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Suggest Treatment For Swollen Lymph Nodes In The Penile Glans

Posted on Wed, 13 Sep 2017

Question: Sir, I am suffering from swelling in iliac lymph node as well as swelling of pennis Glans under foreskin and Rashes and red-red dots on Pennis Glans ( which comes and goes automatically) and also it seems to be change in colour on pennis glans under foreskin with rashes from Last 8-9 Years . Earlier I have done multiple sex with multiple persons unprotected sex many time 17 years ago. But Now from Last 17 Years I have not done any outside sex other than my wife .Now I am feeling very weakness, Lack of energy , swelling in iliac lymph nodes , swelling on pennis glans under foreskin and very fatigue and energyless and always Pain especially after eating food in Lower abdomin and in iliac lymph node. Also burning sensation in urination and dirty yellowish and smelling urine and frequent urinations is always there . The HSV in blood was deducted Last Year whereas Syphills and HIV was Non Reactive 4-5 Times . But There was E.Histolytica in stool.The Urine culture and Urine Routine was Normal . Body Joint Pains and Pain at Back is always there. The Bad smell is always coming from Body. Kindly help and guide me . Feeling very Tired and weakness always especially in Morning after awakening. My wife also has same feeling i.e.Joints Pain , Frequent urination, lack of energy and weakness etc. Kindly help us and guide us.

Answered by Dr. Prof. Kunal Saha (4 hours later)

Brief Answer:
Get your thyroid levels checked

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. I do not suppose that you need to bother about the multiple sexual exposures that you had once upon a time. If neither you nor your wife are in any type of open sexual relationship you need not repeat any tests about sexually transmitted diseases (STDs). I do not suppose that you need to worry about STDs.

I would insist both of you to get your thyroid profile checked since low thyroid levels could be associated with low energy levels. Regarding the joint pains, I would insist both of you to try acupuncture. It has proven benefits in certain kinds of arthritis. Your back pain could be due to spondylosis or could be due to muscle spasm, thus causing the pain. Hot compress should provide relief. The vicious cycle of pain and spasm needs to be broken and I would insist you to take paracetamol or acetaminophen 500 mg two tablets together twice or thrice daily for next 3 days. This should ease the problem and make it go away. If it does not, I would insist you to get a X Ray of Lumbosacral spine (AP and lateral) done and to see a physical therapist with the reports. Based on the findings he would be able to demonstrate to you proper exercises that should provide relief.

Please mention how long the enlarged lymph nodes have been there. Also mention if they are tender, whether they are growing in size, whether they are inflamed, and whether there seems to be any localized infection in proximity.

The E.histolytica needs to be treated with drugs like metronidazole. It has no association with STDs.

Let me know and I would guide you accordingly.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prof. Kunal Saha (13 hours later)

But what about iliac lymph node swelling , red dots and red rashes on pennis glans , burning urination and yellow dirty urine and swelling in iliac and lower abdominal lymph node after eating food . kindly help me .

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
Get your urine tested

Detailed Answer:
Thanks for writing back. The iliac lymph nodes are likely to have been enlarged due to some local infection. It could be some skin infection or some infection like E.histolytica.
It is advisable to get your urine routine microscopy and culture sensitivity done. The mentioned presentation could be due to an urinary tract infection.
A clinical examination is also essential and I would insist you to visit a doctor for the same.
Not sure about the rashes on your glans penis. It could be due to a fungal infection. I would need you to confirm.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Prof. Kunal Saha (1 hour later)

Sir , so kind of you . I am really obliged for your guidance and suggestions. But Sir
is HSV1& HSV 2 Found positive in My Blood one year Back is the Main reason for genitourinary problems and ILIAC Lymph Node swelling . Also why so much weakness , fatigue and weakness I feel . Please help me . Sir shall I start the Medicine for HSV in Blood .

Answered by Dr. Prof. Kunal Saha (19 minutes later)

Brief Answer:
HSV does not need to be treated

Detailed Answer:
I am glad that you find my words to be reassuring. Let me tell you that once you get infected with herpes viruses (including HSV 1 and 2) the virus lies dormant in the nerve endings of that region till the end of your life. So, it is not unusual for HSV 1 and 2 to test positive. It is unlikely to cause lymph node swelling. It does not call for treatment.

Weakness is entirely unrelated.

Regards

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj