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What causes itchy foreskin with ulcers?

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Posted on Mon, 28 Jul 2014
Question: Hi I have developed a very itchy foreskin followed by some red ulcers, went to see a Dermatologist, was prescribed Mupirocin cream as well as a 5 day course of cefixime tablets, i have completed four days but now things are getting worse even the foreskin is becoming very difficult to pull back
doctor
Answered by Dr. T Chandrakant (56 minutes later)
Brief Answer:
Balanoposthitis

Detailed Answer:
Hi.
Thanks for your query.

This looks to be a problem called balanoposthitis.
I hope you have a single sex partner.
The effective treatment is as follows:
Clean the area with plain water 2 to 4 times a day and and keep it dry with a pure cotton cloth or a dryer.
you may apply liquid Povidone Iodine locally or a Metronidazole cream- nothing else at all. We have seen no results with any other solution, cream or ointment. So do not try anything else; if you are using any, please stop it.

A course of antibiotic (another one as this is not helping you) with metrogyl orally for 5 to 7 days should help you to get a cure. You can get your Blood Sugar checked.

If you are married and have wife or a partner, she should also receive the same treatment.

No sex or masturbation till you are absolutely fine.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. T Chandrakant (10 hours later)
Hi I got my sugars tested for the first time in life, fasting blood sugar is 205 and PP is 295.

Fasting urine sample is 1%

PP urine sample is 2%

Could it be the reason for my foreskin problem. Am I diabetic, please let me know your comments
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
As thought.

Detailed Answer:
We see many patients wherein the first symptoms of diabetes is balanoposthitis.

You are diabetic and have to have a perfect Medical treatment for the cure of balanoposthitis.

Yes, this is the reason for your problem.
Get treatment started under the care of a Physician or Diabetologist.
You were admitted in 2009 and 2012- were the sugars normal that time?
Control your stress- that will help control of diabetes.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. T Chandrakant (18 minutes later)
Sugars were normal that time. I have a family history of diabetes in both my parents. As I told, the dermatologist gave me antibiotics and I was taking that, could that also spike sugars, of late may be last 10-15 days, I have been gorging on non-veg food, sweets & alcohol.
doctor
Answered by Dr. T Chandrakant (16 minutes later)
Brief Answer:
Have a combination of treatment

Detailed Answer:
Family history of diabetes in parents is a contributory factor.
You have to take treatment of diabetes, please follow the advise of your treating Doctor strictly.

Antibiotics given by the Dermatologist will not cause sugars to increase. I hope you were not given steroids.

Non-veg food does not increase sugar.
Sweets will increase sugar only if you are a diabetic.
Alcohol has varies effects on sugar levels.

Please do not worry too much about diet and all; most important is proper medical treatment, and a combination of diet and exercises.

And balanoposthitis at the moment.
Have a combination of treatment and everything will be fine. Please accept that you are a diabetic and take proper treatment.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19251 Questions

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What causes itchy foreskin with ulcers?

Brief Answer: Balanoposthitis Detailed Answer: Hi. Thanks for your query. This looks to be a problem called balanoposthitis. I hope you have a single sex partner. The effective treatment is as follows: Clean the area with plain water 2 to 4 times a day and and keep it dry with a pure cotton cloth or a dryer. you may apply liquid Povidone Iodine locally or a Metronidazole cream- nothing else at all. We have seen no results with any other solution, cream or ointment. So do not try anything else; if you are using any, please stop it. A course of antibiotic (another one as this is not helping you) with metrogyl orally for 5 to 7 days should help you to get a cure. You can get your Blood Sugar checked. If you are married and have wife or a partner, she should also receive the same treatment. No sex or masturbation till you are absolutely fine.