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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pimples Under Penis Foreskin?

Hi, I have had this problem now for quite a while and I do not seem to get rid of it even after visiting hospital for a few times and running some tests. I am residing in a third world country called Guyana, medicine has never struck as a strong suit over here. I am 23 years old, male, not circumcised. Symptoms are that I got small white pimple like boils? under my foreskin, on the inside and top part of the skin. They can be seen when pulling the skin down. High/uncomfortable smell after ejaculation, itch/bite in the foreskin area. I used to have this bite feeling quite often or even constantly, burning during the urinating as well but after running some tests first was diagnosed with simply urethritis, prescribed doxycycline as medicine. After 7 days cycle it appeared of as gone but the pimples were still there, other symptoms not. After about 4 days it started coming back, went on a longer doxycyline dose for 14 days, got rid of the issue for a week after and it came back. Did some research and found out that Azithromycin should help on some cases with urethritis , discussed it with the doctor at the hospital and got it prescribed for 7 days, it helped for a week... but now the bite is just appearing as perhaps couple times a day, the pimples are still under foreskin. Did run a test for herpes as the urologist first figured here it could be that, but came back negative. On what he said that perhaps you had it at one point of time and your body fight it off on its own, and this is what left back... Le sigh, I don t even know what to say to explanation like this but I help that you could perhaps point me in some direction where to go from here? I have been fighting this for over a year now and it is getting pretty ridiculous, annoying and I don t feel like I m living .
Mon, 24 Nov 2014
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General & Family Physician 's  Response
Hi
Thank you for asking HCM
I have gone through your query. Your problem is most likely Fordyce spots or fungal infection.If Fordyce spots then harmless. In such case you can take antioxidants and garlic more. You can apply tretinoin cream locally also. But if fungal infection then I advise ointments with combination of antifungal like miconazole and steroid like flucinolone. Hope this may help you.
Let me know if you have any further queries.
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What Causes Pimples Under Penis Foreskin?

Hi Thank you for asking HCM I have gone through your query. Your problem is most likely Fordyce spots or fungal infection.If Fordyce spots then harmless. In such case you can take antioxidants and garlic more. You can apply tretinoin cream locally also. But if fungal infection then I advise ointments with combination of antifungal like miconazole and steroid like flucinolone. Hope this may help you. Let me know if you have any further queries.