How can balanitis and red spots that do not go away with antifungal creams be treated?

Question

Hi doctor,

I had balanitis and applied Clotrimazole 1 % and got cured fully in a few days. After applying for ten days it got fully cleared. And after masturbating, some red spots appeared on the penis head, applied Beclomin and got cleared them. Again those red spots appeared after masturbating and it did not go away completely. I tried Hydrocortisone 1 %, an antifungal cream. Now applying Neosporin and it did not clear out but helped somewhat. I do not have any other symptoms. I am a bit worried, let me know what it may be and any treatment for that.

Answer 1

Hi,

Welcome to icliniq.com.

I saw the picture (attachment removed to protect the patient's identity). You have balanitis with added allergic contact dermatitis.

Please stop using Neosporin and Hydrocortisone cream. Hydrocortisone is a topical corticosteroid that gives temporary relief but does not cure the issue but rather aggravates it if used for a longer duration. Your condition responds to Ketoconazole 2 % cream two times a day, morning and night, and Mupirocin cream once a day in the afternoon. Try to keep the area dry, and wipe off water soon after the bath. Clean the tip of the penis by retracting the foreskin at least two times a day.

Are you diabetic? Have you done any blood investigations?

How can balanitis and red spots that do not go away with antifungal creams be treated?

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