What are the pimple-like rashes on the penis head?

Question

Hi doctor,

My skin around the scrotum is flaking and senseless on touch. Also, the same on penis head. There are a lot of rashes like pimples on the bottom of the penis head. It gives a bad odor. I am 23 years old and I have been in this condition for more than seven years now. My past medication was Candid B cream for a week and I stopped it as there was no improvement. Thank you.

Answer 1

Hi,

Welcome to icliniq.com. This could be due to a fungal infection. You may apply Onabet cream (Sertaconazole) over the affected areas twice daily. It is important to consult your doctor, discuss with them, and take the medication with their consent. Adequate treatment with oral and topical medication for one to two months is necessary to cure this disease. Remember to wear loose cotton clothing, especially at home, and avoid hot and humid climates. Keeping the affected area dry and avoiding synthetic underwear can also help. If any other family members are affected, they should also receive proper treatment to prevent recurrence. Feel free to send photos in the follow-up for further evaluation.

Answer 2

Hi,

Welcome back to icliniq.com.

Please put up two to three clear pictures of the affected area for proper evaluation and guidance, as without the photographs I am not in a position to advise you regarding the management.

Revert back with the photographs to an internal medicine physician online.

Answer 3

Hi,

Welcome back to icliniq.com.

The pimple like lesions (attachment removed to protect patient identity) on the penile head is known as pearly penile papules.

It is a harmless, normal and benign condition present in many individuals. No treatment is required for this.

Regarding the scrotal flaking, it could be either due to tinea or fungal infection of the area or second possibility is scrotal dermatitis.

For scrotal dermatitis, Avoid soaps, perfumed cosmetics and creams on the affected area. Avoid repeatedly rubbing or itching over the area as it will increase the problem.

You may apply white paraffin emollient cream for symptomatic relief, example Elovera cream by Gracewell.

For fungal infection, I suggest tablet Fluconazole. The usual dose is 150 mg taken once or twice a week for two weeks.

Onabet cream can be applied twice daily. In case of itching, I suggest tablet Lorinol (Loratadine) once or twice daily.

Consult your specialist doctor, discuss this with him or her and take the medicine with consent and revert back after two weeks.

Revert back after two weeks to an internal medicine physician online.