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Suggest Treatment For Itchy Spots On The Head Of The Penis

Posted on Thu, 7 Jul 2016

Question: White layer & some small dots on the head of my penis and it itching. As per doctors advise use antifungal cream, vitamin and fluconazole tablets (1 tablet per week) for four weeks. But no good results till date. What to do, please advise

Answered by Dr. Sandip Kabra (1 hour later)

Brief Answer:
Provide pictures with more information.

Detailed Answer:
Hello,
Welcome to HCM.

These white layer and small dots s might be due to some irritation due to soap or due to some allergy or pearly penile papules but I will need to see those dots to arrive at a certain conclusion.

I will need to look at the head penis to check whether there is fungal infection or something else as you have already tried anti-fungal cream with fluconazole tablets. There is an option to upload pictures on this page. You can utilize it.

And also before proceeding further,I would like to know,

Is there any pain or burning or irritation over the glans?
Do you often use condom?

Kindly get back to me with more information and the pictures of penis head.

Regards,

Dr.Sandip Kabra

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sandip Kabra (2 hours later)

Some times irritation arise. No, didn't use condom. Suffered the problem from December 2015. Used to wash penis with soap. Consult doctor on 20th May 2016. And doctor adviced to take Fluconazole tablet pe week and apply Sertaconazole nitrate cream 2%w/w for a month. But used it three weeks till date there is no satisfactory results. Please advise if there is any diet to change..

Doctor also prescribed vitamins, biotin, inositol, lysine and mineral capsule one per day

Answered by Dr. Sandip Kabra (1 hour later)

Brief Answer:
Could be balanitis or balanoposthitis from the picture.

Detailed Answer:
Hello,
Welcome again and thanks for sharing pictures.

Based on the facts and pictures that you have posted here,it is likely to be due to infection of glans penis (balanitis or balanoposthitis) and I really doubt about fungal infection. This infection is likely because of some allergy or inflammation (may be due to soap cleaning)

Gently retract the foreskin and soak in warm water to clean penis and foreskin.

Avoid using soaps further as they may irritate the skin and make the inflammation worse.

Take broad spectrum antibiotics small course like cefixime 200 mg twice daily for a short course for 3 days.

Topical antibiotic with steroid ointment like Betamethasone and Neosporin (Betnovate-N) for local application over glans twice daily.

But for oral antibiotic,you will need to consult some local doctor or dermatologist who will better know about it.

Discontinue using topical and oral anti-fungal drugs,as it is very unlikely to be fungal infection but you can continue with vitamin and minerals.And yes,there is no need of any diet change here as diet has not much role here.

Thanks and Regards,

Dr.Sandip Kabra

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sandip Kabra (1 hour later)

Sir,
Is it totally curable or not? How many days it will take to cure? Is it a serious problem?

Answered by Dr. Sandip Kabra (1 minute later)

Brief Answer:
completely curable and not a serious problem.

Detailed Answer:
Hello,
Thanks for the quick follow-up.

Yes,it is completely curable and not a serious problem.

We may expect that you will start improving with 4 to 5 days with regular ointment applications.

However, in case,if problem persists even after 1 week of treatment,you should consult a dermatologist and get examined for further evaluation.

Thanks and Regards,

Dr.Sandip Kabra

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Above answer was peer-reviewed by : Dr. Yogesh D