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How do I treat the inflammation on the tip of my penis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I got inflammation on tip of my penis. It is itchy and burning. I used Quadriderm cream (Betamethasone, Clotrimazole and Gentamicin) at first and thought it was a normal infection. It got better but now it came back again. What should I do? They have also appeared in the testes, but it seems like they started appearing inside the skin on the penis too. I have attached pictures for your reference.

Answered by Dr. Suvash Sahu

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

I have seen your query and concern and examined your picture (attachment removed to protect patient identity). With your description and the given picture, it seems you have scabies. Scabies is an intensely itchy skin infestation caused by mites. The diagnosis of scabies can often be made clinically with a pruritic rash where itching occurs predominantly at night and characteristic linear burrows over limbs. Other family members can also be affected. Regarding treatment, on day 1 you can you use single below neck application all over the body of 5% Permethrin cream during the night. Leave it for 10 to 12 hours and then take a bath. You need to use HH Mite (Permethrin Topical) soap for bathing daily for seven days. Also, take tablet Ivermectin 12 milligrams single dose same day, wash your used clothes thoroughly and use fresh clothes after the bath. On day 2, apply Fluticasone 0.05% cream twice daily for five to seven days and tablet Levocetirizine once daily for the same duration and get a review after one week. Consult your specialist doctor, discuss with him or her and with their consent take the medicine.

Thank you for consulting me.

You can always reach me at icliniq.com.

Patient's Query

Hi doctor,

Thank you for the reply.

I have even got the inner skin on the penis. It is hard. Also, some parts of the body are itchy.

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

It is scabies. Kindly do what I have advised. You will definitely get relief.

Looking forward to your response in order to help you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Do I have to use the Permethrin cream for the first day only? Also, only one tablet of Ivermectin tablet should be had right?

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Yes, single below neck application one tube should be applied all over the body. Tablet Ivermectin 12 milligrams single dose only should be taken. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. The treatment can be repeated after seven days to kill the hatched larvae.

Looking forward to your response in order to help you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

It was gone but happening again. It is itching and still using the HH mite soap. What should I do?

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

There must be some reservoir of infection like in your family members. I would suggest that you and the family members who are residing with you should simultaneously use once below neck application of Permethrin and take a bath after 10 to 12 hours. Must wash all your used clothes thoroughly so that all possible source of infection gets eliminated.

For further information consult a dermatologist online.

Looking forward to your response in order to help you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Should I put Permethrin, Ivermectin along with Levocetirizine?

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Yes, you should take the previously advised treatment to you and your family members for complete cure.

Looking forward to your response in order to help you.

Thank you.

Answered byDr. Suvash Sahu

Medically reviewed byDr. K. Shobana

Published At December 22, 2017
Reviewed AtNovember 4, 2024

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