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Suggest Treatment For Redness On The Penile Head

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Posted on Mon, 21 Nov 2016
Question: Dear HCM team doctors

Good afternoon. I am facing issue as follows.

Penis redness on foreskin and head. Head is swollen too at edges, in comparison to the recent past (before this issue).

Applied coconut oil once a day for the past 3 days, feels good.

45 year old male with good health and hygiene.

I humbly request to suggest remedy for the issue.

Thanking you Doctors.

regards XXXXXXX

doctor
Answered by Dr. Dr. Rahul Kumar (1 hour later)
Brief Answer:
Details required

Detailed Answer:
Hello
Thanks for the query and photographs.
It's looking like Candidal balanitis a fungal infection.
I treat such cases with a combination of oral and topical anti fungal medication.
A combination of oral itraconazole 200 mg twice daily for a week and ointment clotrimazole to be applied twice daily for the same duration.
This should help you.
I would like to know few additional details.
1. Any history of sexual contact?
2. Does your sexual partner have similar complaint or white discharge ?
3.Any symptoms like Pain or itch ?
Please answer the above so I can help you better.
Waiting for your response.
Thank you.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Rahul Kumar (24 minutes later)
Dear DR

Thanks for the information and advice.

1. Any history of sexual contact?

Absolutely no, still virgin (masterbation activity once or twice weekly) Recently remember handled roughly, eventhough I clean penis thoroughly daily while bath, felt somedays back, smelly before starting of this issue

2. Does your sexual partner have similar complaint or white discharge ?
Not applicable

3.Any symptoms like Pain or itch ?
No itch or pain, little burning sensation on redness part

Pls advice, should I go ahead with prescribed treatment or wait for your revised prescription.

regards XXXXXXX
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Follow up: Dr. Dr. Rahul Kumar (5 minutes later)
DR
Is tablet to be taken before or after food?DR, Remember Recently someone at family used my soap for bath, which was used again by me.

I am scared, is it too serious, how long will it take to cure? If serious case do you suggest going to hospital :)DR Have already started using your prescription. I am going to take tab after food, is that fine?

Please also let me know, how long will this take for complete cure. Is there any follow-ups required, thanks
doctor
Answered by Dr. Dr. Rahul Kumar (8 hours later)
Brief Answer:
Go ahead with treatment

Detailed Answer:
Hello
Thanks for the follow up.
You can go ahead with the treatment. But it would be wise to discuss the treatment with a doctor nearby and take these medicines with a prescription from the doctor.

Take medicine after food.
Let me know about the response after a week.
Thank you.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Rahul Kumar (1 hour later)
DR Thanks for the advise, will share the information after end of the course. regards
doctor
Answered by Dr. Dr. Rahul Kumar (23 hours later)
Brief Answer:
Welcome

Detailed Answer:
Hello
You are most welcome.
Wishing you a good health.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Rahul Kumar (11 days later)
Dear DR XXXXXXX XXXXXXX

Happy Deepavali!

Please find the updates:

a. Completed the recommended course on 25th Oct 2016

(oral itraconazole 200 mg twice daily for a week and ointment clotrimazole to be applied twice daily for the same duration)

b. Also attached latest images (post treatment) for your observations

c. I can see, redness has almost gone, definitely feeling better - but I feel due to: creame application dryness is still there

I request for help on the following:
1. Do you recommend applying anything for dryness or everything will be normal after some time
2. What precautions we should take before (indulging in) Masturbation activity like: do we have to apply anything for lubricating penis (to avoid damage to the skin)
3. Before having sex, do we have to lubricate penis
4. In case, if couple wish to have baby - can we still lubricate or does this affect the chances for conceiving and becoming pregnant
5. Pls provide tips on - Overall tip for keeping the good health of Penis

The thread had closed, I had to renew, please help me on above points.

Thanking you DR for all the help.

regards XXXXXXX
doctor
Answered by Dr. Dr. Rahul Kumar (20 hours later)
Brief Answer:
Details below

Detailed Answer:
Hello
Thanks for the follow up.
You need to take capsule itraconazole 100 mg twice daily for another 15 days also apply ointment clotrimazole twice daily for 15 days.
After this course you can apply aloevera gel twice daily to prevent dryness.
Lubricants can be used while having sex as well as masturbation.
There is no problem with that.
Lubricant doesn't interfere with pregnancy.
Just maintain a good personal hygiene and your partner too should keep genital area clean.
She can use pH balanced vaginal wash like V wash.
Let me know if you have any other doubts.
Thank you.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Rahul Kumar (2 hours later)
Dear DR, Thanks for the detailed explanation.

Pls help with the following:
a. Alovera gel - which brand and how long it should be applied (can we also apply, as and when we feel dryness)
b. Lubricant - Which brand pls (there are so many, confusing)

Let me close the discussion after hearing above clarifications.

Thanks once again for all the help DR

regards XXXXXXX
Dear DR

I just realized that, the (POST treatment) updated images were not actually updated (may be technical fault at hmcg tech platform)

Hence after deleting old images, I have uploaded new post treatment images for your observations.
doctor
Answered by Dr. Dr. Rahul Kumar (6 hours later)
Brief Answer:
KY jelly

Detailed Answer:
Hello
Thanks for the follow up and photograph.
Lesions have healed.
You can use dermadew aloevera cream.
KY lubricant jelly or moods lubes can be used as lubricant.
You can use aloevera whenever you feel dryness.
Let me know if you have any other doubts.
Thank you.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Rahul Kumar (12 hours later)
Dear DR

Thanks for the information. Noted the brands.

I am summarizing my understanding, pls correct me if I am wrong:

a. This means, after taking an observation at new post treatment images, there is no need for me to take tabs and creame (15 days)

b. Going to apply dermadew aloevera cream as dryness cure nourishment for 7-10 days, then afterwards as and when required

regards XXXXXXX

doctor
Answered by Dr. Dr. Rahul Kumar (28 hours later)
Brief Answer:
Details below

Detailed Answer:
Hello XXXXXXX
Please continue with the capsule and cream for another 15 days.
Although there is no lesion but another 15 day's medication is required to prevent recurrence.
After this 15 day course is over you can start applying aloevera.
Hope you have understood.
Feel free to ask any doubts.
Thank you.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
Answered by
Dr.
Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6636 Questions

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Suggest Treatment For Redness On The Penile Head

Brief Answer: Details required Detailed Answer: Hello Thanks for the query and photographs. It's looking like Candidal balanitis a fungal infection. I treat such cases with a combination of oral and topical anti fungal medication. A combination of oral itraconazole 200 mg twice daily for a week and ointment clotrimazole to be applied twice daily for the same duration. This should help you. I would like to know few additional details. 1. Any history of sexual contact? 2. Does your sexual partner have similar complaint or white discharge ? 3.Any symptoms like Pain or itch ? Please answer the above so I can help you better. Waiting for your response. Thank you.