I get recurrent penile yeast infection with skin crack on the penis. Please help.

Question

Hello doctor,

I have a penile yeast infection and oral thrush. I am currently using Clotrimazole cream twice daily for the past seven to eight days, but I still see some white colored thin fungus like particles. (These are very few near the glans penis).

This is the second time the fungal infection has appeared. When the first incidence of the infection appeared, I took two doses of Fluconazole and the infection seemed to disappear.

Additionally, I see cracks on the head of the penis. I have used soap to clean the penis in the past. The first time when I had white layer of smegma, the FNP had recommended I use Triamcinolone acentonide and this did not cure the problem but I think it did aggravate it. My penis seems quite unhealthy than before with cracks on it.

My concern is apart from treatment for infection, will I be able to get healthy crack free penis head back again and can I completely get rid of the fungus?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your problem.

Yes, sure you will get crack-free penis but you have to rule out other infections assosiated with cracked penis.

The probabel cause can be immune suppression, diabetes, sexually transmitted diseases, penile eczema, soap or moisturizer irritation, and allergy.

You should undergo a complete blood picture, blood sugar levels, urine culture, and sensitivity. Wet mount preparation if possible.

You should use capsule Itraconazole 100 mg twice daily for two weeks after food. Use candid oral mouth paint for oral thrush twice a day for one week. Candid B gel on glans twice daily for five days.

Avoid irritants that cause penile skin irritation.
Avoid tight inner wear.
Avoid intercourse for one week.
Get treated by your partner also at the same time.

Do a review after one week.

I hope it helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Dont worry the test reports are normal. TSH (thyroid-stimulating hormone) level also within normal range. Continue the above medication, and please review after two days.

I hope it helps.

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

Please tell me:

Is there any mucous in stools?
How many times are you passing stools?
Is there any pain in the abdomen?
What did you eat yesterday?

Thank you.

Answer 4

Hello,

Welcome back to icliniq.com.

It may be due to (possible causes I am mentioned here)

1. Irritable bowel syndrome.

2. Subacute intestinal bacterial overgrowth.

3. Worms like tenia may present like compressed tape like threads in grey colour stool.

4. It may be mucus due to a shigella or Salmonella infection.

5. Fungal overgrowth may present like blobs of mucus in white color. It may also form threads.

6. It may be a malobsorption syndrome or food intolerance.

Until the examination is done, it is difficult to say what it is.

Use two tablets of Sporulac twice a day for five days.
Avoid spicy food and alcohol.
Use tablet Bandy Plus (Ivermectin and Albendazole) one tablet stat dose after food.

Get it done: stool examination for ova , cysts , microscopy , culture, fat levels, pus cells and sensitivity. Please review with reports or consult with your physician he will examine and treat you accordingly.

I hope it helps.

Take care.