How to manage painful urination and blisters on foreskin?
Patient's Query
Hello doctor,
I had unprotected sex two weeks ago. From the last two days, I am having pain and irritation while urinating. I took four tablets of Azithromycin 250 mg, three days ago. Then I took Doxycycline 100 mg, a day back. I do not have pain during urination now. But, I have three blisters or red dots under my foreskin, and it pains when I touch. I am applying Candid cream on it from two days. I am attaching a picture of these spots.
Please help.
Hi,
Welcome to icliniq.com.
I have seen the attached picture (attachment removed to protect patient identity). Your clinical lesions are in favor of genital herpes. This is a viral infection, which is sexually transmitted. Candid B (Clotrimazole and Beclomethasone) is an antifungal with steroid, and it should be avoided, as steroids are not indicated during infections. I suggest you try taking the following medicines. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent.
Thank you.
- Tablet Acivir (Acyclovir) 400 mg, three times a day after food for a week.
- Tablet Levocet (Levocetirizine) 5 mg, once daily after dinner for a week.
- Tablet Dolo (Paracetamol) 650 mg, twice daily after food for five days.
- Bactafuz cream (Fusidic acid) for local application, twice daily for a week.
I suggest you do the following tests:
- HIV (human immunodeficiency virus) by ELISA (enzyme-linked immunosorbent assay).
- HBsAg (hepatitis B surface antigen).
- Anti-HCV (hepatitis C virus).
- VDRL (venereal disease research laboratory).
- HSV (herpes simplex virus) for IgM (immunoglobulin M).
Patient's Query
Hi doctor,
Thank you for your reply.
I have got Acyclovir 400 mg tablet. Is herpes completely curable? What should I do to prevent this in the future? Should I take all three tablets or only Acivir is enough? What should be my diet until I am cured? If I take just the tablets, will the blister go away from my penis? Can I apply Bactafuz cream directly on the red dots? What if I do not get Bactafuz? Can you please recommend an alternative medicine?
Please guide.
Hi,
Welcome back to icliniq.com.
I suggest taking Acyclovir thrice daily for a week. Dolo and Levocetirizine are for pain, itching, and redness, and it is advisable that you use them accordingly for a quicker relief. You can use any other Fusidic acid cream. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Apart from taking plenty of water, there are no dietary changes advised. Herpes can have recurrences, but the use of treatment now will cure the present episode. To prevent this in the future, you need to use adequate protection during intercourse.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
For which infection is Zovirax suggested?
Is the OraQuick HIV home testing really accurate?
Will candidiasis cause red bumps on penis after sex?
I tested negative for HIV, and my ELISA test score is 0.32. Is there any chance of getting HIV?
What can cause itchy bumps on penis that cluster together?
What is the cut-off value for ELISA test?
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.