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What Causes Itching And Redness Of Penis Head?

Posted on Thu, 8 May 2014

Question: Hello sir i am having itchiness in my penile head for few days. Its not severe but mild. Sometimes rediness can be seen . When rubbing the penile head dandruff like substance comes out. I believe its yeast infection. Went for a otc med n the pharmacist suggested panderm+. Dont know how helpful will it be so thought of taking your advice first.

Answered by Dr. Dr. Kakkar (17 minutes later)

Brief Answer: Use a topical steroid+antifungal cream Detailed Answer: Hello and welcome to healthcaremagic Classical Candidal Balanoposthitis/yeast infection, presents with the following signs and symptoms: Itching, Redness, Edema, White deposition and Linear cracks all round on the inner surface of prepuce. Panderm plus cream contains ofloxacin, ornidazole(antibacterials), terbinafine(antifungal) and clobetasol propionate (is a very potent steroid and should never be used on the delicate genital mucosa). As you can see, it is a combination cream containing antibacterial, antifungal and a potent steroid. These multiple combination creams have very few specific indications but are misused very commonly as over the counter treatment for fungal, bacterial infections and even for acne and pigmentation. They are basically irrational combinations of all kinds of drugs(antibacterials+antifungals+antiinflammatory) without paying any reliance to clinical diagnosis and symptoms, which encourages misuse and side effects. Moreover the antifungal present in panderm+ is terbinafine which is anyways not very effective for yeast like candida. Azoles like clotrimazole,ketoconazole, fluconazole are more effective against yeasts/candida. Therefore, I would strongly advice against using it. For candidal/Yeast balanitis: I would advice that you apply a topical steroid+antifungal cream(Clotrimazole+beclomethasone) twice daily for 7 days. Abstain from intercourse for a week till it is cured OR otherwise you can use a condom Can take cetrizine once daily for itching. If its slow to respond OR recurs again i would advice that you visit your nearby dermatologist who might prescribe you one of the oral antifungal agents(either Fluconazole/ Itraconazole) Avoid using any kind of soap to clean the delicate skin of foreskin and glans. Instead you can use just plain water for gentle cleansing. regards

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

Follow up: Dr. Dr. Kakkar (3 minutes later)

Sir i have attached a photo for any further advice

Answered by Dr. Dr. Kakkar (4 minutes later)

Brief Answer: Candidal balanitis Detailed Answer: Hi. Thanks for the picture. Can use a topical steroid+antifungal cream (Clotrimazole+beclomethasone) twice daily for 7 days. It is available OTC by the name of clotrin-B cream marketed by Nu life pharma. regards

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

Follow up: Dr. Dr. Kakkar (21 minutes later)

Sir i suppose this is my last question. I couldnt find clotrin-b but bough a ointment of same composition i.e. Canesten-s. I have attached a photo too. If its not the ointment please suggest me 2-3 more names. Thanking you.t

Answered by Dr. Dr. Kakkar (1 minute later)

Brief Answer: Candidal balanitis Detailed Answer: Hi. Canesten-S cream, is good enough. regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

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