Dr. Priyadarshini Tripathy
Obstetrics and Gynecology
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Patient's Query
Hello doctor,
I have been undergoing regular vigorous sexual intercourse and frequent masturbation. A few weeks ago, I felt symptoms like a painful erection, tender penis, erectile dysfunction not sustained, slight discoloration of the penis, and abnormal blood flow. The doctor advised giving up masturbation for a couple of weeks as it may be traumatizing or fatiguing. My STI test was negative, and undergoing a UTI test for the prostrate check. I am concerned about the tenderness felt in the upper shaft. On pressing softly, I feel a shooting pain in my muscles. There is dark discoloring, bruising, and slight inflammation. How to reduce tenderness? Kindly help.
Hello,
Welcome to icliniq.com.
I understand your concern. Do you have any history of medicine intake in the past two to three weeks?
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply. No, I just took the tablet Ibuprofen. I have refrained from all activity, and the shaft still feels swollen. I do not think the tablet Ibuprofen has helped. I am unsure if there is a topical ointment to apply.
Hello,
Welcome back to icliniq.com.
The causes of the swollen penis could be due to allergic reactions, sexual injury, and balanitis. Most cases of balanitis result from an overgrowth of fungus or bacteria. Allergic reactions are primarily due to condoms, spermicides, and lubricants used during sex. You are having features of UTI (urinary tract infection); it could be due to urethritis. Urethritis also leads to painful penile spasms. I would suggest you take the below medicines for a week.
Tablet Fluconazole 50 mg once a day after food for one week.
Tablet Amoxyclav (Amoxicillin and Clavulanic acid) 625 mg, one tablet thrice a day after food for five days.
Consult your specialist doctor, discuss with them and take medications with their consent. If symptoms do not subside in a week, you need to undergo an ultrasound, color doppler of the penis, and fasting blood sugar test.
Thank you.
Patient's Query
Hello doctor,
Would you suggest any temporary treatment, like a cold towel wrapping around the area or avoiding ointment use? I feel it requires visual assessment. The doctor said to test it in a few weeks. Would you suggest getting it checked physically? Kindly suggest.
Hello,
Welcome back to icliniq.com.
Along with the above medicines. You can try following home remedies like soaking in a warm bath, and applying an ice pack wrapped in a cloth to your penis. Also, avoid harsh soaps, lotions, and other potentially irritating substances.
Thank you.
Patient's Query
Hello doctor,
Is the medication available over-the-counter, or do I need a prescription?
Hello,
Welcome back to icliniq.com.
You can get the medication over-the-counter as well.
Thank you
Patient's Query
Hello doctor,
I can not recall an injury or trauma. I did use a condom, and the oral activity on me was rigorous; if I remember, the top of the shaft felt a bit tired and numb. Oil was used on the penis. In that area of the top of the shaft, there is a bump or raise, and could this be balanitis? What is balanitis? I cannot attach a video as this is the best way to see it. Not sure if visible by picture and would need a visual appointment. Do you provide a prescription?
Hello,
Welcome back to icliniq.com.
Balanitis is a type of skin irritation that develops on the head of the penis. Rigorous oral sex will predispose to infection. A bump on the head of the penis is suggestive of balanitis. If your symptoms do not decrease with the medication, kindly consult a local urologist for a local examination.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
Hello,
Welcome back to icliniq.com.
I hope I have answered all your queries.
Thank you.
Patient's Query
Hello doctor,
Can balanitis develop on the upper shaft?
Hello,
Welcome back to icliniq.com.
Yes, it can occur in the upper shaft as well.
Thank you.
Patient's Query
Hello doctor,
Can I take both medications together?
Hello,
Welcome back to icliniq.com.
Yes, you can take both medicines together.
Thank you.
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Obstetrics and Gynecology
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