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My entire foreskin is swollen and red. Is it due to the steroid cream I used?

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

Patient's Query

Hi doctor,

I am 51 years and nondiabetic. It seems I am suffering from balanitis for the past two weeks. Earlier, I had the problem of ringworm, but then, after taking Clotrimazole ointment and taking the oral tablet Terbinafine, it was treated. After a couple of months of that problem, I noticed two weeks back, a red rash on the ring of my glans and foreskin with a burning sensation. I checked on the internet and used Clotrimazole ointment with Fourderm and Terbicip. It subsided, but every time after a bath, it emerged. I also kept hygiene around my genitals and washed them with warm water and salt. However, it did not get cured but remained controlled. Two days back, I consulted a dermatologist, and he suggested stopping all that and instead applying DK Gel and taking AF 150 orally, one tablet every three days after dinner. It has become redder and has covered the complete foreskin with redness and swelling. I checked with the dermatologist, but he said it is due to the use of steroid Fourderm ointment, and that it will subside in seven to eight days. It burns and is too sensitive even if it touches the cloth. I am attaching a picture of my penis. Please help.

Thanks.

Hi,

Welcome to icliniq.com.

I understand your concern.

By your complaints and the picture (attachment removed to protect patient identity), your concern is balanitis. What your dermatologist suggested is appropriate. You are facing side effects due to potent steroid in Fourderm (combination of Chlorhexidine, Clobetasol, Miconazole, and Neomycin). You can continue what your dermatologist had suggested. I suggest applying DK gel (Miconazole) at bedtime and Efficort 0.127 % (Hydrocortisone) mild medicated steroid in the affected areas until redness subsides. Try taking Crocin (Paracetamol) 500 mg, as on required to reduce pain, and Fluconazole weekly once after dinner.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

DK gel, once dry, makes the foreskin stick to the glans. The foreskin swelling was not there earlier. When will it subside?

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

I suggest trying Lulifin (Luliconazole) cream instead of DK gel. The swelling will subside soon with treatment.

I hope this information will help you.

Thanks.

Medically reviewed byiCliniq medical review team

Published At June 12, 2018
Reviewed AtOctober 26, 2024

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