I have chronic balanitis with painful swelling. Kindly help.

Hi,

Welcome to icliniq.com. I have gone through the attached photo (attachment removed to protect patient identity). You seem to have an ulcerated lesion on the glans penis along with balanitis. It can be due to fungal infection, herpes, chronic abrasion, or any other sexual disease. Please mention whether you have taken treatment for balanitis. Please mention whether you had any flare-up episodes of balanitis. Please mention whether the ulcer caused pain and it bleeds while touching. Please mention whether you had any risk of sexual exposure in the past. Please mention the duration of having this ulcerated lesion. Please mention whether you have taken any culture test from this lesion. I suggest you do a culture and sensitivity test to rule out the cause. After taking the test, you can take a course of antibiotics. If it was taken before the test, it can alter the lesion. You can consult a surgeon to have further treatment. The doctor can suggest to have circumcision as you are diabetic. For now, you can take some symptomatic treatment. You can take tablet Paracetamol 500 mg twice daily and Cetirizine 10 mg once in the night and apply Fusidic cream twice daily after washing it. You can follow some measures. Wash the area with warm saline water twice daily. Keep the area clean and dry. Wear loose cotton clothes. Do not scratch the lesion as it can lead to bacterial infection.

Hi,

Welcome back to icliniq.com. You should not do a culture test at any time. You can use Fusidic cream in the morning and afternoon for two weeks and apply Miconazole cream at night for two weeks. You can take tablet Paracetamol 500 mg twice daily for three days, tablet Cefadroxil 500 mg twice daily for seven days, and Cetirizine 10 mg at night. If you do not have any improvement in two weeks, then you can do a culture and sensitivity test. You can consult a surgeon to have circumcision. As you have diabetes, try to maintain your blood sugar levels to have proper healing. Consult a local surgeon or dermatologist to have a proper physical examination of the lesion and try to look for any swollen lymph nodes. Follow the measures mentioned above.

Hi,

Welcome back to icliniq.com. I have gone through the attached photos. I am not able to see the expected improvement. So, you need to do a culture and sensitivity test soon. You have to do it for taking further treatment. Diabetes can delay the healing process. You should have some improvement after taking antibiotics. It has reduced the inflammation but it has failed to act upon the ulcerated lesions. Burning sensation during urination occurs due to two reasons. You can have it due to a present ulcer and a urinary tract infection. Kindly do a complete urine routine, culture and sensitivity from the ulcer, urine culture and sensitivity, and blood sugar levels. You need to consult a surgeon to have a circumcision and physical examination of the ulcer. Do these tests as soon as possible.