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Red lesions on glans - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Penis Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have a skin reaction from cloritmazole and a whole lot of other medicines prescribed by one doctor for a very slight candida rash on my glans. I changed doctors because the rash didnt go. This doctor put me on to Clobetasone butyrate (Eumovate Cream) with which the rash disappeared almost overnight. I applied this cream for 2 weeks as advised, but after discontinuing, the rash re appears. What should i do
Doctor :   Hi
User :   Hi
Doctor :   give me a couple mins to read your query.
Doctor :   may I know your age?
User :   52
Doctor :   ok, since when do you have this rash?
Doctor :   are you with me?
User :   this is a persisitant rash since the last 3 months, it disappears with Eumovate but on discontinuation appears back. It is mild in appearance, but rash consists of blotchy red spots that do not itch, just look unpleasant
Doctor :   Ok, may I know if you have diabetes?
User :   No, i do a regular annual checkup and no indication of this yet, at least since my last checkup about 5 months ago
Doctor :   Ok, any recent history of fever, cough or any infection?
User :   No, otherwise healthy
Doctor :   OK, have you noticed any discharge apart from the normal one ?
User :   No no other symptoms, no burning of the urethra, no itch, nothing else except this persistant rash that disappears but appears again after discontinuing the cream. No sexual activity either.
Doctor :   ok
Doctor :   you said the doctor made a diagnosis of candida , was it on examining you?
User :   yes, initially over 4 months back, some spots on penis gave doctor that indication. So he gave me several strong antibiotics - Zorno, then Flucan, then Occuvir. Later i found that on application of any "zole" the rash would increase
Doctor :   ok
Doctor :   when the rashes re appear are they similar in size and in the same area as before?
User :   But doctor seemed to have run out of ideas so i switched to another doctor. He said to wait and watch, and we did that. Nothing happened till 2-3 weeks when the rash appeared. For this the doctor then seemed to be sure it was a allergy
User :   They are not in the same area, but scattered on the glans. Sometimes the rash become like little zits (pimples with small white heads) and then they subside. Mostly if i masturbate after that there is more redness.
Doctor :   your query is based more on a physical examination, but i will try to give my suggestions to the best of my abilities.
Doctor :   are you allergic to any specific food/ history of any asthma, etc?
User :   I am strongly allergic to penicillin and its derivatives, and to sulfa. ALso i have polyps in my nose that suggest allergic reaction to something.
Doctor :   ok
Doctor :   are you presently on any other medicines apart from the one's you mentioned above?
User :   I take a nasal spray - fluticasone (Flomist). Incidentally forgot to mention initially the rash caused a lot of warmth (like heat) on the glans.
Doctor :   ok, do you feel that these rashes increase or persist when your stressed or worried?
User :   Cannot co-relate that. doesnt feel like there is any co-relation - but cannot be sure. Have normal work related mild stress like everyone else i guess. ALso i take anti-allergy tablet for my polyps which helps in keeping the rash subsided.
Doctor :   may i ask you when you were sexually active, did you have any condom allergies?
User :   no, dont remember any, but that was years ago -
Doctor :   are you with me?
User :   Doctor, i should add that i probably did have some mild form of candidiasis, a yeast like allergy. The initial doses took care of that, i know because my nail fungus etc has gone.
Doctor :   on knowing your complete history I can come to these conclusions
Doctor :   you have a history of allergy, any systemic allergy will not restrict itself to the nose or skin , it can also involve the mucus , which is glans as well.
Doctor :   the other cause seems to be the fungal infection , which seems to recurr
User :   ok
Doctor :   since I cannot examine you, i could only give you these suggestions
User :   ok tell me doctor
Doctor :   since the rash do not itch and do not cause any discomfort, you need to worry much
Doctor :   mean while please re check on your sugar levels.
Doctor :   it could just be an allergic reaction , which may not need any attention.
User :   but if any rash increases i have to keep taking this cream
Doctor :   also as you have seen a doctor , and not sexually acyive as well. i cannot think of any other infection.
Doctor :   yes, you could use the cream, slowly stop the application
User :   can you suggest any doctor that i show and take a second opinon
Doctor :   make sure you use cotton undergarments and avoid any nylon ones
Doctor :   yes, i could suggest you
Doctor :   can i know where in mumbai are you put up?
User :   I live in Andheri
Doctor :   ok
Doctor :   can you confirm me your phone no
User :   0000
Doctor :   ok
Doctor :   our customer care team will get back to you with the doctor details
User :   thanks
Doctor :   I hope i have answered your questions
Doctor :   are there any other questions?
User :   thanks doctor, but i feel very uneasy about having this persistent problem, and am worried that there shouldnt be anything else that is being hidden
Doctor :   no , do not worry as i see it to be a fungal infection, or an allergy
Doctor :   which can be taken care of
User :   fine i shall wait for some call from your team for further checkup or consultation
Doctor :   we will call you in some time
Doctor :   thanks for consulting me
User :   Thanks doctor, take care - your team could also email me as phone calls sometimes can be missed my email is b
Doctor :   you can log in and chat with us anytime for further assistance
Doctor :   Bye for now , i have noted your details it will be taken care of
Doctor :   good day
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