There are red dots in my penis. Could it be an allergy?

Question

Hi doctor,

I am a 23-year-old non-diabetic male. I suddenly felt a burning sensation on the tip of my penis a few days back. I thought it was a general burning sensation, due to lack of drinking water. I do accept that I am a little unhygienic. After a day or two, the burning sensation increased. When I checked properly, there was a small white dot, like a skin peeling. Now dots have grown red, and the number of the red dots have increased to four or five. It does not trouble me much when I am on the move, but whenever I go to the washroom, it burns a lot the entire time I urinate and post-urination, the burn subsides in 15 to 20 seconds. I was having a fever as well for these past two days and within these past two days, the number of dots has increased. Is this an allergy or balanitis or something else? I have attached pictures. Kindly suggest what to do.

Thanks.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

I have read your query and examined your picture (attachment removed to protect patient identity). From your description, it seems you have chancroid or herpes genitalis. Chancroid is a bacterial sexually transmitted disease (STD) caused by Haemophilus ducreyi, whereas herpes is a viral infection. On checking the gram stain of the ulcer exudates, short, plump, gram-negative rods in the classic school of fish appearance, if revealed indicate a chancroid. Get your HSV (herpes simplex virus), IgG, and IgM (herpes simplex virus immunoglobulin G and M) levels tested to confirm herpes. Treatment for chancroid includes a tablet of Azithromycin 1 mg orally as a single dose or Injection of Ceftriaxone 250 mg intramuscularly as a single dose given by a dermatologist. Treatment for herpes includes the tablet Acyclovir 400 mg thrice daily for five days. Abstain from sex till marriage. Be faithful to your partner. I advise you to use condom correctly and consistently.

I hope this information will help you.

Thanks.

Answer 2

Hello,

Welcome back to icliniq.com.

I understand your concern.

Please do check for chancroid and herpes, before we can decide on a treatment. It is more likely to be a chancroid, in which case your lesions will completely subside in a week.

I hope this information will help you.

Thanks.