Hi,

Thanks for your query.

Infection affecting the glans persisting for a period of 3 to 4 months usually could be due to fungal etiology. Also a recurrent mild bacterial infection cannot be ruled out. The suspicion sways slightly towards bacterial infection as you mention there is no itching or pain but only burning sensation.

I would like to know some more information on the condition to serve you better.

Do you see any lesions like boils, papules or ulcers associated with the redness?
Do you see any lesion in the foreskin?
Is there any discharge from the penile head?
Are you sexually active?

Waiting for your reply,

---

Hi,

Thanks for answering my questions.

As there are no active lesions or discharge from the affected site, it nearly rules out all serious bacterial infection. Accordingly what you have might be a fungal infection which is resistant to Miconazole.

You can try NEOSPORIN ointment to the affected part. This ointment contains a broad spectrum preparation with both antifungal and antibacterial action and has been helpful to many of my patients. It does treat well and help you get rid of the infection you have.

As fungal infections are chronic, treatment can be prolonged for few weeks. It may take a few weeks before you see any improvement in your symptoms. However if the symptoms remain unchanged after a week neosporin use, you will need to consult a dermatologist for examination and investigations.

Hope this helps. Let me know if you have other concerns.

Wish you good health.

Regards,

---