How can I manage my recurrent candidiasis at 31 as a male?
Patient's Query
Hi doctor,
I am 31 years old. I had candidiasis last year and it got cured as well, and this came back this year again. It is more severe now, with a little patch on the lip and rash on the tongue.
There is also redness on the penis head and pus coming out of it. I also have small blisters for the first time. I was recommended Fluconazole 150 and Miconazole ointment.
Please advise if this is the right treatment. I can share the pictures.
Hi,
Welcome to icliniq.com.
I understand your concern.
Yes, your treatment is correct. Azoles are the treatment for candida, and your pictures show candidal balanitis (attachment removed to protect patient identity). I suggest you follow these steps:
- Take Fluconazole 150 mg and apply Miconazole cream.
- Maintain the hygiene of the area.
- Wash it with soap and water.
- After drying, apply the cream.
- Take an antihistamine tablet if you have itching.
Consult your specialist doctor, discuss with them, and take the medicines with their consent.
I hope this helps you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
How many days should I continue taking tablets, and after what time can I expect some improvement in my condition? When I was trying to urinate, the pus coming out blocked it, and once it was done, a slight bleeding happened. Is it something else that is obvious to happen?
Also, I would like to share that it was a little itchy on the first day. And I did not take any medicine as I was already down with severe indigestion pain and was taking Mefenamic acid, Norfloxacin, and Peploc. Any possibility of this triggering this level of infection in a day?
Also, shall I advise my wife to take a Fluconazole 150 mg once to rule out any infection, as my wife and I are planning a family? Though she is not pregnant right now, any advice on how long we should wait before going forward with planning?
Please advise.
Hi,
Welcome back to icliniq.com.
Continue for at least two weeks, and you will start expecting improvement around one week. The mucosa is severely infected. That is why it causes bleeding.
Are you asking about medication triggering an infection? It would help if you waited about family planning until your infection settles. Avoid intercourse until then.
If your wife is not having symptoms of candida, no need to give medication to her.
Kind regards.
Patient's Query
Hi doctor,
Thank you for the reply.
Can I use intimate cream to clean? Also, that glazed thing does not come off while cleaning.
Hi,
Welcome back to icliniq.com.
Intimate cream wash contains lactic acid and tea tree oil, which can be irritants to the infected skin. Please do not use it until the infection has settled. The glazed area will slowly heal when the infection has started to heal. Avoid rubbing or peeling off that area.
Kind regards.
Patient's Query
Hi doctor,
Thank you for the reply.
Also, to share, it did not bleed today while urinating. Can you suggest a drink or medicine for faster recovery?
Hi,
Welcome back to icliniq.com.
Drink plenty of water and eat a protein diet like eggs, fish, pulses, etc., to improve your immunity.
Kind regards.
.
Patient's Query
Hi doctor,
Thank you for the reply.
Do you recommend any mouthwash for the patch on the tongue?
Hi,
Welcome back to icliniq.com.
Yes, do Benzirin (Benzydamine) gargles. Take one part of it, mix it with three parts of water, and gargle. Also, put Nystatin drops on both sides of the tongue. Keep it for two to three minutes and swallow.
Kind regards.
Patient's Query
Hi doctor,
Thank you for the reply.
My candida balanitis issue is much better now. It is almost resolved. But for the last two weeks, the recovery has been slow, with itching, and I'm unable to pull back my skin. Though I am applying the ointment (DK gel) twice a day post-cleaning my penis properly, I am still having the problem.
Please advise if I have to continue applying the same cream. Also, what about the medication Fluconazole 150? Shall I continue taking it?
Hi,
Welcome back to icliniq.com.
Are you taking Fluconazole weekly or daily? Yes, continue applying the same ointment. Also, continue taking an antihistamine tablet, either Loratidine or Fexofenadine.
You are doing well in maintaining hygiene. Is your oral cavity fine now?
Kind regards.
Patient's Query
Hi doctor,
Thank you for the reply.
I am taking Fluconazole on alternate days and can take Cetirizine. My lips and tongue are good now. Also, how many more days should I expect this infection to be totally cleared?
Hi,
Welcome back to icliniq.com.
Continue Fluconazole on alternate days for another two weeks. Yes, you can take Cetirizine. Please do not stop it abruptly. Otherwise, the infection might relapse.
I will switch it to a weekly dose and then stop it according to your clinical response to completely eliminate the infection. Take care of your diet (protein diet).
I hope this helps you.
Please feel free to reach out if you have any further questions.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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