I am a diabetic. I have chronic balanitis for the past two years. Now there is swelling under the foreskin that can open the foreskin to clean the white dirt. I dip the penis in cold water after excruciating pain and open the foreskin to clean. But the swelling is so much that closing the foreskin becomes difficult with unbearable pain. Please help.
Welcome to icliniq.com.
I have seen the attached photos (attachment removed to protect patient identity). It looks like an ulcerated lesion on the glans penis along with balanitis, which could be due to fungal infection, herpes, chronic abrasion, or other sexual diseases (if there is a history of risky sexual exposure).
Have you taken any prior treatment for balanitis? How often do you get flare episodes of balanitis? Is the ulcer painful and bleed on touch? Any risky sexual exposure in the recent past? How long since this ulcerated lesion has appeared? Have you taken a culture study from the lesion before?
I would suggest you take a culture and sensitivity from the lesion to rule out a fungal infection or rule out other causes. After taking the culture study, a course of antibiotics shall be started, as if you take it before the test, the culture report can be altered. You can consult a surgeon to see if circumcision is advised as you have diabetes and there is a recurrence of balanitis (after a physical examination by the surgeon).
Until the test, you can take some symptomatic treatment like Paracetamol 500 mg twice daily (if painful), Cetirizine 10 mg once in the night (if itching present), and Fusidic cream for application twice daily after wash. But a culture test is required to treat the underlying cause.
You can also follow some measures as
1. Washing the area with warm saline water twice daily.
2. Keep the area always dry.
3. Wear loose cotton underclothes.
4. Do not scratch the area as it can lead to bacterial infection.
Thank you doctor,
I have never taken any treatment. What I feel is sperm was not cleaned due to tiredness and sleep and stayed in the penis. After a few times of such mistake, this problem began. Balanitis has been increasing for the last 18 months gradually ever since I had a wound under the foreskin. It kept on increasing even though I cleaned them with hot/cold saline water. I tried Cetirizine and Fusidic cream to heal the wounds and reduce the swelling. Pain is constant and does not stop. I tried Ketoconazole cream for the last six weeks. It has some 5% relief. Fluconazole tablet once a week and Gandaka Rasayana tablets. I never meet a doctor, and I am not sure if I can go for a culture test anytime soon.
Welcome back to icliniq.com.
Yes, suppose you are not able to go for a culture check anytime soon. In that case, you can try with Fusidic acid cream in the morning and afternoon for two weeks, Miconazole cream for application at night for two weeks, tablet Paracetamol 500 mg twice daily for three days, tablet Cefadroxil 500 mg twice daily for seven days, and Cetirizine 10 mg once in the night (if itching present). Provided you do not have any prior allergy to these medications.
As I mentioned earlier, we have to consider many possibilities if there is a history of risky sexual exposure. If no improvement within two weeks, kindly take the culture and meet the surgeon for advice on circumcision.
Since you have diabetes, kindly maintain your sugar levels for proper healing. Kindly visit any local surgeon or a dermatologist for a proper physical examination of the lesion and look for any swollen lymph nodes. Kindly follow the general measures too.
Was this answer helpful?|
You must clean the prepuce area with water and apply Clotrimazole plus Fusidic acid cream local application twice daily and take tablet Fluconazole 150 mg once a week for four weeks after consulting your GP or nearby dermatol... Read fullCan Panderm NM be used on the face?
.. (Clobetasol Topical, Miconazole Topical, and Neomycin Topical) cream is the most harmful cream when applied to the face. It has steroids. The steroid causes thinning of the skin, pimples, visible blood vessels, increased hair growth, secondary ba... Read fullI am diabetic and suffering from rashes and cuts in my penis. Please advice.
Apply Miconazole 2 % cream or Clotrimazole 1 % cream twice daily ... Apply Miconazole 2 % cream or Clotrimazole 1 % cream twice a daily (DK gel or Canesten cream) 2 ... Read full
Ask your health query to a doctor online?Ask a Venereologist Now