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What causes whitish inner skin of foreskin?

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Dr. Ilyas Patel

Dermatologist

Practicing since :1982

Answered : 3326 Questions

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Posted on Thu, 14 Aug 2014 in Skin Hair and Nails
Question: Sir,
My inner skin of the foreskin has been turned white and after that top of the urethra has also going white. It can not give any problem but it is going to increase slowly. Kindly give some suggestions for treatment and the cause of this problem. Thanks doctor.
XXXXXX age 47 height 5.3 Ft. Suffering from IBS.
doctor
Answered by Dr. Ilyas Patel 53 minutes later
Brief Answer:
Candidal balanoposthitis

Detailed Answer:
Hi,

Welcome to HCM.

Thanks for uploading the photos. After reading history and seeing the photos, my probable diagnosis would be candidal balanoposthitis. It is fungal infection and caused by Candida albicans. It may be precipitated and exacerbated by certain factors. Sometimes, it may relapse after cure.

Nutritional deficiencies, anaemia,DiabetesMellitus(DM),HIV,poor immunity,poor hygiene...etc may be the factors.

You consult dermatologist for firm diagnosis and perfect treatment. In my patients having such problem, I suggest certain investigations to rule out Anaemia, DM,HIV, other internal diseases and immunocompromised conditions.

Routine blood tests, RBS,HIV test etc may be recommended.

In my patients, I usually follow underline method of treeatment...

- antifungal like ketoconazole or itraconazole for few weeks in proper dose
- antihistaminic like levocetirizine may be taken if you feel itching
- to apply antifungal cream like clotrimazole
- cleanse the area with water containing dettol. You may take Sitz bath in water with dettol
- to improve hygine, reduce wetness, clean the area regularly.
- to improve immunity with good diet,exercise and positive attitude.
- treatment of other diseases if you have.
- treatment of spouse after consulting Dermatologist.

I hope you might be satisfied with my answer, still any query..you may ask.

Have early recovery..

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Dear Dr. Srinivasan

Name - Nitin

Age - 36

I have had recurring problem of red spots (isloated) on my penis head for 3-4 years. I have consulted many docs with varied diagnosis.

I was single then and made to believe it was fungal, it comes on its own and have been getting treated accordingly by a dermatologist.

Recently i got married and again recurringly had red infection on my penis. Along with this, my wife also developed infecion and was put under Gynea treatment, again for fungal infection and Fas Kit prescribed to both along with aplication of fungal infection creams. For the reason not transfering infection bw me and wife, we have stopped having intercourse (unprotected) however my wife was ok but I kept developing these red spots/ infection.

However on repeated occurances we consulted a different dermatologist and he suggested Herpes but blood test reports ruled out. However he insisted that indeed it is Herpes and sometimes the medical reports do not show the same. I was put on Famtrax 250 for 1 week along with application of topical anti-biotic(fusidic acid cream). The red spots kept going and coming but doc clamed it is Herpes geting cured and that takes time to cure as in past i have been exposed to steriod in form of anti-fungal creams. Post a week of Famtrax, i was put on antialergic and anti-biotic cream for a week.

the red spots have gone but now there is recurring white spots (small pimple types) which come and go. On showing to doc, he said its miliaria of penis and common and due to non drying of the area. I was asked to take urine test (culture and routine) and culture cam normal. Routine test pointed to some epidrmal cells (UT infection, I have mild recurring burning sensationtoo) and doc asked me to take Disodium Hydrogen Citrate (Alkasol) for a week. I am currently on Alkasol and Antialergic.

But the white spots are coming and going everyday still. I am not sure if im cured yet but doc says im fully cured but the white spots can be ignored and i can have unprotected sex with my wife.

Problem is i want to start a family soon but am confused due to various diagnosis. I do not want to pass on to my wife and abstain from sex.

Please suggest cure for white spots.

i wll be very greatful.



Kind regards

Nitin

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