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What causes red spots and blisters on penis with burning sensation and what is the treatment?

Dec 2013
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Practicing since : 2002
Answered : 4168 Questions
Hello, i am a 23 year old male and i had a recent sexual encounter 13 days ago in which i used no protection with a new girl. 8 days after the encounter i noticed 2 red spots on the top of my peanus and blisters on the lower part of my penis head. This happened on a sat and on monday morning i began to feel a strong burning sensation but no itching. I went to my general doctor on tues and he thought it was herpes so he started me on valycovir. today i went for a second opinion to another doctor and since she did not see the red spots she said it could be that the medicine is working or that the spots went away by themselves. I showed her the two blisters at the bottom of my penis head and she said it looked like a infection not herpes. I am so confused now and i want your opinion. I am going to send you pictures so you see the progression. Will herpes always come in blisters and will they always pop or could it come like what i have? mines have not poped yet and the red spots that were on my penis head did not pop either. They just went away. It is still burning now so she told me to use a yeast infection cream.
Posted Mon, 23 Dec 2013 in Sexually Transmitted Diseases
Answered by Dr. Sanjay Kumar Kanodia 1 hour later
Brief Answer: Kindly send high resolution pictures Detailed Answer: Hi, welcome and thanks for posting your query to healthcare magic. I can understand your concern for the red spots on the penis. I have gone through your history and thorough seen all the pictures.Though you sent so many of the pictures for the help but are of low resolution. The pictures sent by you are of low resolution so that the exact possibility is bit difficult to be made. I request you to send a high resolution pictures of the affected area. You have a feature to upload images by yourself at the right side of the query page, please utilize that so that I can answer your queries better. Or else, you can send as an attachment to YYYY@YYYY with the subject as "Attn: Dr. Sanjay Kumar Kanodia) With regards, "Wish you good health" Regards, Dr Sanjay Kumar Kanodia MD (Dermatology & Sexually Transmitted Diseases)
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Follow-up: What causes red spots and blisters on penis with burning sensation and what is the treatment? 1 hour later
Thank you for your time doctor, Unfortunately i do not have any more pictures in a higher resolution. I wll try to crop them and maybe see if the image becomes clearer. If i cannot then i have no way of you seeing it well enough. Could you at least explain to me what you look for to make a diagnosis and if all outbreaks end up with blisters poping? The red spots left fairly quickly so is this a characteristic of herpes?
Answered by Dr. Sanjay Kumar Kanodia 2 hours later
Brief Answer: Not herpes; candidal infection Detailed Answer: Hello young fellow, Welcome to the forum again and thanks for your swift reply. Do not worry if you don't have the facility to upload higher resolution pictures. DO not send cropped picture as well as I can see all the pictures in enlarged view. The only problem was when I was increasing the size of the picture for best diagnosis then the pickers got blurred. You know in all the skin problems it is the through and best examination which is most important. I want to give best professional advice to you so that you must get relaxed. Now as per the present status of all the available material - it is completely unlikely to have herpes. It is not at all the possibility of the same. Let me give medical explanation for the same. - In herpes there is eruptions which may be red at beginning but in very few hour turns into small vesicles. - These vesicles are grouped one. It means these vesicles are present in a group at a particular site only. These are not present at one or the other places. Either these may be present on tip or on base of penis but not both the places. - The vesicles develop in maximum of one day and never present one a particular day and next one on next day, that too in a period of 24 hours. - Once these are formed then this is a must that these burst up and ooze fluid from it. -There is formation of very superficial ulcers. These remain for at last a period of 4-5 days and then disappear in complete of 7 days period. -There is a feeling of moderate to high burning and irritation with itching in same with pain pronounced in the vesicles rupture. So now gong through all the above points you can get an idea regarding no possibility herpes. In yourself there was only redness and no formation of vesicles. You may ask question that it might be possible because of antiviral drug valacyclovir. But in clinical sense once the redness is formed then there is formation of vesicles is a must. It can prevent further formation but once the redness prevails then there is injury to the skin thereby leading to vesicles. Next thing is in yourself there was formation of redness at two different places which is again not in favor of herpes. There was no any formation of vesicles or ulcers in any of the lesions. Now coming on to the pictures directly which I wanted to confirm my diagnosis. In my opinion I will go with the diagnosis of mild candidal infection. This type of presentation is most common with fungal infection of the area. Your second doctor is correct in her diagnosis. You can apply the cream prescribed by her. Along with this I further suggest you to clean your penile and prepuce area gently and completely two times a day. Maintain good hygiene. Avoid sex for few days period and even masturbation too. In future always do protected intercourse. Relax yourself and do not worry. With regards, "Wish you good health" Regards, Dr Sanjay Kumar Kanodia MD (Dermatology & Sexually Transmitted Diseases)
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Follow-up: What causes red spots and blisters on penis with burning sensation and what is the treatment? 5 hours later
Thank you very much doctor, I am hoping this is the case. I know the virus attacks every one diffrently so that is why i was curious. I started using the cream last night so hopefully it works. I have been so deppressed and anxious lately and your words have given me a sense of hope. Thank you very much for your time again. i greatly appreciate it.
Answered by Dr. Sanjay Kumar Kanodia 1 hour later
Brief Answer: Good to know that you are relaxed now Detailed Answer: Hello young fellow, I am really happy to know that my professional suggestions relaxed you. I can really understand your part of anxiety and depression related to same. We think a lot during this anxiety state and this all thinking is in negative direction making you more anxious. Anyhow none of your part of problem is related to any viral problem - so just relax!!! Now you XXXXXXX not worry you will be alright soon. Maintain good hygiene and always use protection. If you have any further queries I will be glad to help or if not then can close the discussion and rate the answer. In future also if you have any further query then can ask me directly at: With regards, Dr Sanjay
Above answer was peer-reviewed by
Follow-up: What causes red spots and blisters on penis with burning sensation and what is the treatment? 2 hours later
Thank you Dr. XXXXXXX I have definetly learned my lesson and i will be very careful from now on and i will contact you directly if i have and future concerns. Thank you once again.
Answered by Dr. Sanjay Kumar Kanodia 18 hours later
Brief Answer: Best of luck for your productive life Detailed Answer: Hello young fellow, Enjoy the weekend. I am glad to help in future for any of you health queries. May God bless you. Best of luck for your productive life ahead. You can close the discussion and rate the answer. With regards, Dr Sanjay
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