HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Red Abrasion On Penis

Posted on Mon, 12 Jan 2015

Question: Hello. Recently I have become sexual active again. I have noticed a red abrasion like area on my penis. It has no raised bumps, fluid, discharge, nor is this area tender to the touch. It occurred the day after a female partner was masturbating my penis. Prior to this she did handle her vagina. This red area has been present for a week now and is causing me concerns. I have noticed slight discomfort in my genital region so two days ago I have taken 2g of azithromyacin for precaution. Since the 2g azithromyacin I have noticed a decrease in genital discomfort but the reddened area still exists. No crusting of the area has occurred to even be viewed as a healing sexual type "rug burn". I'm am currently on an immune suppressing drug known as remicade for ulcerative colitis and ulcerative proctitis. I'm also taking gabapentine 1200mg three times a day and hydrocodeine 10mg three times a day for spinal nerve and vertebrae pain. I Recently have finished terbinafine medication for a wrist fungal infection but now I believe I have ringworm in a separate location. I can't see my Dr for another three weeks, nor do I want to given our new relationship. What could this be so I can be prepared mentally?

Answered by Dr. Prasanna Heijebu (1 hour later)

Brief Answer:
Get VDRL test

Detailed Answer:
Hi Sir.

I understand your query and concern.

As per your symptoms this red sore could likely be primary chancre a manifestation of syphilis.

But this needs a confirmation in the form of VDRL testing.

Azithromycin is not effective against this ulcer.

In case, if you are tested positive for VDRL, its high time that you get started on Inj Benzathine penicillin 2.4 lac units once a day for 7 days.

This regimen also clears the latent infection in the brain as well.

You need to continue terbinafine for the fungal infection at other region mentioned.

You can continue Gabapentin and Remicade as usual for ulcerative colitis.

It is extremely important that you and your partner get tested for VDRL.

This therapy is extremely effective in curing the red ulcer.

Post your further queries, if any.

Thank you.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Prasanna Heijebu (8 hours later)

here is a picture of what I'm seeing. do you believe this still has to do with vdrl

Answered by Dr. Prasanna Heijebu (16 minutes later)

Brief Answer:
Lesion is very unlikely to be chancre

Detailed Answer:
Hi Sir.

I have gone through your image.

Its very unlikely to be primary chancre.

Hence the need for VDRL is very low.

But having said that few lesions of primary chancre show atypical presentation in 20% cases.

Hence to rule this out you can still opt for VDRL to be on a safer note.

Thank you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prasanna Heijebu (15 minutes later)

What other possible infections may this be? can I rule out herpes? and could this possibly be candida of a sort?

Answered by Dr. Prasanna Heijebu (13 hours later)

Brief Answer:
Herpes and Candida can be ruled out

Detailed Answer:
Hi Sir.

This could be a possible minor bacterial infection.

Herpes presents as grouped very painful vesicles.
Hence you can rule it out comfortably.

Candida can be comfortably ruled out as it presents with extreme itching and scales.

Post your further queries if any.

Thank you.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju