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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Itchy Penis And Black Spots On Foreskin

Hi doctor. Just want to ask. My penis started to itch and present allergy like symptom almost 2 weeks ago. It became puffy. The left part of my lip(mouth) felt tingly. After 3 days, my penis started to have black spots. One is a big circle and there were lesions on the glans and foreskin. It turned from itchy to painful. My left lip also had a small crack that s why it is also painful. Please help.
Fri, 6 Feb 2015
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Infectious Diseases Specialist,  's  Response
Hello,
Welcome to HCM,

Itchy penis and black spots on foreskin makes me suspect that probably you are having candidal posthitis which is more common in diabetics, whereas recurrent bacterial infections are also common if one's blood sugar levels is raised.

I would suggest that you take a course of an oral antibiotic (penicillin or cephalosporin group e.g Amoxycillin or cefadroxil for a week) to take care of the bacterial infection.

An OTC antifungal cream e.g clotrimazole cream, can be applied twice daily on the cracked foreskin. An oral antifungal e.g fluconazole 150mg single dose would also take care of the candidal posthitis.
THank you.
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Suggest Treatment For Itchy Penis And Black Spots On Foreskin

Hello, Welcome to HCM, Itchy penis and black spots on foreskin makes me suspect that probably you are having candidal posthitis which is more common in diabetics, whereas recurrent bacterial infections are also common if one s blood sugar levels is raised. I would suggest that you take a course of an oral antibiotic (penicillin or cephalosporin group e.g Amoxycillin or cefadroxil for a week) to take care of the bacterial infection. An OTC antifungal cream e.g clotrimazole cream, can be applied twice daily on the cracked foreskin. An oral antifungal e.g fluconazole 150mg single dose would also take care of the candidal posthitis. THank you.