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What Causes Red Patch Of Skin At The Base Of Glans?

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Posted on Wed, 4 Mar 2015
Question: I had a protected intercourse(condom-latex with no breakage )with a hooker on 1st January,2015 and after 4-5 days there is a single,small, thin,dry but not always ,round but not clear shape,not pimple type,no puss or wart on the head of my penis. The area is not red all the time but after touching and rubbing violently it becomes a bit bright.I dont have any weakness, nor any burning sensation during passing urine nor there is any itching in the area or any secretion from penis. I have a tight fore-skin also.Its now almost a month now and i am afraid i have contacted any STD.
doctor
Answered by Dr. Dr. Kakkar (33 minutes later)
Brief Answer:
I suggest possibility of candidal/fungal balanitis; try topical antifungals

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

I have taken note of your query and I have understood it. I have also reviewed the Images.
I can see a smooth, red patch of skin at the base of glans.

From your description and after reviewing images, this does'nt seem to be an STD.
I would rather keep a likely possibility of candidal balanitis/ yeast infection.
I suggest you to try an OTC topical antifungal e.g clotrimazole 1% cream Or preferably a clotrimazole+beclomethasone dipropionate combination cream, twice daily for 5-7 days.

Protected sex is generally considered to be safe in terms of major STD's like syphilis, gonorrhea, chlamydia, HIV.
However, even protected sex is not 100% protective against genital herpes, genital warts or molluscum contagiosum, because a condom covers only a portion of shaft of penis and therefore leaves base of penis and neighboring genital skin exposed for skin-to-skin contact with infected partner during sexual encounter.
Therefore, if you notice any erosion's, warts or growths in the genital/ perineal region e.g base of shaft of penis, you must get yourself checked with a venereologist.

Regards
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (10 minutes later)
I am using CANDID B since yesterday and the patch has become more bright.Is it OK?
doctor
Answered by Dr. Dr. Kakkar (41 minutes later)
Brief Answer:
I suggest you to continue with topical antifungal

Detailed Answer:
Hi.

I suggest you to continue with topical antifungal,twice daily, for a week.

Clean with just plain lukewarm water

Avoid using soaps, antiseptics etc

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (5 minutes later)
Suggest me a topical anti-fungal medicine?
doctor
Answered by Dr. Dr. Kakkar (12 minutes later)
Brief Answer:
Continue with the same cream

Detailed Answer:
Hi

The one you are using is fine. Continue with the same antifungal cream.

It contains clotrimazole 1%, a topical antifungal in combination with beclomethasone dipropionate0.25%,a mild topical steroid .

I suggest you to continue with it for a week.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (13 hours later)
During checking, I have seen that it has extended to a part of the corona of the penis. The part of the corona has become only a bit bright and there is no wars or pus or anything, just a smooth surface. Kindly advice.
doctor
Answered by Dr. Dr. Kakkar (27 minutes later)
Brief Answer:
You may take an Oral antifungal in addition

Detailed Answer:
Hi.

I have reviewed recent Images. I advice you to continue with the same antifungal cream for 1 week/ 7 days.
In addition, you may also take a single dose of an Oral antifungal e.g Fluconazole tablet. It is just 1 day therapy in candidal balanitis infection.
It is available on prescription. I suggest you to talk to your doctor for the needful.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (4 hours later)
I never had any problems in my whole life unless i had this act.Will any condom may cause this infection as i have used the government provided or for what reason such infection happens?
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Candidal balanitis is not an STD and it is not related to condom use

Detailed Answer:
Hi.

Fungal/ candidal balanitis is not an STD and can happen in otherwise healthy individuals, specially in those who are uncircumcised.

It should resolve within a week.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (43 hours later)
Redness has disappeared a bit but it is thin and smooth as before with no itching,pain,puss or any warts.It becomes red again with clear patch it if I rub on the area.
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
The lesion is improving

Detailed Answer:
Hi

The lesion is showing improvement.
Redness would decrease further as you continue with the topical antifungal cream.
Continue with the same cream for another 3-4 days.
Do not rub. Clean the area gently with plain lukewarm water.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (22 hours later)
I have also a developed a mouth ulcer inside the mouth,which is inside the cheeks and is not painful at all.Kindly advice.
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Most likely an oral aphthous ulcer

Detailed Answer:
Hi

Mouth ulcer is most likely to be an oral aphthous ulcer.

I suggest you to do an OTC antiseptic mouth wash, thrice daily.

Topically you may use an antiseptic gel e.g hexidine gel (contains chlorhexidine), twice or thrice daily.

Can also add a B-complex vitamin supplement,once daily for 10 days.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (14 minutes later)
Ok, Lastly again coming to my original question, I want to know whether there are any chances of getting HIV from THIS incident IN future and want to clarify again that there was no condom breakage,no oral sex,kissing etc .

Want to know how many days it takes to heal a mouth ulcer naturally when not affected by HIV or when affected with it? What are the chief symptoms of mouth ulcers in HIV?
doctor
Answered by Dr. Dr. Kakkar (4 hours later)
Brief Answer:
Protected sex is safe in terms of HIV risk

Detailed Answer:
Hi.

Protected sex is considered to be safe in terms of risk of HIV.
Nevertheless, you may still take up a screening test for HIV for your own peace of mind.

Screening for HIV can be done earliest at 1 month or 4 weeks after a risky sexual encounter.

Most of the HIV infected individuals will have detectable antibodies against the virus by 1 month.
Since your sexual encounter was on 1st of January therefore you can take up a screening test even today.

A repeat screening test at 3 months or 12 weeks should be taken as conclusive.
Most likely these tests would be negative in you and would put you at ease.

Oral aphthous ulcers, are fairly common in general population and are neither suggest nor are a definitive sign of HIV.
One cannot suspect an individual to be HIV positive just because he or she has aphthous ulcer.

Aphthous ulcers normally heal within 3-5 days

Nevertheless, oral aphthous ulcers are more common, persistent and recurrent in HIV. They may take longer than usual to heal in HIV positive patients.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (18 hours later)
Can you plz tell me what is the basic cost to test HIV? Is a prescription necessary from a doctor ?
The mouth sore/ulcer which i have has no pain at all.Kindly suggest. The lesion on the penis has decreased a bit but some swelling is found on the corona.
and finally, what are the first and foremost symptoms in HIV infection?
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Testing for HIV is voluntary and not very expensive

Detailed Answer:
Hi.

Screening test for HIV would cost anywhere between 250/- INR to 500/- INR from a private center.
Testing is also available free of cost at a government facility.

No prescription is required for HIV testing.
You can test voluntarily at any of VCTC (voluntary counselling and testing center) Or ICTC (Integrated counselling and testing center) which is available in all government health facilities/ hospitals
You will be provided pre-test counselling as well as post-test counselling and educated about safe sex practices and measures to reduce risk of transmission of HIV.

Regarding the oral ulcer, it is most likely an aphthous ulcer/ canker sore Or due to tooth trauma.
Though aphthous ulcers are usually painful however, pain may not be a prominent symptom in just an isolated/ single ulcer.
Moreover since there was no oral sexual contact or kissing involved in this particular sexual act, therefore it is unlikely to be an STD.

A new infection with HIV may present with flu like symptoms just like any other viral infection i.e fever, body ache, muscle and joint pain, headache, swollen glands, sore throat, fatigue, skin rash, oral candidiasis etc.
These are the first and foremost symptoms.

These symptoms are non-specific and can also be seen in other viral infections and in no way suggest HIV.
However, in the setting of flu like symptoms developing days after risky sexual encounter, testing for HIV is recommended.

This flu like illness in HIV is followed by a clinically asymptomatic stage wherein the virus keeps multiplying in body and progressively weakens immune system but there are no clinical symptoms.

Later, at some stage when the immune system has been considerably weakened by HIV, symptoms that appear are usually be due to immunodeficiency and resultant opportunistic infections e.g Tuberculosis, Candidiasis, Pneumonia, Herpes etc.
Together these are part of the AIDS (Acquired Immune Deficiency Syndrome) symptom complex.
Besides in later stages, AIDS patients may also have Weight loss, Tiredness, Night sweats, Unexplained Diarrhea, Oral sores etc

Regards
Hope this helps
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Kakkar (34 minutes later)
Thanks for the info..
doctor
Answered by Dr. Dr. Kakkar (19 minutes later)
Brief Answer:
You are welcome

Detailed Answer:
Thank you for writing to us at healthcaremagic

Regards
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Kakkar (4 hours later)
Have uplaoded new pics, the corona has become red aand a bit swollen after applying candid B.
doctor
Answered by Dr. Dr. Kakkar (17 minutes later)
Brief Answer:
The lesion has improved; oral lesion is aphthous ulcer

Detailed Answer:
Hi.

I have reviewed recent Images.
In Images I can see that the concerned patch on glans, is much better as compared to what it was a few days ago. It has faded and started to blend with surrounding skin of glans.
Glans is a very vascular organ, therefore, it may appear more red at certain times than other depending on vascularity. I don't see any reason to worry for what I see in the Images.
The picture of oral mucosa depicts a single well defined ulcer on buccal mucosa which as suspected earlier is a classic aphthous ulcer.
For the ulcer you may use a topical antiseptic gel e.g chlorhexidine gel, twice or thrice daily, as mentioned in one of my previous replies.
Also use an antiseptic mouthwash.

Regards
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Dr. Dr. Kakkar

Dermatologist

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What Causes Red Patch Of Skin At The Base Of Glans?

Brief Answer: I suggest possibility of candidal/fungal balanitis; try topical antifungals Detailed Answer: Hello. Thank you for writing to us at healthcaremagic I have taken note of your query and I have understood it. I have also reviewed the Images. I can see a smooth, red patch of skin at the base of glans. From your description and after reviewing images, this does'nt seem to be an STD. I would rather keep a likely possibility of candidal balanitis/ yeast infection. I suggest you to try an OTC topical antifungal e.g clotrimazole 1% cream Or preferably a clotrimazole+beclomethasone dipropionate combination cream, twice daily for 5-7 days. Protected sex is generally considered to be safe in terms of major STD's like syphilis, gonorrhea, chlamydia, HIV. However, even protected sex is not 100% protective against genital herpes, genital warts or molluscum contagiosum, because a condom covers only a portion of shaft of penis and therefore leaves base of penis and neighboring genital skin exposed for skin-to-skin contact with infected partner during sexual encounter. Therefore, if you notice any erosion's, warts or growths in the genital/ perineal region e.g base of shaft of penis, you must get yourself checked with a venereologist. Regards Take care