Q. I have fluid-filled red spots on the head of penis. Is this recurrent balanitis?
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.
Hello,
Welcome to icliniq.com.
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.
Hello,
Welcome back to icliniq.com.
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.
Hi,
Welcome back to icliniq.com.
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.
Hi,
Welcome back to icliniq.com.
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.
Topical Miconazole or Clotrimazole (antifungal will suffice) for seven to 14 days.
Severe inflammation is not seen and there is improvement seen.
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