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Suggest Treatment For Penile Infection

Posted on Tue, 31 Jan 2017

Question: Hi, I am having a penile infection....used to have phimosis and I got it treated with betamethasone and maintaining good hygiene.....now I am able to retract my foreskin completely....but tip of foreskin is a little turned whitish.....my glans area have few white patches on it and if I don't clean the area for 1 or 2 days only the infection seems to come back....I am also feeling a very mild pain on the right side of XXXXXXX area only you when I touch or rub it..I am uncircumcised and having a good sexual drive....no pain or irritation in urinating..going to be a father in May...no other health issues or symptoms..seems to have yeast infection....pls advise what it could be...do I need to go for any tests...pls advise medicines and ointment to get it treated...thanks

Answered by Dr. Dr. P. T. Patil (7 hours later)

Brief Answer:
Likely to be infection of foreskin and Glans (Ballano Posthatitis)

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you had infection of foreskin leading to Phimosis which has resolved and now have noticed tip of the foreskin to be white with few white patches on glans penis.

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Are you diabetic ?
2) Is there itching of foreskin and glans ?

Based on the symptoms that you have you have Genital Candidiasis .Get following basic tests done
1) Blood sugar levels on empty stomach and 2 hours after lunch to rule out Diabetes
2) Swab test of a discharge or scrapping from glans and foreskin

Take anti fungal drugs like Fluconazole twice daily along with topical anti fungal cream like Cotrimazole.

Ensure to wash your genitals with warm water twice daily .

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (1 hour later)

I have yesterday had my blood sugar checked 2 hours after meal and it was 108 and empty stomach today it was 78....I do not have any itching on glans and foreskin unless I don't clean it for 1 or 2 days then only foreskin only becomes itchy but glans do not have any itching except a little rubbing pain on a very small right side area.

I have been using Clotrimazole along with Tacrolimus 0.01%....pls advise if these are ok to use...I have also heard of rubbing chopped garlic on glans to get rid of infection....pls advise if it is OK to use ?.....

I just want to understand that since most of the time my foreskin and glans are dry...and there is no as such discharge...how can I get the swab test done and where to get it done ? Pls advise.....Also can I send you a close picture of the area along with the query which I can attach here.

Answered by Dr. Dr. P. T. Patil (44 minutes later)

Brief Answer:
You can use Cotrimazole along with Tacrolimus 0.01%

Detailed Answer:
Hello
Thanks for follow up .

Uplod photograph of yot foreskin and glaans penis .It wil help in making precise comments and suggestions.

You can continue using Cotrimazole along with Tacrolimus and add systemic antibiotic like Cefexime to be taken twice daily orally.

Your problem of getting infection is basically hygiene related and you must clean and wash the genitals everyday while taking bath .

Thanks and Regards.
Dr.Patil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (17 minutes later)

I am attaching the image/s..You can see a little moisture because I have just now applied Tacrolimus......pls also answer about that I want to understand that since most of the time foreskin and glans are dry...and there is no as such discharge..how the swab will be done and also where can I get this test done ? Pls advise...where do u sit if I can meet u in person as well ? I am from XXXXXXX

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
There are no images attached to your follow up query

Detailed Answer:
Hello
Thanks for follow up .Unfortunately there are no photos attached to your follow up query ..
Take help of customer support team of Health Care Magic team .They will guide you how to attach images .

As regards swab test in a given situation you may skip it .

Thanks and Regards.
Dr.Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar