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Viral infection or herpes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2009
Answered : 593 Questions
User :   sir i want to consult a doctor regarding sex problem
Doctor :   Hi
Doctor :   How can I help you?
User :   hi& good morning
Doctor :   Good morning.
Doctor :   Please proceed with your query?
User :   sir i have sores on my penis, which was previously itches
Doctor :   Ok
User :   i have tested VDRL&HIV but found nothing
Doctor :   Since when have you noticed this sore?
User :   i have married in lastmonth, & facing problem last 20 days 7 taken all medicine such as a
Doctor :   And on which part of the penis are you having this sore?
User :   azithromicine,orindazole,fiuconzole,cifiine
User :   on the skin & also on the corona
Doctor :   Do you find any visual changes on that regions - changes such as bumps, growth, ulceration, colour changes on that region?
User :   yes, first red oils then white &after some day wound justlike skin cracks
Doctor :   Ok
Doctor :   Do you burning sensation associated with the soreness?
User :   now sprinkle metandinzole powder
User :   yes
User :   when water touches it
Doctor :   Ok
Doctor :   Do you have any other medical illness such as diabetes, hypertension, anxiety?
Doctor :   Are you on any regular medications.
User :   previouly hypertension for few days & after some rest it was 130/85 consantly for last 6 months
User :   no
Doctor :   Let me explain to you.
Doctor :   SItting from this far, without physically examining you, I am unable to predict the exact cause.
Doctor :   However based on your description,
Doctor :   I can think of 2 possible causes.
Doctor :   1. The problem may be related to constant friction which can induce echthyosis changes
Doctor :   2. A viral infection such as Herpes.
User :   what is the tretment?
Doctor :   You need to consult an urologist for physical examination.
Doctor :   A few test such as herpes antibody test or a swab test may be needed
Doctor :   to determine the cause.
Doctor :   Treatment will be based on the results.
User :   consulted & finishes kit1&2 of NACO
Doctor :   If viral infection such as herpes is ruled out,
Doctor :   then use of proper lubrication during sexual intercourse can solve the problem.
User :   is she also need check up?
Doctor :   I would suggest you to get checked first,
Doctor :   and if there are report turn positive, then your partner may also need evaluation.
Doctor :   My opinion is only for purpose of information,
Doctor :   an opinion based on your history.
Doctor :   A clinical examination by a specialist and the tests is necessary to confirm the diagnosis.
Doctor :   Hi
User :   sir ,what are the tests?
Doctor :   Diagnosis of herpes is basically done by a physical examination and then supplemented by tests.
User :   now for the time being some medication?
Doctor :   Blood samples or swab samples from the lesion is tested for Antiherpes antibodies.
Doctor :   Treatment consists of use of antiviral medications.
User :   is VDRL test is done for that?
Doctor :   And avoiding sexual intercourse during the acute infection.
Doctor :   No VDRL test is done to check for syphillis which is a bacterial infection.
User :   sir i don"t idulge in last 15 days
Doctor :   I suggest that you see an urologist /dermatologist or a doctor as an STD clinic center.
Doctor :   The doctor after physical examination will suggest you the tests,
User :   ok, sir what are sign of curing?
Doctor :   Treatment will be started if there is suspicion of infection.
Doctor :   If herpes is diagnosed, antiviral medication will treat the infection, however
Doctor :   occasionally, it is not possible to completely eradicate the infection.
Doctor :   Antiviral drugs sufficiently reduces the infection to almost 90 - 95%, and allows you to lead a normal life.
Doctor :   So do not worry about it.
User :   is it uncureable?
Doctor :   Get to the doctor, who after evaluation and the test will be able to resolve the issue completely.
Doctor :   I will use a better appropriate term here.
Doctor :   Since I haven't physically examined you, I cannot predict what exactly the cause is,
Doctor :   so i do not wish to comment about the cure.
Doctor :   If herpes/viral infection is proved, the virus some times remains dormant inside the body,
Doctor :   You will be asymptomatic just like a normal person,
User :   ok sir thanks for ur valuable suggestion!
Doctor :   involve in all activities including sexual activity,
Doctor :   So I suggest you not to worry about it.
Doctor :   Consult a doctor, who will be able to guide you through with the evaluation.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   yes
User :   no
User :   thanks & bye
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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