What causes inflammation from foreskin to tip of penis?
Patient's Query
Hello doctor,
I have been having some mild burning when I pee since the middle of last month. Later, the inflammation spread to my foreskin and tip of my penis. Now I have pain on the tip of my penis. I tried Clotrimazole for one week and did nothing. After two weeks I tried 0.5 % Hydrocortisone, but it did not work well. I do not know if what I have is Candida or general inflammation. I have pictures and tests. I had tests after one week of using Clotrimazole, it was normal. Please help.
Thank you.
Hello,
Welcome to icliniq.com.
From the history that you gave, it seems like candidal balanitis only. But to make a confirmative diagnosis, I need to ask you a few questions. Do you have any discharge from the penis opening? If yes, is the color of the discharge yellow or white? Even if it is a very mild discharge. Any history of recent sexual exposure? I think candidal balanitis has become candidal balanoposthitis, that is what causes pain in the foreskin and penis head. But we must rule out gonorrhea just in case. Please help.
Thank you.
Patient's Query
Thank you doctor,
I have no discharge, no recent sexual exposure. All tests normal, did you view the tests? I had stinging sensation while urinating then inflammation went to glans and foreskin. I have pictures if you want to examine.
Hi,
Welcome back to icliniq.com.
Yes, photos will help because I do not want to give treatment only based on history. If it is balanoposthitis, we need to treat it and take precautions because sometimes it may cause phimosis. I saw your test reports (attachment removed to protect patient identity). It is common sometimes to not detect infection in the urinary examination. In the test, gonorrhea, chlamydia, and yeast are not seen. So, they are ruled out. Balanoposthitis or dermatitis due to some irritant is mostly the cause. Retract your skin a few times daily to prevent phimosis. Clean your glans properly. Do not scrub or over-wash your genitals. Take tablet Fluconazole 150 mg for seven days twice daily. Only two tablets, mix and apply: Cotrimazole cream and Hydrocortisone (in very small quantities once daily for two weeks). Stop Hydrocortisone after one week. Sodium Fusidate cream two times daily for seven days.
I hope thsi helps.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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