What causes pain and red rashes on glans penis?

Question

Hi doctor,

I am having red rashes on the glands of the penis. I used Candid Total and it disappeared completely. Again after seven days it again appeared and it seems red patches on right and left side of the penis. I continued using it and then got an advise form one of my friend for using Surfaz SN along with Doxt SL 100 which I am using it since last 15 days.

It was improving slowly. I was using very hot water for cleaning the penis but suddenly day before yesterday, the color of the penis became red and the patches have also become red. I am having pain on the glands of the penis and seeing some white discharge. I do not know why it has happened suddenly, due to the usage of hot water or for some other causes. I consulted a local doctor and he advised to take LNZ 600 one tablet twice daily for five days and T-Bact ointment twice daily for 10 days. Please advise.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

You have erosions on the glans penis that is more consistent with candidal balanitis, other possibilities are chancroid, herpes. Please stop using Surfaz SN, it has steroid in it. Steroid helps to bring down the inflammation, itching will get better but it will not cure the fungal infection further makes the fungal infection worse. I believe that is what happened for you now.

Can you please answer these questions so that I can rule out other possible conditions and suggest you appropriate medications.

When did it start?
Do you have similar red rash on foreskin as well?
Any history of unprotected sexual intercourse?
Any history of white discharge in the female partner?
Did you have fluid filled blisters when it started?
Is this the first time you are experiencing this kind of lesion?
Do you have any allergies to medications?
Do you have any other medical conditions?
Diabetes?

Do not use hot water for genitals. Always use lukewarm water.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

It looks like candidal balanitis aggravated by application of topical steroid (Surfaz SN). Start using Clotrimazole 1 % cream, apply to affected area twice a day after cleaning the area with lukewarm water for four to six weeks. Take capsule Itraconazole 200 mg, one capsule in the morning and one capsule at night on day 1. It is single day treatment. Avoid unprotected sexual intercourse for three to four weeks.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

Candidal balanitis is an infection caused by candidal which is a fungus. In males, glans and foreskin are more prone to a fungal infection because the genital secretions (smegma) collect inside. When there is trauma (friction) to the area with minor cuts on the genital mucosa, it gets infected. There are other factors like hygiene, and excessive sweating can predispose to fungal infection. Diabetics have altered immunity making them more prone to fungal infection.

Surfaz Sn has steroids in it. Steroid helps to reduce inflammation, hence it feels better initially when only the inflammation part (redness, itching) is gone, but fungus will still be there. Steroid makes the fungus grow further. After a few days, fungus will multiply causing more symptoms. Hot water dries the skin and mucosa, which will cause irritation to the skin when there is an infection. Lukewarm water should be used for taking a bath and washing genitals.

Thank you.

Answer 4

Hi,

Welcome back to icliniq.com.

If you have started the LNZ then complete the course. T-bact ointment is antibiotic, you can use it along with Clotrimazole.

Thank you.