HomeAnswersDermatologycandidal balanoposthitisI am not able to fully retract my foreskin. Why?

I am not able to fully retract my foreskin. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At January 7, 2018
Reviewed AtJuly 14, 2023

Patient's Query

Hello doctor,

Some weeks back, I noticed some red spots on my glans and some itching. So, I consulted a doctor. I was advised to take Fluconazole 150 mg for three days and Candid-B cream to be applied for three days and the problem was solved. Now there is no issue except that I cannot withdraw my foreskin for cleaning the area. It is very tight and if I withdraw, then it pains and some tears appear. It takes some time to heal and it is painful in the meanwhile. This withdrawal is very strange and suddenly noticed.

I never had such an issue to date. I am not sexually active except sometimes I masturbate. I am a diabetic but my sugar is under control. I am not drinking enough water during the day, so for the last few days, I am making sure that I drink at least three liters of water. I take Invokana (Canagliflozin) 100 mg once daily and Ondero Met (Metformin and Linagliptin) 2.5/500 mg twice daily. Sugar is normal between 100 to 120 throughout the day. Three days back, my glans seemed inflamed, and had slight discomfort but was able to retract the foreskin. On my own, I took one Fluconazole 150 mg for three days and last taken was yesterday. The glans is no longer in anguish but the foreskin issue persists.

Hello,

Welcome to icliniq.com.

Please send a few good quality photographs of the lesion taken in a natural light.

Patient's Query

Thank you doctor,

I need something to make my foreskin extend. At the moment, it is like paper and somewhat dry and crispy to look and feel. That is the reason I cannot withdraw it. I need something to either spray or apply to the foreskin in a flaccid state. Once it becomes little soft then I would be able to withdraw it.

Hello,

Welcome back to icliniq.com.

You are suffering from candidal balanoposthitis. It is a very common and recurrent problem in diabetics. You have taken an improper dose and that is why the issue is persisting. Candid-B (Beclometasone Topical and Clotrimazole Topical) contains beclomethasone which is a steroid and is relatively contraindicated in candidal infection. Kindly take the following medications and revert back to me in one week.

  1. Capsule Syntran (Itraconazole) 200 mg twice daily for seven days.
  2. Tablet Teczine M (Levocetirizine and Montelukast) twice daily for seven days.
  3. Canesten lotion (Clotrimazole Topical) apply twice daily.

Consult your specialist doctor, discuss with him or her, and with their consent take the above medicines.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atishay Bukharia
Dr. Atishay Bukharia

Dermatology

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