Dr. Thakare Sampada Avinash
Dermatology
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
Hi doctor,
I have small red rashes on my glans penis. It started as a small blister. When cleaned, it peeled like skin. However, if it is not cleaned, white discharge gets in and around the site. I am not taking any kind of medications.
Hello,
Welcome to icliniq.com.
Please revert with an image. It could be balanitis or herpes genitalis. The management can be decided based on the diagnosis. In the case of balanitis, one may apply Miconazole 2 % cream twice a day. Do you have a history of unprotected sexual intercourse?
Patient's Query
Hello doctor,
Thanks for replying. Since I had unprotected sex with my partner, I noticed these red rashes and white discharges.
Hello,
Welcome back to icliniq.com.
Please provide the following information. Since how many days do you notice this? Is this the first episode? Did you take any medicines previously? Also, kindly send a good quality image.
Patient's Query
Hello doctor,
Thanks for replying. This is the second episode. The previous episode occurred last year. I was then treated with Candid-B as guided by the doctor. Now it has recurred.
Hello,
Welcome back to icliniq.com.
From your description, it can be balanitis. In that case, one may apply DK gel (Miconazole) 2 % twice a day. Please revert with an image so that the oral medications can be prescribed. Also, it is important to treat the partner to prevent recurrence.
Patient's Query
Hello doctor,
Thanks for replying. I have attached the file as requested by you.
Hello,
Welcome to icliniq.com.
I have seen the picture (attachment removed to protect patient identity). It looks like herpes genitalis. It is a sexually transmitted disease. Is it associated with pain or itching? Please get a blood test done for HIV (human immunodeficiency virus) and VDRL (venereal disease research laboratory). It is important since you have a history of unprotected sexual intercourse. Apply T-Bact (Mupirocin) cream twice daily. I suggest taking an oral antiviral medication like tablet Acyclovir 400 mg three times a day after meal for seven days. Also take tablet Rantac (Ranitidine) 150 mg twice a day before meal for seven days. Please revert after seven days with the reports.
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Dermatology
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