Q. Why is balanitis not responding to T-Bact and Augmentin 625?
Answered by Dr. Ashwini V Swamy and medically reviewed by iCliniq medical review team.
Hello doctor,
I have balanitis on the head of my penis, below the foreskin. I am applying T-Bact and taking Augmentin 625 as an oral pill. It has been four days since I have started the medication. It is not going, though itching has reduced somewhat. Please help.
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Dr. Ashwini V Swamy
MBBS., MD- DERMATOLOGY, VENEREOLOGY, LEPROSY
Dermatology, Venereology
Hi,
Welcome to icliniq.com.
Balanitis can be either bacterial, fungal, viral or non-infectious. The most common being fungal. It is difficult to say without seeing your clinical picture. Please attach your clinical picture along with your query so that it is convenient for me to comment on your condition and give you appropriate medications.
Do you have itching, burning, pain, blister or oozing? Since how many days do you have this? Are you sexually active? Is there any history of unprotected sexual contact? If so, inquire your partner for white discharge. Are you on any medications for other systemic diseases like oral systemic steroid for asthma? Have you done blood test for diabetes?
For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
Thank you doctor,
I am not sexually active.
Dr. Ashwini V Swamy
MBBS., MD- DERMATOLOGY, VENEREOLOGY, LEPROSY
Dermatology, Venereology
Hi,
Welcome back to icliniq.com.
I saw the picture, though it is not very much clear, I can see inflammation of glans and foreskin (attachment removed to protect patient identity). I am listing the possibilities:
- Candidal balanoposthitis.
- Herpes genitalis.
- Irritant contact dermatitis.
- Genital lichen planus.
Please answer all the questions.
For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
Thank you doctor,
I am having this problem since last week. Symptoms are only itching, no oozing or discharge and there were no blisters at the starting, just redness and itching were there. I have been applying T-Bact and taking Augmentin 625 as an oral pill.
Dr. Ashwini V Swamy
MBBS., MD- DERMATOLOGY, VENEREOLOGY, LEPROSY
Dermatology, Venereology
Hi,
Welcome back to icliniq.com.
It looks more like a candidal balanoposthitis, with erosions on the glans. Fungal balanoposthitis responds to topical Clotrimazole antifungal cream, two times application after cleaning the area with mild soap like Dove, and oral Itraconazole 200 mg capsules, two times a day (morning and night) in the same day after food.
Do you have any allergies to oral medication?
For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
Related Questions & Answers
Query: Hello doctor, I am perhaps suffering from balanitis. The foreskin is torn at some places and it hurts too much to pull the skin back. Some white substance is accumulating every day under the head of the penis. What to do? To be honest, it hurts while masturbation. So, I have stopped masturbating. B... Read Full »
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Answer: Hi, Welcome to icliniq.com. I have seen your query. With your descriptions, it seems you have developed balanitis xerotica obliterans. You must clean the prepuce area with water and apply Clotrimazole plus Fusidic acid cream local application twice daily and take tablet Fluconazole 150 mg once a wee... Read Full »
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Answer: Hi, Thanks for writing to us. There could be many causes for such lesions like fungal infection (candidal balanoposthitis), lichen planus, irritant dermatitis, and etc. Candidal BP is the most common cause amongst all. So right now, I would advise you that, wash the area with lukewarm water twic... Read Full »
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