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Dr. Andrew Rynne
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Dr. Andrew Rynne

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What causes redness and itchy bumps in the genital area post a protected intercourse?

Answered by
Dr.
Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 2929 Questions

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Posted on Mon, 22 Aug 2016 in Skin Hair and Nails
Question: My issue began about five months ago a month after safe sex i get an intense itchy feeling and after a couple days of this going on a red or skin colored bump appeared it was small and it gave off a sting/burning feeling at random times and the area is quite painful i went to the doctor he gave me lotorsone cream it didnt work i tried daktarin and after a while i burned the surronding skin with a nickel and that olny made it worst since the stinging and burning pain is still the surronding skin has mainly healed but the pain is still their what could this be hpv?also i the stinging is sometimes felt on the scrotom and pubic hair it seemed the lotorsone get rid of most of the stinging in that area.it started off as grey as in the first pic
doctor
Answered by Dr. Saddiq Ulabidin 3 hours later
Brief Answer:
Needs swab test and oral treatment

Detailed Answer:
H! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through. Based on the history you have shared, and the images it seems less likely to be herpes though painful rashes after sexual exposure either raises possibility of herpes or HPV or trichomoniasis. Since the herpes is ruled out, the abscence of warts also very much excludes the HPV however it may be subclinical or even presents without warts but the good thing is that it automatically gets cleared without treatment. Using topical or oral painkillers will help. Trichomoniasis is another possibility but that may cause pain on micturation which isn't the symptom in your case though it may present without it. Getting a swab test from the lesion and using oral metronidazole for a week may help to clear it too. Keep using the topical applications prescribed by your primary physician. Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Saddiq Ulabidin 5 hours later
i got tested for all the stds trich gonnoreah sypylisi hiv this all started rather suddenly about 5 months ago a month after protected sex their was an intense itchy feeling followed by numbness and later a bump appeared that later began to sting/burn and the skin surronding it began itchy and burning also and also the girl i had sex with got tested for everything and the results came back negative later after going through so much pain with no help from doctors i foolishy burned the surronding skin with a nickel even after all that the pain is still present the stinnging and burning seems to be coming from very deep within the penile skin what could this be and what do suggest i do i posted numerous pictures of the area also please.
doctor
Answered by Dr. Saddiq Ulabidin 8 hours later
Brief Answer:
Topical pain killers can be helpful

Detailed Answer:
Hi! Thanks for sharing the detailed feedback. Since all have been tested negative, it is a good sign. Other options can be local reaction like allergic rash as is likely on the pics or nerve pains. Since it resolved with the local creams you have used for pain, you can continue using these alongwith oral analgesics like acetaminophen and it will resolve at its own. If it doesn't get a dermatologist review for a detailed examination of local skin. Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Saddiq Ulabidin 3 hours later
yeah the oral cream helps very little and i dont think it is nerve pain as their was a bump and itchy and stinging also sometimes i feel it on the scrota and pubic nerve pain shouldnt be able to do what i have urolgy appointment do you think that will help and have you looked at the pictures note even before the i stupidly burned the skin the issue was still their and it has almost been 5 to 6 months now what could this be a bacteria skin infection i really dont know it all started with a grey swelling and after i scratched it and after a few days the itching and stinging began and a small bump swelled note it has been 5 months
doctor
Answered by Dr. Saddiq Ulabidin 17 hours later
Brief Answer:
Needs dermatologist and urologist review

Detailed Answer:
Hi! Since the STDs have been ruled out, the other possibilities or either local skin infection or allergies or nerve pains. Since it is quite some time since onset of symptoms, you need to see a dermatologist or urologist as topical solutions and pain killers work temporarily. I have gone through the pictures and these doesn't reflect STDs significantly however few possibilities that we have discussed earlier and as you have mentioned have already been ruled out so it further necessitates a referal to a dermatologist and a urologist if needed. Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Saddiq Ulabidin 1 hour later
yeah a referral to a urlogist that i am going to on friday do you think he will be able to help and do you think it is some sort of skin infection because the seems to be coming from deep in the penis head from the affected area
doctor
Answered by Dr. Saddiq Ulabidin 5 hours later
Brief Answer:
Yes you can proceed with his appointment

Detailed Answer:
Hi! That's a good approach keeping in view your current issues which have been troubling you for long now. If he felt necessary, after careful examination, he may suggest you an ultrasound to look for some internal causes like some urethral stricture or impacted Stone in urethra or some topical cause or lesion to work with. Hope with a clinical examination of this sort, we will be able to cut down the likely possibilities in your case. Meanwhile drink more water and you can keep using OTC analgesics like acetaminophen or ibuprofen in severe pain or discomfort. Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Saddiq Ulabidin 22 hours later
also if were some sort of allergic reaction or something how deeply can that affect the skin because it seems to coming from deep in the skin and how long would it last if it was because its been going on for months and it happend so suddenly and also i did remeber a brown stinging burning patch of skin before i stupidly burned it with a nickel if i didnt do that the doctors could have easily identfied the problem
doctor
Answered by Dr. Saddiq Ulabidin 17 hours later
Brief Answer:
Repeat STDs profile and get a urologist review in person

Detailed Answer:
Hi! Thanks for sharing the detailed feedback. Allergic reactions usually resolve within days so that is least likely in the given time span that you had shared. It can be still missed STD like herpes but abscene of rash or vesicles is against it however atypical presentation may occur. But if it coming from deep into the penis it can even be some issue with the urtheral tract and it can be being generated from with in urethra. Get a urinalysis done too as that can also guide the clinical further. But best option is still to get it examined by the urologist and then by a dermatologist. Wishing you a speedy recovery. Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Saddiq Ulabidin 32 hours later
also i have another issue not related to the genitals but to my mouth sometimes i feel a sting feeling on my tongue and my throat is itchy and sometimes i feel a throb or sensation on my throat and i looked in the mirror on my throat it looks like red bumps likev 3 or 4 what could this be and can this be related im going to the urlogist tommrw will he be able to do a test on this also and could it be related?
doctor
Answered by Dr. Saddiq Ulabidin 15 hours later
Brief Answer:
It can be strep infection

Detailed Answer:
Hi! It is good that you get to meet a urologist finally, hopefully it will turn out to be something minor and easily treatable. Do update me regarding the examination findings.

The problem that you have mentioned can be due to strep infection. You can start by doing gargles and using anti histamines like loratidine for itching. If issue persists a throat swab for cultures may also be needed. Antibiotics may wait for a while. If symptoms worsened then get an ENT specialist review for a detailed throat and oral examination. Good day. Regards.
Above answer was peer-reviewed by : Dr. Yogesh D
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