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What Causes Small Red Pimples On The Glans Penis?
Question: Hi, a week ago I noticed small red pimples on the glands of my penis. I then developed blisters on the glans and on the foreskin (I am uncircumcised). I went to the urologist a few days later and he said my symptoms look a lot like herpes. My test result will not be back for 2 more weeks, but he prescribed a course of aciclovir and I am taking it now. My foreskin has been very raw and red the last couple of days. Every time I walk it feels like sandpaper rubbing against my penis. Everyday I have pulled the skin back to wash thoroughly, and this seems to have exacerbated the problem. Today the skin has scabbed and it is very difficult to pull the skin back over the head of the penis. It feels as if the scabs will break and I will go through the same rawness again. There is a white milky discharge under the foreskin, which I clean every 2-3 hours when I can. I'm not sure if all of this is caused by an infection, as I have jock itch as well which I was treating with canestan, but stopped because I thought it was making things worked. Should I treat the affected area with canestan? Should I wait till the blisters and scabs go away before pulling the skin back to clean under the foreskin? Help! I'm really worried.
Brief Answer:
Better pcitures and complete history
Detailed Answer:
Hello,
Thank you for posting on HCM.
I appreciate your concern regarding your skin condition and will make sure your problem gets solved in a rightful way.
After keen review of your history and photograph, I think you might have got some fungal infection over penis (Candidial Balanoposthitis or Tinea) instead of Herpes progentialis but still its difficult to say anything without actual examination.
As you are already having jockitch which is a fungal infection, it is very likely that it might have spread to your genitals also. Moreover this infection is more common in uncircumcised men.Poor hygiene and excessive use of harsh soap can also can predispose to the infection.
I would insist you to post clinical pictures with better clarity (Also one picture where the foreskin is completely retracted !) and mention the following points of history on follow up:
1. Apart from whitish discharge collection any associated symptoms like itching,burning sensation while urination, ulcers over genitals, lumps in groin area (enlarged lymph nodes) etc
2 Sexual exposure history
3. History of similar complain in past
4 History of any complain in your partner
5. Are you suffering from diabetes or any medical condition
6. Any other significant points which you think can help.
Generally in my patients of Candidial balanoposthitis, I suggest a short course of oral antifungal like fluconazole 150 mg once daily for 10-15 days.
Apply topical antifungal cream like sertaconazole twice a day over affected area for few weeks.
Use ketoconazole soap for rinsing the area and use antifungal dusting powder to keep the area dry.
Take antihistaminics for itching as required.
Maintain proper hygiene and Use cotton undergarments and avoid too tight undergarments.
Kindly revert back with the details asked for.
Wish you best of health,
Take care,
Dr Hardik Pitroda
Better pcitures and complete history
Detailed Answer:
Hello,
Thank you for posting on HCM.
I appreciate your concern regarding your skin condition and will make sure your problem gets solved in a rightful way.
After keen review of your history and photograph, I think you might have got some fungal infection over penis (Candidial Balanoposthitis or Tinea) instead of Herpes progentialis but still its difficult to say anything without actual examination.
As you are already having jockitch which is a fungal infection, it is very likely that it might have spread to your genitals also. Moreover this infection is more common in uncircumcised men.Poor hygiene and excessive use of harsh soap can also can predispose to the infection.
I would insist you to post clinical pictures with better clarity (Also one picture where the foreskin is completely retracted !) and mention the following points of history on follow up:
1. Apart from whitish discharge collection any associated symptoms like itching,burning sensation while urination, ulcers over genitals, lumps in groin area (enlarged lymph nodes) etc
2 Sexual exposure history
3. History of similar complain in past
4 History of any complain in your partner
5. Are you suffering from diabetes or any medical condition
6. Any other significant points which you think can help.
Generally in my patients of Candidial balanoposthitis, I suggest a short course of oral antifungal like fluconazole 150 mg once daily for 10-15 days.
Apply topical antifungal cream like sertaconazole twice a day over affected area for few weeks.
Use ketoconazole soap for rinsing the area and use antifungal dusting powder to keep the area dry.
Take antihistaminics for itching as required.
Maintain proper hygiene and Use cotton undergarments and avoid too tight undergarments.
Kindly revert back with the details asked for.
Wish you best of health,
Take care,
Dr Hardik Pitroda
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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