Are fluid-filled red spots on the penile head bacterial or fungal infection?

Q. I have fluid-filled red spots on the head of penis. Is this recurrent balanitis?

Answered by
Dr. Dhepe Snehal Madhav
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Sep 10, 2020 and last reviewed on: Aug 23, 2023

Hello doctor,

I am 26 years old. Five years ago, I was treated for balanitis. But again, there are some red spots and lesions fluid-filled in it appears on the head of my penis. So I contacted to the same dermatologist and he suggested me to use Ketoconazole 2% cream twice daily and Fluconazole tablet once in a week. Please suggest me the treatment. And, also tell me that the infection is fungal or bacterial.



Welcome to

Yes, it is balanoposthitis. Is there itching, burning, tingling sensation, pain, irritation? Contact with irritant? Allergic reaction to irritant soap? Sexually active? Any infection in past herpes, candidal balanitis? Any recurrent episode? Do you have burning micturition, increased frequency of urination, or urethral discharge? Excess scratching and rubbing of the lesion, or rough handling? Do reply.

Thank you doctor,

No burning, no pain, nor itching. I just have red spots are spreading. I am unmarried and did not have sex until now. May be soap irritation or sweat irritation. One month before it begins and remains on it. I had such a type of infection in 2015. Now I am worrying whether it will be treated or not. Is this bacterial or fungal? Is this chronic disease? Please suggest.



Welcome back to

It is a fungal infection with a secondary bacterial infection. Wear loose comfortable thin cotton inners. Stay in a cool environment. Avoid sweating. Keep the area dry, as moist body areas favor fungus growth. Avoid scratching or rubbing lesions as it may cause secondary bacterial infection. Use candid cream at night for seven days and Fucidin cream at daytime for seven days. Avoid harsh soap use. Use mild neutral cleanser to clean the area. Take tablet Wicet (Levocetirizine) 5 mg twice daily for seven days if itching, tablet Fluconazole 150 mg once a week for three weeks. Do not worry it will heal in four to seven days. Maintain proper genital hygiene so that no chance of recurrence. Are you a diabetic? Do you have uncontrolled sugar levels? Do you have a habit of masturbation, lubricant use? History of atopy or allergies?

Hi doctor,

Thank you for the reply, I am using Clotrimazole cream for three weeks now but still have some red spots or pimple kind of things recurring on the head of my penis. I did not have sex till now as I mentioned already. It was started because of poor hygiene after masturbation at night times. I am worrying that is it chronic or any other disease. I am maintaining good hygiene since it started. Please help me with a detailed explanation about why the skin infection is recurring even though all sugar levels, diabetic levels, and insulin levels are normal. In some places, skin is delicate also.



Welcome back to

Balanitis is a recurrent condition, it occurs when hygiene is compromised or in contact with an irritant or infective etiology. Is there any itching? Are using any harsh soap like Dettol? Doing rough handling? Do you have an increased frequency of urination? Do you have burning pain or irritation at the penile meatus?

Hi doctor,

Thank you for the reply, No itching, I did not use any soap or Dettol or any kind of chemical. There is no burning sensation, no pain, and no itching at the meatus. But still, the symptoms are recurring and sometimes even in the presence of cream. Just redness and in some places the skin is delicate which hurts when I touch it. I could not focus on my research work as I am a Ph.D. scholar. Please tell me, is it treatable completely in coming future. I am desperate for becoming normal condition as it started two months back. I am also worrying that it is not psoriasis or skin cancer. Is it a chronic disease? Please help me to clarify my doubts in my mind and suggest a better treatment. Thank you.



Welcome back to

Balanitis is inflammation of the head of the penis, common in men. Balanoposthitis is swelling of the glans along with the foreskin. These are due to poor hygiene. They do not cause any symptoms in the initial stage after inflammation, the symptoms occur like small papules or white patches on the head of the penis, the skin on the head of the penis appears dull red and glazed, swelling, irritation, foul smelling, white or lumpy discharge, tight foreskin, pain or burning on urination, pain during sex, soreness, itching. Risk factors are uncircumcised males, indiscriminate use of broad-spectrum antibiotics, use of steroids on sensitive penile skin, improper hygiene, obesity, dry skin, eczema, and not drying area after washing. scented soap, moisturize, and lubricants can cause irritation. It is not usually transmitted sexually, but advisable to refrain from unprotected sex until the infection is treated. If mild infection, no treatment is needed or a single dose of oral Fluconazole 150 mg is needed. Use topical Miconazole or Clotrimazole (antifungal will suffice) for seven to 14 days. Severe inflammation is not seen and there is improvement seen.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Can fungal infection cause low grade fever?

.. a chronic fever, which is called as pyrexia of unknown origin when we are unable to ascertain a cause. As your blood tests and x-ray are normal, lung infection is ruled out. Conditions causing chronic fever are numerous.   Read full

Are the medicines given to me for scabies correct?

.. fine, but Fluconazole and Ketoconazole have no role in scabies. Permethrin has to be applied two times, one week apart and every member of the family should apply it at the same time.Leave the furniture and mobile as it is, as transmission rarely occur   Read full

Why do I have itching and burning sensation on my penis?

.. is a very common fungal infection of the glans and prepuce of the penis. It is usually seen in poorly-controlled diabetics. Also the treatment course you have taken is incomplete. Usually, the antifungal cream needs to be applied daily for at le   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a Dermatologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.