HomeAnswersDermatologybalanitisWhat causes a red itchy area on the penis with painful urination?

Having a red itchy area on the penis, which pain after urinating. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Nithila. A

Published At June 27, 2019
Reviewed AtJanuary 23, 2024

Patient's Query

Hello doctor,

I have a red area that is itching on the penis head for a week. It looks like balanitis according to the pictures I searched. I also have pain after urinating. I have tried with Nystatin cream, but I have more itching than before. I cannot go to the ER, but the quickest appointment with the specialist can be scheduled in a week. Please help.

Answered by Dr. Payal Chauhan

Hello,

Welcome to icliniq.com.

I understand your concern. Please send a picture of the affected area to help you better. I need to see to suggest the appropriate diagnosis and treatment.

Patient's Query

Thank you doctor,

I have attached the file.

Answered by Dr. Payal Chauhan

Hello,

Welcome back to icliniq.com.

It looks like severe candidal balanoposthitis (attachment removed to protect patient identity). Another possibility can be erosion lichen planus or FDE (fixed drug eruption). But both of these condition has more pain than itching.

So take the following treatment for candidal balanoposthitis.

1. Tablet Fluconazole 200 mg one tablet stat and repeat after one week. Similar treatment for the sexual partner.

2. Tablet Levocetirizine 5 mg twice a day for a week.

3. Clotrimazole cream apply twice a day for a week.

Is there any history of drug intake before the onset of this? Are there any other lesions on the body or oral mucosa?

Start the medications and review after a week.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Payal Chauhan
Dr. Payal Chauhan

Dermatology

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