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Dr. Andrew Rynne

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Suggest treatment for fungal infection of genitals

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Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 9812 Questions

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Posted on Sat, 2 Aug 2014 in Urinary and Bladder Problems
Question: Dear Sir

This is XXXXXXX i hope u remember me , i had contacted u last month(June 12) with regards to infection in the penis due to std.

I was residing in bangkok recently XXXXXXX visited a hospital and consulted a urologist, he examined penis and said there was discharge from the penis, and treated with injection and antibiotic( DOXYCYCLINE-100 MG Capsule)

I was using that anticbtiotic for two weeks and it finished,

i had to move out of thailand because of visa issues, and am resising in cambodia now

however there is still discharge from the penis and infection still seems to be there and little pain while urniating

i had done a blood test to determine if i have diabeties, and i do have diabeties , of 197

can u please advise me proper medication to treat thisso the discharge can stop and the nfection goes away

wld really appreciate your help
doctor
Answered by Dr. P. T. Patil 2 hours later
Brief Answer:
Could be due Genital Candidiasis.

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have Genital Candidiasis (Fungal Infection of the genitals)

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Did you have unprotected sex before you noticed these symptoms ?
2) Do you have itching of the genital?
3) Have you done swab test and culture of urethral discharge before you started taking Doxicycline?

Please get swab test and culture of the urethral discharge to confirm the diagnosis.

In the mean while start taking antibiotic like Erythromycin and anti fungal medication like Fluconozole twice daily and topical anti fungal jelly like Fluconozole for local application.

Ensure to wash your genitals with warm water twice daily

Ensure to avoid sexual encounters till it heals up completely.

Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil 26 minutes later
hi

thank u for your response

to answer your questions

1. i did not use condom last time i had sex, but i did not put it inside vagina, it was only on outside

i have never inserted inside a ladys vagina till date during sex

2. yes, i do have itching feeling in genital area

3.the doctor i consulted was a specalist at a hospital, he wanted to start the treatment from zero ,he gave me two options

a.operation
b. injection and antibiotics treatment & follow up later

i chose injection and antibiotic treatment, i could not go for follow up as my visa xpired

no swab test were done

is operation nesscary or can this b cured with antibiotics?

should i start the medication advised right away..?
doctor
Answered by Dr. P. T. Patil 10 minutes later
Brief Answer:
You need to start treatmnt suggested by me.

Detailed Answer:
Hello
Thanks for follow up.You get the tests done and start treatment which I have suggested in my reply earlier .

Please consult Diabetologist for advise as regards treatment for diabetes and ensure that your diabetes is well controlled with medication .
There is no need to undergo surgery.
It will get cured with medicines.
Thanks and Regards.
D.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil 3 minutes later
thanks for reply

i will start with the medication and consult a doctor here also for the swab test

hope this will work, i have this problem since may 16... its better from before..but not gone
doctor
Answered by Dr. P. T. Patil 3 minutes later
Brief Answer:
Go ahead and follow the instructions given.

Detailed Answer:
Hello
Thanks for writing again .
Do write to me about results of these tests and any improvement in your symptoms after taking medications for a week.
Thanks and Regards.

Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil 16 hours later
g morning

i have got the following from the local pharmacy here

1.Zocon-150-Fluconazole Tablets 150 mg
2.Erythromycin- 500 mg
3.Ketoconazole Cream

Fluconazole cream was not avaliable with the pharmacist, she recommended Ketoconazole Cream, please advise if ok to use

thaks
doctor
Answered by Dr. P. T. Patil 3 hours later
Brief Answer:
You can take medicines supplied by your chemist.

Detailed Answer:
Hello
Thanks for follow up.

Start taking medications supplied by chemist .It will get cured within a week provided or diabetes is controlled .
Thanks and Regards,
Dr.Patil.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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doctor1 MD

Dear Dr. Srinivasan

Name - Nitin

Age - 36

I have had recurring problem of red spots (isloated) on my penis head for 3-4 years. I have consulted many docs with varied diagnosis.

I was single then and made to believe it was fungal, it comes on its own and have been getting treated accordingly by a dermatologist.

Recently i got married and again recurringly had red infection on my penis. Along with this, my wife also developed infecion and was put under Gynea treatment, again for fungal infection and Fas Kit prescribed to both along with aplication of fungal infection creams. For the reason not transfering infection bw me and wife, we have stopped having intercourse (unprotected) however my wife was ok but I kept developing these red spots/ infection.

However on repeated occurances we consulted a different dermatologist and he suggested Herpes but blood test reports ruled out. However he insisted that indeed it is Herpes and sometimes the medical reports do not show the same. I was put on Famtrax 250 for 1 week along with application of topical anti-biotic(fusidic acid cream). The red spots kept going and coming but doc clamed it is Herpes geting cured and that takes time to cure as in past i have been exposed to steriod in form of anti-fungal creams. Post a week of Famtrax, i was put on antialergic and anti-biotic cream for a week.

the red spots have gone but now there is recurring white spots (small pimple types) which come and go. On showing to doc, he said its miliaria of penis and common and due to non drying of the area. I was asked to take urine test (culture and routine) and culture cam normal. Routine test pointed to some epidrmal cells (UT infection, I have mild recurring burning sensationtoo) and doc asked me to take Disodium Hydrogen Citrate (Alkasol) for a week. I am currently on Alkasol and Antialergic.

But the white spots are coming and going everyday still. I am not sure if im cured yet but doc says im fully cured but the white spots can be ignored and i can have unprotected sex with my wife.

Problem is i want to start a family soon but am confused due to various diagnosis. I do not want to pass on to my wife and abstain from sex.

Please suggest cure for white spots.

i wll be very greatful.



Kind regards

Nitin

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