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Patient's Query
Hello doctor,
Recently I have had spots on my penis that have become noticeable. I have been diagnosed with ureaplasma and kidney stones. I had a computed tomography scan today because of the bumps on my genitals for the past month. I have a lousy tingling sensation in my urethra even after taking tablet Azithromycin for an entire week. I have tested negative for gonorrhea and chlamydia. I also have a sebaceous cyst on my right kidney. But my query is, do those bumps look like herpes?
Hi,
Welcome to icliniq.com.
I read your query and can understand your concern.
From the attached images (attachments removed to protect the patient's identity) it is not herpes infection. Those are the Fordyce spots, which form on the penile skin and require no treatment because they usually go away on their own.
Patient's Query
Thank you for the reply doctor,
Can you please tell the difference, and are you sure they look like fordyce spots and not a herpes infection? What about my urethritis? It is constantly tingling at the tip of the penis. I was diagnosed with ureaplasma but have taken an entire course of antibiotics. Also, what could it mean if the moment I drink alcohol, it burns when I pee?
Hello,
Welcome back to icliniq.com.
Yes, I am sure it looks fordyce spots. If burning in urination is affected by hydration status, it is not due to infection. Concentrated urine can cause a burning sensation.
Patient's Query
Thank you for the reply doctor,
It is more of a tingling feeling than a burning. Also, why have the fordyce spots appeared within the past month?
Hello,
Welcome back to icliniq.com.
Well, ureaplasma will cause a burning sensation rather than a tingling sensation in the penis and will not reduce with hydration even after treating a mild infection. Inflammation will be fine on its own. However, sometimes the sensation annoys a lot, so we prescribe anti-inflammatory medications to reduce symptoms until they recover.
Patient's Query
Thank you for the reply doctor,
Is there a reason why the fordyce spots appeared within the last month?
Hello,
Welcome back to icliniq.com.
Fordyce spots are skin lesions that develop due to the entrapment of sebum in the skin glands. There is no specific reason for their appearance
Patient's Query
Thank you for the reply doctor,
How do I get rid of them? What can cause the tingling feeling in my urethra?
Hi,
Welcome back to icliniq.com.
Fordyce spots are self-limiting. They do not require any treatment and go away on their own.For the tingling sensation in the urethra, you need to have another course of antibiotics. I suggest you take tablet Ciprofloxacin 500 mg twice daily for two weeks. Consult your doctor, discuss with them and take medicine with their consent.
Patient's Query
Thank you for the reply doctor,
How can you tell it is fordyce spot and not a sexually transmitted disease?
Hello,
Welcome back to icliniq.com.
We can tell from the appearance that it is fordyce spots and not a sexually transmitted infection.
Patient's Query
Thank you for the reply doctor,
Is there any reason for the burning sensation while peeing immediately after drinking alcohol?
Hello,
Welcome back to icliniq.com.
There is no such relationship between alcohol and burning. As I said, burning is on and off according to hydration. If the color of urine is yellow and burning, or it is pale with no burning, it is probably due to water intake. But burning must be treated as prostatitis with a prolonged course of one month of antibiotics and alpha-blockers if it is continuous.
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