My foreskin is dry with red and inflamed glans penis. Is this a fungal infection?

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It is candidal balanoposthitis. Apply Candid cream at night for ten days and Fucidin (Fusidic acid) cream twice daily for seven days. Use Episoft cleanser or No soap cleanser to clean the genitals daily as hygiene plays a very important role in this case. Take tablet Levocetirizine 5 mg at night for seven days (if itching), Fluconazole 150 mg once a week for three weeks. Do not use Candid B. Candid B has a steroid in it, which should not be used for a long time on sensitive penile skin. Please avoid scratching or rubbing lesions as it may cause secondary bacterial infection. Have you done a urine culture test, swab tests, urine routine or microscopy, and other laboratory investigations?

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Your urine reports are normal (attachment removed to protect patient identity). Use T-Bact cream (Mupirocin) instead of Fucidin in the daytime for ten days. Take tablet Ciplox (Ciprofloxacin hydrochloride) 500 mg once in a day for five days, Candid cream at night for ten days, and tablet Levocetirizine 5 mg at night for ten days (if itching).

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Apply Miconazole gel (Micogel) twice daily for 15 days. (on dry circular patches). Stop other creams. Skin peeling is due to dryness. Use Aveeno moisturizer after bath for 20 days. Is there itching or any other symptoms?

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There is improvement seen (80 percent improvement). Apply Micogel twice daily during noon and night. After the bath, use Aveeno moisturizer. Apply Micogel on dry patches and papules. Hygiene plays a vital role. Maintain proper genital hygiene. Wear loose, thin, comfortable cotton inners. Avoid tight clothes and inners. Avoid occlusion, friction, maceration, scratching, or rubbing lesions. Follow up after two weeks.

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I suggest you apply Fusidic acid cream twice daily for seven days, along with a moisturizer during the daytime for 15 days. Additionally, take tablet Levocetirizine 5mg once at night after dinner for seven days if you experience itching. Along with this, use a neutral non-soap cleanser to clean your genitals. Schedule a follow-up appointment after 10 days.

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It will take one to two months to heal completely. Observe the factors that may aggravate the condition and avoid any risk factors. Hygiene plays a very important role. If you are washing with lukewarm water, do not forget to pat dry as moisture can promote fungal growth. Using a neutral cleanser will not cause any harm. I would like to know if you have a history of atopy or allergies, eczematous lesions, or a family history of psoriasis.

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Scaling, crusting, and discoloration can occur in the subacute phase of eczema. In the acute phase, there is erythema (redness) and edema (swelling). In the chronic phase, there is thickening and lichenification (hardening of the skin). Irritant contact dermatitis is a type of eczema that can occur due to the use of chemicals or harsh soaps. Allergic contact dermatitis can be caused by the use of lubricants or latex, among other factors. In sebopsoriasis, there are silvery white scales on an erythematous (red) base, and symptoms often worsen in winter. It is a chronic, recurrent condition. To achieve rapid resolution and prevent relapses, it is crucial to identify the exact cause and perpetuation of the disease and take corrective measures accordingly. This may include discontinuing any factors causing irritation. For dry eczema, a topical corticosteroid like 1 percent hydrocortisone should be applied twice daily in a small amount for 10 days. Additionally, using a local antibiotic cream like Fusidic acid cream can help prevent secondary bacterial infections.

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Poor hygiene is a common cause of balanoposthitis. It can lead to white patches on the head of the penis. Foul-smelling, white, and lumpy discharge can be observed under the foreskin and in skin folds. Additionally, poor hygiene may contribute to phimosis (inability to pull back the foreskin). Eczema is another possible cause of balanitis. Risk factors include indiscriminate use of broad-spectrum antibiotics, dry skin, eczema, failure to dry the private parts after washing them, steroid use, uncontrolled sugar levels, low immunity, and uncontrolled diabetes. The use of scented soaps, moisturizers, or lubricants can irritate the skin. While the condition is usually not transmitted through sexual activity, it is advisable to refrain from sexual activity until the infection is treated.

In cases of mild infection, no treatment may be necessary, or a single dose of tablet Fluconazole 150 mg can be effective. Topical creams like Clotrimazole cream and Miconazole cream may take longer to show results and are typically prescribed for seven to 14 days. Oral antifungals are recommended for severe infections, in diabetics, and in patients with low immunity. In cases of severe inflammation, topical corticosteroids like Desonide or 1 percent Hydrocortisone (very low potency or low concentration) may also be prescribed along with topical antifungal cream. Treatment with antifungals has a high cure rate of 95 percent, but relapse is common if the underlying problem is not identified and treated.

Maintaining good hygiene is crucial for preventing and treating this condition. The head of the penis should be carefully washed with warm water after retracting the foreskin. Avoid using scented or harsh soaps on the genitals. Pat dry the penis and glans with a soft towel after retracting the foreskin. Wear loose underpants to keep your genitals cool and dry, and maintain proper control of your blood sugar levels. When urine containing sugar dribbles and stays on the glans penis and foreskin, it creates a friendly environment for yeast and bacteria to grow, leading to infection. In cases of recurrent infection, the underlying cause must be identified and treated. Rule out risk factors and take appropriate precautions and preventive measures.

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I suggest applying 1 percent Hydrocortisone cream at night for seven days, and Fucidin cream twice daily in the morning and at noon for seven days. I also suggest you take one tablet of Fluconazole 150mg once a week for three weeks, and one tablet of Levocetirizine 5mg at night for seven days (if you experience irritation or burning). Additionally, use moisturizer after bathing for 20 days.

Have you completed the two-week course of topical antifungal medications? If not, you can continue using Clotrimazole or Micogel until you have completed the full two weeks.

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Significant improvement is noticeable (attachments removed to protect patient's identity). Please maintain proper hygiene and use a cleanser to clean the genital area. You can gradually reduce the frequency of steroid application to a very mild level for a few days (three to four days) before discontinuing it.

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A significant improvement is noticeable (attachments removed to protect patient's identity). Please continue using moisturizer twice daily for the next 10 days. Are you still experiencing itching or irritation?

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Apply Fucidin cream twice daily to the bumps for seven days. Avoid scratching or rubbing the lesions or bumps, and refrain from popping or pricking them.

Thank you. I hope your queries are resolved and any further queries are welcome.