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What Causes Red, Painful Scars On Glans And Red Bump On Penis?

Posted on Wed, 16 Mar 2016

Question: Hi doctor, I've got these red scars on my glans after 10days of having unprotected blowjob. It feels tingling/pain kind of sensation. Also got red bump on my peehole. Could you please suggest any medication. Im most worried what it might be. I have used neosporin cream on the area where it is red as suggested by a GP. After couple of days the redness on my glans spread a little. The part with red scar is very soft when compared to other part of the glans. Attached pics for references. Thank you.

Answered by Dr. Dr. Kakkar (46 minutes later)

Brief Answer:
Possibility of genital herpes

Detailed Answer:
Hello. Thank you for writing to us

I have gone through your query and i have also reviewed the images.
I can see a lot of erosions on glans penis and near to the opening of urethra.

After looking at the image I suggest a possibility of genital herpes with superimposed candidal balanitis and I would like to treat you empirically for these possibilities, though i would later like to confirm the possibility of genital herpes with a blood test at 4 - 6 weeks.
If i was the treating doctor I would suggest oral antivirals e.g Acyvlovir 400 mg tablet (Zovirax tablets) thrice daily gor a week.
In addition I would also suggest you to take a single dose if oral antifungal e.g Fluconazole 150 mg tablet.
Topically you may use an antibiotic cream e.g 2% mupirocin cream (T-Bact cream)
These are all prescription medications and therefore I suggest you to use them under supervision of your local doctor.
Clean the area with just lukewarm water. Avoid using soaps or anything harsh like dettol or savlon.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (26 hours later)

Hi doctor, today Ive given my vlood and urine for the following tests. Chlamycdia, Gonorreha, HIV antibody 4th gen. Hepatities B and C, Herpes 1and 2, Syphilis. Its been week 4 after I had this sex encounter. So I went for a test. Need to wait for 3 days for test results. Not sure if this chat thread will be for next 3 days to share my test reaults. Mean while I'll be using the medications prescribed by you. I'll let you know if they are not available over the counter in the pharmacy for alternative medication. Thanks.

Answered by Dr. Dr. Kakkar (32 minutes later)

Brief Answer:
update me about things in future

Detailed Answer:
Hi.

Sure. You can get back for any assistance that you might need from me regarding medications. You may also post me a direct query on my profile at any time in future.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (46 hours later)

Hi doctor, My test results are out. I got negative in all the tests. But positive for Herpes-1 with HSV 1 IGG TYPE SPECIFIC AB >5.00H. I dont know what it means. Could you please help me out. Is there any new medication I need to start or is this a common virus?

Answered by Dr. Dr. Kakkar (9 minutes later)

Brief Answer:
I would suggest oral antivirals i.e acyclovir

Detailed Answer:
Hi.

So that confirms my initial clinical diagnosis, that of herpes. Genital herpes is transmitted by direct contact, either oral or genital, with an infected sexual partner. It is an STD. Genital herpes can be caused by either Hsv type 1 virus Or Hsv type 2 virus. Hsv type 1 commonly causes oro-labial herpes therefore transmission to genital mucosa is usually through oral sex, as in your case.
I would suggest gou to go ahead with my advice in previous reply i.e oral antivirals (Acyclovir) and topical antibacterial cream. You would require a prescription for these from your local doctor.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (4 hours later)

Hi doctor, I've visited local dermotologist here, after close examination on my penis, she prescribed me with following medication. Desonide 0.05% ointment and valACYclovir 500mg 2 tablets daily. I have next visit aftet 4 weeks. If this medication doesn't work. She wants to send small piece of tissue from the infected area for furthur examination. Will keep you posted on my case. Thank a lot.

Answered by Dr. Dr. Kakkar (5 hours later)

Brief Answer:
let me know how it goes

Detailed Answer:
Hi.

Sure keep me posted. However i would suggest you to apply topical antibiotic e.g mupirocin cream (T-Bact cream) rather than desonide 0.05% cream. Desonide is a topical steroid.

Thank you

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar