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What Causes Itching On Penis And Red White Spots In Testicle Area?

Posted on Tue, 24 Mar 2015

Question: i am suffering from etching on my penis, some times there are light red spots and white marks appear on testicles area. some times can see the cracks on fore skin.

SOME TIMES NOTHING CAN SEE ON THAT AREA(RED OR WHITE PATCHES) AND AFTER DRINKING ALCOHOLIC DRINKS THIS WILL APPEARR OR INCREASES.

Answered by Dr. Ilyas Patel (43 minutes later)

Brief Answer:
Please answer and post photo of lesion

Detailed Answer:
Hi,

Welcome to HCM...

You said you have itchy reddish spots with fissures on foreskin of penis. And that is increased after taking wine. I can understand your concern for relapsing skin disease on glans penis and prepuce. To come to most likely diagnosis I would like to have answers from you and to see the photo of affected area.

- from how many days you have this problem?
- are you married?
- have you physical relationship with anybody?
- do you have burning,itching or pain in affected area?
- please describe the lesion?
- any other internal disease like DM,HIV,blood diseases or other?
- past history of any disease?
- do you take any medicine?
- for how many days you apply fucicort cream?

Please answer above queries and do not forget to post the photo of lesion. After seeing the lesion, I would surely give you perfect advice.

Awaiting your reply...

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Ilyas Patel (12 hours later)

- this is about two week
- i'm not married. i have a girl friend.
- yes. i had sex (last about 1 months before,but not with GF)
- i feel itching, no pain, while discharging urine some time feel little burn.
- mostly white spots visible on penis head.red spots also visible. but most common is white spot. no liquid or any thing going from that spots. then after 3/4 day those will disappear.
mostly if i drink wine or liqueur it will come again and cracks may also seen on fore skin.
with out whit or red spots some time i feel itching.
-i don't have any disease like DM,HIV,blood diseases or other.
-i'm allergy for Cipro antibiotics.
-i applied fucicort cream about 6 days. orally no medicine.
-presently there are no white or red spots.now only i feel etching. as i said those spots will come some times(Ex-if i had liqueur).

Answered by Dr. Ilyas Patel (5 hours later)

Brief Answer:
Candidal balanoposthitis

Detailed Answer:
Hi,

Welcome back...

Thanks for answers. But, you did not send photo of the lesions. If you are not able to upload, please mail them as attachments to YYYY@YYYY with Subject Attention: Dr Ilyas Patel.

After reading your answers, I deeply feel that most probably you may be having fungal infection of glans and prepuce. It is called candidal balanoposthitis. It is caused by fungus called Candida albicans. It may be transmitted by sexual contact. It is commonly found in persons in patients having poor hygiene and poor immunity. You consult dermatologist to have firm diagnosis and perfect treatment. But remember without seeing anything nothing can be confirmed.

I would like to suggest as follow...

- antifungal cream like clotrimazole cream application twice a day
- antifungal like ketoconazole tablet or itraconazole cap for about two weeks
- Sitz bath.. in dettol containg water tub daily
- to improve immunity..have nutritious food, do exercise...etc
- to keep hygiene good
- have protected sex

I hope above hints may be helpful to you.

If you have any more query, you may ask.

Thanks with best wishes..

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Ilyas Patel (18 hours later)

Good Day,
Dr. XXXXXXX XXXXXXX
thank you for your information.
i just send some photos to this mail ads- YYYY@YYYY .
please advice me accordingly and as per those photos i have same fungus called Candida albicans or not.
also if i consult STD doctor is this ok for this matter.
pls advised me.
now i'm applying candid cream and taking fluconazole 150mg.
thank you very much again..

Answered by Dr. Ilyas Patel (6 hours later)

Brief Answer:
Pearly penile papules & CBP

Detailed Answer:
Hi,

Welcome back..

Lot of thanks for emailing photos of affected parts. There is a clear diagnosis of pearly penile papules along with candidal balanoposthitis.

Pearly penile papules are small dome-shaped to thread-like skin-coloured bumps that are typically located on the sulcus or corona of the glans penis. The papules are commonly arranged all the way around the head of the penis in one or several rows.
The lesions may be anatomical variants. The lesions are benign and harmless. They should be distinguished from molluscum contagiousum,warts and Fordyce spots.

Pearly penile papules remain harmless lifetime,so no treatment is required. But if you feel embarrassing, the lesions may be treated by electrocautery or cryotherapy. For that, you consult dermatologist and have treatment.

For Candidal balanoposthitis, you are taking right treatment, so continue till you feel better.

I hope this would help you in managing your skin problem. Still have a query, you are welcome.

Thanks with best wishes...

Dr. Ilyas Patel MD

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. Pradeep Vitta