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 had used soap to clean the penis in the past. The first time when I had white layer of smegma, the FNP had recommended me to 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?
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.
Immune suppression. Diabetes. Sexually transmitted diseases. Penile eczema. Soap or moisturizer irritation. Allergy.
Investigations to be done:Complete blood picture. Blood sugar levels. Urine culture and sensitivity. Wet mount preparation if possible.
Differential diagnosis:Penile eczema. Herpes simplex infection.
Treatment plan: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 causes penile skin irritation. Avoid tight inner wear. Avoid intercourse for one week. Get treat your partner also same time.
Regarding follow up:Review after one week.
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