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Patient's Query
Hello doctor,
My son is 37 years old. He had a swelling in the penis and a small marble-light bump in his scrotum. He was very sore on the penis and went to a urologist who recently diagnosed him as an epidemiologist. The doctor prescribed him Levaquin for ten days which he finished a few days ago, but he still had a sore and inflamed enlarged penis. The doctor put him on Celecoxib 200 mg. The swelling has gone down, and it has no muscle tissue feeling. He said when laying down that he can feel the blood flow. He is very uncomfortable. It does not seem to get better and seems to be getting worse. He is really upset and having a hard time emotionally. I need some kind of advice. Please help.
Hello,
Welcome to icliniq.com.
The description you gave indicates the diagnosis of dermatitis, and the best treatment is antibiotics covering gram-positive and anaerobes. So I prescribe tablet Augmentin (Amoxicillin) 625 mg three times daily and tablet Metronidazole (Flagyl) 400 mg three times daily both are for a week. I will encourage if you to send me a picture of the swelling to be more certain about the diagnosis.
Patient's Query
Thank you doctor,
He just finished Levaquin, and he is on the Celecoxib. Should he stop it later and then start with what you have suggested? What you are saying is this is an infection, correct and what causes this? Can I send you a photo in the morning? He finally went to sleep, so I do not want to wake him.
Hello,
Welcome back to icliniq.com.
The Celecoxib (Celebrex) is not an antibiotic to continue for symptomatic treatment, and medications can be started at the same time tomorrow. The causes can be either due to sting from an insect or sometimes from infected hair follicles, especially if he got diabetes. The ultrasound is mostly useful for the scrotum or to detect abscess collection. If the swelling did not get worse, then I can wait. Yes, you can send me the picture tomorrow. I hope he will get better with the treatment.
Patient's Query
Thank you doctor,
I will send you the photo as soon as he awakens.
Hello,
Welcome back to icliniq.com.
Ok, sure, I will wait for your input.
Patient's Query
Thank you doctor,
He is awake now, and I am passing this to him. I am having more with the shaft of my penis where it is at the base of it are very swollen, and when I lay down, there is constant blood going to my penis, and then the shaft gets really long, and so when I get up, it is stretched out.
Hello,
Welcome back to icliniq.com.
Can I have pictures of your penis in a flaccid and erect position?
Patient's Query
Thank you doctor,
I have attached an image that is in erected because when I do, so it hurts. Several veins have popped out. When erect, it is much larger than normal, and there is a slight turn.
Hello,
Welcome back to icliniq.com.
I saw the pictures (attachment removed to protect the patient's identity). There is no apparent abnormality seen, but if you have pain, then you need to use the antibiotics I prescribed earlier. You can continue with Celecoxib as you got better with it. I hope you will go through this issue soon.
Patient's Query
Thank you doctor,
It is a lot larger than it normally is. It is constantly painful, red, and swollen. I have trouble sleeping at night, and when urinating, it goes back, and then shortly after, it gets right back up to where it is now. I feel the blood flow every time I lay down, it rushes to that area, and it gets real swollen. It is just driving me crazy, and also, I just finished the other antibiotics. Levaquin and I are just wondering. Is it fine to continue with this one that you have prescribed? I did not receive any prescription. How do I go about getting them? How long does this type of condition last?
Hello,
Welcome back to icliniq.com.
I understand your concern, and I am trying to do my best to help you come through with this issue. I am not working in your location. My prescription will not be accepted there. This condition usually goes away one week after the completion of medications.
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