HomeAnswersDermatologycandidal balanoposthitisI have penile yeast infection with itching and pain. Please suggest treatment.

I applied Clotrimazole for penile yeast infection but no improvement. 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

Dr. Vinodhini J.

Published At April 7, 2020
Reviewed AtAugust 21, 2023

Patient's Query

Hello doctor,

I am suffering from penile yeast infection since a week (candidal balanitis). Due to lockdown I could not see a doctor and researched online and used Clotrimazole cream IP but no betterment. Since yesterday, itching and pain has increased. Can you please help me out with this.

Hi,

Welcome to icliniq.com.

Candida infection present as a whitish membrane over the penile head with reddish mucous. It is very itchy. I hope it is diagnosed by a dermatologist only. Clotrimazole is effective in most of the time. Candida is a normal commensal in our body but in some it causes symptoms and balanitis. Aggravating factors are diabetes, moisture, and some are allergic to it. So first thing is wash with mild soap and dry always after intercourses. If you can keep your penile foreskin retracted, good that will keep it dry. But if not possible, as it is painful if you are not used to it make sure it is dry. Take capsule Fluconazole 150 mg once daily for seven days. One single dose for your sexual partner, tell her to keep dry especially during menses. Miconazole gel (DK gel) twice daily for seven days, tablet Fexofenadine180 mg once daily for itching. Keep dry. It will cure it. Follow up after seven days.

The Probable causes

The probable cause is Candida.

Investigations to be done

Do blood sugar. GTT (glucose tolerance test).

Differential diagnosis

The differential diagnosis is Candida allergy.

Probable diagnosis

The probable diagnosis is Candida balanitis.

Treatment plan

Take Antifungal.

Preventive measures

Keep dry as far as possible.

Regarding follow up

Always send a clear image with symptoms.

Patient's Query

Hello doctor,

Thank you for your response that day. I used them and got relief from pain and itching. But still, I am feeling mild itching sometimes. Do you want me to continue medicines? I had a tablet course for five days and used the cream daily. Do you want me to take tablets for a few more days? Also, I feel weakness from the day it started. Does it impact my strength? Is there any diet that needs to follow while on medication?

Hello,

Welcome back to icliniq.com.

Make it a total of 10 days if the symptoms persist. Take plenty of fluid or juice. No particular diet is required. Weakness may not be due to drugs. Fexofenadine does cause drowsiness but you do not worry. You can stop it if the itching is under control but continue Fluconazole for a total of 10 days and cream for a few more days till any symptoms are there. Keep the area dry and retract your foreskin, keep it as such, it helps dry. It may be uncomfortable initially but then you get used to it.

Thank you.

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

Dr. Subhash Kashyap
Dr. Subhash Kashyap

Dermatology

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