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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Redness On Foreskin, White Patches On Inner Cheek. History Of Lichen Planus, Unprotected Oral Sex. Suggestive Treatment?

I will turn 45 next January. In 2010 January, I noticed redness on my foreskin . Around the same time, i also noticed white patches and projections in my inner cheeks. I started developing bad breath (despite brushing my teeth 3-4 times a day) and my tongue also developed minor thrushes (I normally use metal tongue cleaner and have no dental problems). My body is warm whenever the mouth gets a burning sensation and/or when the redness is seen on the foreskin. There is no itching or irritation on the foreskin; but it gets so dry and the skin sticks to the penis head making it difficult to retract unless i use water or other lubricants. I also noticed in the last year, that despite me having a history of pimples on my face, i started getting similar pimples on my neck, head, body, etc. Except for 1, all the others subsided within 2-3 days. Not sure whether this has anything to do with the other irritants. I notice that my urine is light yellowish. I have had no other rashes . I have generally been very healthy till 2010, with no need whatsoever to go to a doctor. I am not promiscuous as a general rule, but i had unprotected oral sex once in 2009 at a massage parlour. The doctors said that there wasn t any STD. They also ruled out HIV. They initially diagnosed it as Balinitis and thereafter Lichen Planus . After it was suspected to be Lichen planus and using some ointment like Advantan and Eliden, it sort of subsided for about 4-5 months when my mouth also was almost normal. From 2010, i had no sex with my wife but after doctors confirmed earlier this year yet again that i have no communicable disease and seeing that the symptoms were not seen, i had unprotected sex with my wife earlier this year for a few months, In the last 2 months, it has started showing all over again and needless to say, I am so worried. I eat spicy foods. I very rarely eat out. I eat lot of meat. I used to consume moderate levels of alcohol - couple of beers or a large shot of whiskey almost daily till about July this year. Needless to say, it is irritating and hopefully i can get some suggestion on further tests or treatment.
Fri, 29 Nov 2013
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Dermatologist 's  Response
Hello,
Thanks for the query,

Oral lichen planus is a totally different entity.

It is an auto immune condition and has no relation to oral sex,

It will also not spread to any other person from you.

Treatment is with topical steroid creams.

Please meet a dermatologist for exact diagnosis.

Let me know if you have any other doubt.

you can ask a direct question to me on this forum, following the below link.
http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818

Wishing you good health,
Thank you
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Redness On Foreskin, White Patches On Inner Cheek. History Of Lichen Planus, Unprotected Oral Sex. Suggestive Treatment?

Hello, Thanks for the query, Oral lichen planus is a totally different entity. It is an auto immune condition and has no relation to oral sex, It will also not spread to any other person from you. Treatment is with topical steroid creams. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. you can ask a direct question to me on this forum, following the below link. http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818 Wishing you good health, Thank you