cannot be treated with medication and needs to be treated by surgical techniques alone.
User :   it seemed like i got the cold sore... it went away (completely).... and then this bump originated
Doctor :   Since you have a persisting bump, it probably may be a small cyst.
User :   i thought i was getting another cold sore but it never developed and the bump has stayed the same and my tongue always plays with it
User :   cancerous?
Doctor :   It is definitely not cancerous.
Doctor :   Cancerous lesions usually are progressive and can cause secondary changes.
User :   such as?
Doctor :   Secondary changes such as polypoidal transformation, ulceration, cauliflower like growth.
Doctor :   It probably may be a benign lesion most likely a retension cyst.
Doctor :   It is harmless and not of major concern.
User :   back to the skin problem on my glans
User :   you think it may be dry skin? correct?
Doctor :   Yes, the chance of STD infection is almost nil.
User :   can hpv scab and fall off?
Doctor :   Dryness and friction may be cause for it.
Doctor :   HPV infection do not scab of easily, moreover,
Doctor :   it present as a wart which can be easily differentiated.
User :   shininess and portrusion of skin from surrounding skin?
User :   very little protrusion, but some
Doctor :   These warts scab off only on application of wart removal medication and not other wise.
Doctor :   So again the chances of HPV is unlikely.
User :   the shininess is primarily in one oblong L like spot
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