Dr. Karthik Rajan
Urology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
For three months now, two days after finishing a 21-day course of antibiotics to clear an E.Coli UTI, I have redness on my meatus and lighter redness on my glans and also intermittent irritation of the foreskin. All this with no itching, no discharge or pain whatsoever. I have been tested for UTI again and also all possible STD's and all are negative. I was sent to a dermatologist and she told me it might be a yeast infection and prescribed a two time 150 mg of Fluconazole which had absolutely no effect. I also prior to all my visits to the doctors tried treating myself topically a week at a time with multiple creams such as Canesten, Fucidin, coconut oil, shea butter which all do nothing but hydrate the skin. I have been taking probiotics and antifungal supplements, following a low sugar diet for almost a month and nothing cuts it. I am starting to wonder if it could be something else than a fungal infection since nothing I have tried is working. Could it be bacterial? Are symptoms different? And if my symptoms are causing no pain could it be something else than an infection?
Hi,
Welcome to icliniq.com.
I have gone through your query and would like to know a few more details to answer your query better. Have you had multiple attacks of UTI's (urinary tract infection) or was this an isolated incident? Has the area of redness remained constant or it had increased or decreased in size? Based on your history of medication, it is unlikely for any bacterial infection to be persistent for such a long time and without any overt symptoms. Fungal infections may persist and may require prolonged treatment sometimes, a simple skin scraping test can help diagnose it. Another possibility is non-infectious inflammation, which is common around the meatus and glans called BXO (balanitis xerotica obliterans) which in early stages can cause similar symptoms but needs a clinical examination to diagnose. I would advise you to visit your local urologist who can clinically examine you and identify your problem.
Patient's Query
Thank you doctor,
I have had only one UTI and yes the redness has remained exactly the same for three months. I am waiting to see a urologist but they seem to think it is not a priority so I am going to the doctor again next week. Can fungal infections cause only redness?
Hi,
Welcome back to icliniq.com.
Active fungal infections can cause redness alone, but most of the times they are associated with some scaling and dryness as you have mentioned. I feel that a trial of topical antifungal ointment could help you more than oral tablets. You can discuss with your treating physician regarding this.
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Urology
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