Brief Answer:
Please find treatment options below.

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
From your query it appears that you might have infection in your glans leading to balanitis and causing constrictive phimosis which in simple words means inability of the foreskin to retract.

In mild balanitis, gentle retraction of the foreskin daily and soaking in warm water to clean penis and foreskin usually treats the condition. Warm saline baths and drying the penis also reduces the inflammation.

In most cases topical treatment with ointments is recommended.
Fungal infections usually cause itching. Options for candidiasis (fungal) infection are
(i) If candidal infection is the suspected cause then clotrimazole cream 1% or miconazole cream 2% can be applied twice daily till symptoms subside.
(ii) Oral medication fluconazole 150 mg one tablet orally if symptoms are severe.
(iii) Topical ointment imidazole with 1% hydrocortisone if there is marked inflammation.

Bacterial infections usually cause pus and discharge. If bacterial infection is suspected then neosporin or clindamycin cream applied twice-daily until the infection has resolved.

For severe infections antibiotics must be taken as per complete course after consultation with your doctors.

A urologist is the best doctor to consult for your condition if it does not get better by following above measures. Rarely surgical methods might be required for treating the condition of poor foreskin retraction.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

---

Brief Answer:
Pls apply antifungal ointment as mentioned below.

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

You might be having balanitis of fungal origin if betadine is not giving you any relief. For a fungal infection, you can apply an ointment containing anti fungal and steroid combination.

Please use CANDID-B cream: clotrimazole 1 % w/w, beclometasone dipropionate 0.025 % w/w.

You must apply the cream gently over the skin in affected areas twice a day. Please apply after washing your genital organs with warm water and wiping it dry.

This ointment must be applied for a month and it will take a week to show any response.

Recovery is slow and every day during bath you can do gentle retraction of the foreskin daily and soaking in warm water to clean penis and foreskin.

If the foreskin is tight even after a month then please consult the urologist.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

---

Brief Answer:
Please follow instructions as below.

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

Applying cream CANDID B is important. Other medications you can take are as follows.

For severe pain you can take tablet diclofenac 50 mg twice a day after food for 5 days.

If severe infection is there then better to take a course of antibiotics Amoxicillin NOVAMOX 500 mg 3 times a day after food for 7 days. Make sure you are not allergic to Penicillin and always consult your doctor before starting antibiotics.

Please also take tablet PAN 40 before breakfast for 7 days to avoid gastritis due to pain killer and antibiotics.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

---

Brief Answer:
Please follow instructions below.

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I request you to please follow instruction below.

1. Apply Candid D cream as instructed. It will heal the fungal infection and also the skin changes.
2. Take Novamox capsule to prevent any bacterial infection.
3. Slowly wash your penis head with warm water and soap and then you can slowly try to retract the foreskin with a lubrication jelly.
4. If there is mild pain and discomfort then you can use 2 percent lignocaine gel and the lubrication jelly and try to pull it slowly without causing any injury or cuts to foreskin.
5. If it still does not retract then please consult the urologist for surgical opinions.

Please do not worry for marriage. There is a lot of time you can expect it to be treated by then if you follow above measures. Please do not hesitate to consult urologist if the medications do not work.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

---

Brief Answer:
Please find requested lubrication jelly and lignocaine jelly details below.

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

1. The lubricating jelly K-Y LUBRICATING JELLY by XXXXXXX & XXXXXXX is a good one. It comes in 50 gms for 165 rupees.

2. Lignocaine 2 percent jelly is available as XYLOCAINE jelly and the price is 46 rupees for a 20 gms tube.

Both are available at most medical shops in XXXXXXX

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

---

Brief Answer:
Please find requested details of medications below.

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

1. NOVACLOX cap contains antibiotics amoxicillin 250 mg, dicloxacillin 250 mg.
NOVAMOX cap 500 contains antibiotics amoxicillin 500 mg.

Both are different in composition but if NOVAMOX is not available then you can take NOVACLOX. The function of both are similar.

2. PAN 40 and PANTOSEC are the same.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

---