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Why is my penile eczema not improving despite using meds?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I had eczema on my penis. I have been using Anustat for four days, and it is not getting better.

Kindly help.

Answered by Dr. Kaushal Bhavsar

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern.

I have gone through the image you have attached (attachment removed to protect the patient's identity). Are you sexually active and had any unprotected sex?

Kindly revert with the answers.

Patient's Query

Thank you for your reply, doctor.

I am around 50 years old and have had no sexual activity for the past two months. I have been taking the following medicines for more than ten years:

  1. Atenolol 50 mg.
  2. Pantoprazole 40 mg.
  3. Escitalopram 10 mg.
  4. Amlodipine 5 mg.
  5. Crestor 10 mg.
  6. Fenofibrate 200 mg.
  7. Pancreatin.

Can I contract this infection from sharing the toilet? Kindly help.

Answered by Dr. Kaushal Bhavsar

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

This can be due to bacterial infection. Please answer the following questions:

  1. Is it painful or itching?
  2. Is it more irritating than painful?
  3. Do you get more perspiration in your private parts?
  4. Do you wear tight undergarments and pants?

Kindly revert with answers.

Thank you.

Patient's Query

Thank you for your reply, doctor.

I have had excessive sweating in that area for four weeks. There is no pain or itching. I wear moderately tight clothing.

Answered by Dr. Kaushal Bhavsar

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I would suggest the following:

  1. Apply Clindamycin cream twice daily.
  2. Apply Betadine ointment twice daily.
  3. Tablet Montelukast and Levocetrizine combination once daily at night before going to sleep for two weeks.
  4. Try to avoid perspiration and maintain proper hygiene.
  5. Avoid tight undergarments.

Kindly revert for more queries.

Thank you.

Patient's Query

Thank you for your reply, doctor.

Do you think cortisone will not work? Is it bacterial? Kindly help.

Answered by Dr. Kaushal Bhavsar

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

The steroids will not be effective. Are you bisexual?

Kindly revert for more queries.

Thank you.

Patient's Query

Thank you for your reply, doctor.

I am not bisexual, and no anal sex with women too.

Answered by Dr. Kaushal Bhavsar

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

There is no exposure to anal organisms. So I think Clindamycin cream and Betadine ointment will be effective.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At September 11, 2022
Reviewed At February 27, 2026

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

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

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Genital Eczema Companion

How it works

A rash on the penis or groin can look almost identical whether the cause is eczema, a bacterial infection, a fungal infection, or plain sweat and friction. That is why one cream can help one person and do nothing for another. Here is what usually drives a rash in this area, and how the treatment changes based on what is actually going on.

1🔍

What It
Looks Like

2👥

The Look
Alikes

3💧

Sweat And
Friction

4🧴

Steroid
Limits

5🩺

Getting A
Diagnosis

6⚠️

Warning
Signs

Why your cream may not be helping

You tried a cream for four days and saw no change. You are around 50, not sexually active, sweating a lot in that area for about four weeks, and you wear moderately tight clothes. The doctor reading your case thought this looked less like eczema and more like a sweat-driven bacterial rash, which is why a stronger steroid was not the answer. This tab walks through what a rash like yours can be, and why the right cream depends on getting the cause right.

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

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