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Suggest treatment for rash on scrotum

Answered by
Dr.
Dr. Ilyas Patel

Dermatologist

Practicing since :1982

Answered : 3988 Questions

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Posted on Tue, 7 Jun 2016 in Skin Hair and Nails
Question: I had eczema on scrotum 3 months back and doctor suggested to use fucibet which cured. I had sex with condom with a escort and after two weeks have little rash on scrotum and burning sensation on tip of penis while urine. I got urine test yesterday for any STD and is negative. I am using now candid cream. Please suggest . I attach pictures.
doctor
Answered by Dr. Ilyas Patel 3 hours later
Brief Answer:
Candidal balanoposthitis most probably

Detailed Answer:
Hi,

Welcome to HCM...

I read history and saw the photos. After that I could conclude that most probably you may be having candidal balanoposthitis and scrotal dermatitis.

I would suggest...

- blood investigations like RBS to rule out DM and HIV test
- antifungal like itraconazole 200 mg daily for two weeks
- antihistaminics
- short course of antibiotic
- apply clotrimazole cream on glans and prepuce
- apply mild steroid cream on scrotal skin lesions
- avoid soap bath
- take Sitz bath in water mixed with few drops of Dettol
- keep the area clean and shaved
- improve hygiene, improve immunity
- avoid sex till the lesions clear
- antifungal tablets may be given to your wife

Have treatment for few weeks under observation of dermatologist.

I hope this would help you.

Thanks.

Dr.Ilyas Patel MD
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Ilyas Patel 3 hours later
Do you think it is worth to get hiv test done now as i heard it shoukd be done after 8-10 weeks
Can you suggest if i use fucibet cream again or candid b will be ok on scrotum.
Is tablet lorinol ok to take ir can you specify the name of antibiotic to be taken.
doctor
Answered by Dr. Ilyas Patel 6 hours later
Brief Answer:
Candidal balanoposthitis

Detailed Answer:
Hi,

Welcome back...

HIV test may be done now and may be repeated after few weeks.

Candid cream may be applied on prepuce and glans penis.

Fucibet cream may be applied on scrotal lesions.

Antifungal like Ketoconazole or itraconazole ... and antibiotic like Azithromycin may be taken in proper doses. Please have the prescription from your doctor.

I hope this would help you.

Thanks.

Dr.Ilyas Patel MD
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ilyas Patel 22 hours later
As the urine tests proved negative for sti , is there any chance to get any ither sti like herpes.
Is lorinol tablet good to take as anti fungal.
What brand and dosage of azithromycin you suggest. . What brand and dosage of anti fungal you suggest .
Do you think even after having sex with a condom , sti might be there . Aa you think it could be balanoposthitis , what brand of clottimazole cream you suggest.
doctor
Answered by Dr. Ilyas Patel 17 hours later
Brief Answer:
Candidal balanoposthitis

Detailed Answer:
Hi,

Welcome back to HCM..

- there is no urine test to rule out STD ..Hepes progenitalis,chancroid,gonorrhoea, syphilis,HIV..etc

- it is difficult to tell about the chances of any STD including herpes

- I don't know the content of lorinol. You consult nearby dermatologist to know about it.

- there is limitations with us to tell about brands of the drugs.

- dose of antifungal was suggested in previous post.

- azithromycin 500 mg may be taken for one to two weeks

- condom give partial protection for STD, remember ...there may be chances of tear. How one can remain protected from the lesions on vulva?

- you have most probably candidal balanoposthitis

- candid cream is widely used clotrimazole cream

I hope you got my answers.

Thanks.

Dr.Ilyas Patel MD
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Ilyas Patel 3 days later
I showed two doctors and one prescribed fusiderm to be applied in the penis and other advised orkid 4 to be applied along with alegra 120 tabs. What do you suggest as i tried fusiderm since last 2 days without any result
doctor
Answered by Dr. Ilyas Patel 34 minutes later
Brief Answer:
Candidal balanoposthitis

Detailed Answer:
Hi,

You seem to have candidal balanoposthitis. It is a fungal infection. Fusiderm is antibiotic. So, you do not get result. As, previously I suggested.. You apply antifungal cream.

And Allegra is an antihistaminic. It reduces itch sensation. So, oral antifungal may be taken as suggested in previous post.

I hope now you must have understood your problem and it's remedy. You take treatment under observation of dermatologist.

Thanks.

Dr.Ilyas Patel MD
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Ilyas Patel 20 minutes later
Is orkid 4 also anti biotic . Cant you suggest anti fungal creams as yhe doctors here prescribed maybe wrong medication
doctor
Answered by Dr. Ilyas Patel 15 hours later
Brief Answer:
Candidal balanoposthitis

Detailed Answer:
Hi,

Orkid 4 cream may be mixed cream containing steroid,antibiotic and antifungal. So, avoid its use.You may apply purely antifungal cream like candid or canesten cream.

Ok..

Dr.Ilyas Patel MD
Above answer was peer-reviewed by : Dr. Deepak
doctor
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Follow up: Dr. Ilyas Patel 9 hours later
Is candid better or candid B or as you said canesten
doctor
Answered by Dr. Ilyas Patel 13 hours later
Brief Answer:
Candid and canesten same

Detailed Answer:
Hi,

Candid and canesten are same. You may apply any. Do not apply candid B,as it consists steroid.

Ok

Thanks..

Dr.Ilyas Patel MD
Above answer was peer-reviewed by : Dr. Prasad
doctor
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