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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic With Tears Around Anus And Swollen, Painful Penis' Foreskin After Acupuncture. What Does It Indicate?

Dear Dr.
I am a a diabetic. recently I took to single needle acupuncture treatment. Initially results were good with weight loss of over 10 kilos but continuing to be active. But for the last few months I notice my lips corners tearing my sides of penis tearing and mouth of anus also. Then a new problem has started. Severe itching on the front head if the penis from inside and white discharge after itching coming out. The worsr part is the foreskin not rolling back and swollen and painful. I tried rolling back and washing with the help of xylocaine but once sedation effect is over it pains a lot. The foreskin has become even enlarged. Can I do without circumcision? How much does it cost for circumcision? Kindly advise.
Thanks
Kumar
Fri, 6 Dec 2013
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General & Family Physician 's  Response
Hi,

From your history it seems that you got infection ,most probably fungal or bacterial. Being diabetic and using the needles increases it chance. A complete blood count (full blood count) may be indicated, including assessment of the levels of iron, ferritin, vitamin B12 (and possibly other B vitamins), and folate and a proper clinical examination need to be done.
You should consult your local doctor for necessary investigation. Treatment will be based on cause of disease may be antifungal or antibiotics.
Circumcision will not be advised during infection. More probably medicines will help you out. Cost of circumcision surgery varies as per cities and hospitals.

Do consider a positive feedback as a credit to my work Let me know if you have any further questions.
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General & Family Physician Dr. Chirag Soni's  Response
Thanks for query on HCM.
Swollen,painful,itching foreskin is most likely due to fungal infection.
It usually occurs after unprotected sex,improper hygiene.
Check your sugar level.Fungal infection usually increases with uncontrolled diabetes.
Take proper local care.
Start oral anti fungal like fluconazole,terbinafine.
Apply local anti fungal cream like clotrimazole,miconazole.
B12,folic acid and other vitamin supplements is advisable.
Take proper diet according to your sugar level.
Go for exercise regularly.
If it is not improved with oral treatment then circumcision is advisable.
Consult surgeon for better guidance.
Keep regular follow up with your doctor for diabetes.

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Diabetic With Tears Around Anus And Swollen, Painful Penis' Foreskin After Acupuncture. What Does It Indicate?

Hi, From your history it seems that you got infection ,most probably fungal or bacterial. Being diabetic and using the needles increases it chance. A complete blood count (full blood count) may be indicated, including assessment of the levels of iron, ferritin, vitamin B12 (and possibly other B vitamins), and folate and a proper clinical examination need to be done. You should consult your local doctor for necessary investigation. Treatment will be based on cause of disease may be antifungal or antibiotics. Circumcision will not be advised during infection. More probably medicines will help you out. Cost of circumcision surgery varies as per cities and hospitals. Do consider a positive feedback as a credit to my work Let me know if you have any further questions.