What causes itching and redness of the penis despite using Utistat?
Patient's Query
Hello doctor,
I am a 41-year-old male, I have itching on my penis and redness here and there. This is the second time I am taking the Utistat tablet but still keeps on itching. What could it be?
Hello,
Welcome to icliniq.com.
I suggest applying Clotrimazole (Benzyl Alcohol, Polysorbate) cream twice daily for two weeks. Kindly answer the following:
1. Are you diabetic?
2. Do you have a history of a fungal infection in past?
3. Do you have improper hygiene?
4. Are you sexually active?
5. Do you have excess scratching and rubbing?
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
My diabetes is controlled under medication. I did have a fungal infection almost twice a year for the past ten years. I am sexually active.
Hello,
Welcome back to icliniq.com.
This is balanitis (inflammation or redness of the glans penis is visible). The causes could be improper hygiene, scratching and rubbing, allergic reaction to irritant soap, infective cause (fungal infection most common), STI (sexually transmitted disease), uncontrolled diabetes, injury, and exposure to chemicals. I suggest you follow the following:
1. Practice good hygiene, and safe sex.
2. Avoid scented soaps and lotions.
3. Always clean the glans penis after retracting the foreskin.
4. Wash with warm water.
5. Neutral non-soap cleansers can be used like Cetaphil cleanser or no soap cleanser or Episoft cleanser to clean genitals with water.
6. Dry the area after cleaning.
7. Keep the area clean and dry.
8. Avoid moisture, as moisture favors fungal growth.
9. Apply Clotrimazole cream twice daily for two weeks.
10. Tablet Fluconazole (Microcrystalline cellulose and Dibasic Calcium Phosphate) 150 mg once a day after dinner for three days.
11. Tablet Teczine-M (Levocetirizine, Montelukast) once at night after food for seven days.
12. Maintain proper genital hygiene as hygiene plays a very important role to avoid recurrence.
13. Keep checking on sugar levels and maintain them in control.
14. Avoid scratching and rubbing of lesions.
15. Wear loose comfortable thin cotton inners.
16. Avoid friction or injury, and sex until the lesion heals.
I hope I have cleared all your doubts.
Thank you.
Patient's Query
Hello,
Thank you doctor.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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