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Why is there itching with pain while retracting foreskin?

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

Patient's Query

Hello doctor,

My husband is 44 years old and taking no medication but only anti-fungal cream. He has a lot of itching and his foreskin does not go back without pain. Please help.
Answered by Dr. Ohams Ike Henry

Education:

MBBS

Professional Bio:

Dr. Ohams Ike Henry is an experienced General Practitioner with expertise in primary healthcare, chronic disease management, acute care, and preventive medicine. He is skilled in diagnosing and treating a wide range of medical conditions across all age groups. Dr. Henry is dedicated to delivering patient-centered care, promoting healthy lifestyles, and ensuring long-term wellness through evidence-based clinical practices and compassionate support.

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Hello,

Welcome to icliniq.com.

From your history, it seems the skin is inflamed and cannot be retracted, this is called balanitis. There is a possibility of phimosis (tightness making it difficult to retract and painful. I am not sure of his personal hygiene because if he is not cleaning it properly, it can cause some pus like particles smegma which can provide medium for infection in it.

What you can do is use Augmentin 625 mg bd for 10 days, use enteral antifungal Fluconazole 200 mg daily for 10 days, tablet Ibuprofen 400 mg BD for six days. You can get triple action cream (contains combination of Corticosteroid, Antifungal and Antibiotics) that will help too. Permanent treatment for this problem is to see a doctor and get circumcision that will solve the problem once and for all.

The Probable causes

Fungal and bacteria infection, poor personal hygiene.

Investigations to be done

Swab for microscopy culture and sensitivity.

Differential diagnosis

Paraphimosis.

Probable diagnosis

Balanitis.

Patient's Query

Hi doctor,

Thank you so much.

Answered by Dr. Ohams Ike Henry

Education:

MBBS

Professional Bio:

Dr. Ohams Ike Henry is an experienced General Practitioner with expertise in primary healthcare, chronic disease management, acute care, and preventive medicine. He is skilled in diagnosing and treating a wide range of medical conditions across all age groups. Dr. Henry is dedicated to delivering patient-centered care, promoting healthy lifestyles, and ensuring long-term wellness through evidence-based clinical practices and compassionate support.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

You are welcome. Take care.

Medically reviewed by Dr. Divya Banu M
Published At June 4, 2019
Reviewed At June 26, 2023

Education:

MBBS

Professional Bio:

Dr. Ohams Ike Henry is an experienced General Practitioner with expertise in primary healthcare, chronic disease management, acute care, and preventive medicine. He is skilled in diagnosing and treating a wide range of medical conditions across all age groups. Dr. Henry is dedicated to delivering patient-centered care, promoting healthy lifestyles, and ensuring long-term wellness through evidence-based clinical practices and compassionate support.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ohams Ike Henry
Dr. Ohams Ike Henry

General Practitioner

Education:

MBBS

Professional Bio:

Dr. Ohams Ike Henry is an experienced General Practitioner with expertise in primary healthcare, chronic disease management, acute care, and preventive medicine. He is skilled in diagnosing and treating a wide range of medical conditions across all age groups. Dr. Henry is dedicated to delivering patient-centered care, promoting healthy lifestyles, and ensuring long-term wellness through evidence-based clinical practices and compassionate support.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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