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What Causes Painless Papule Which Ruptured To Form A Small Painless Ulcer On Penis Shaft?
Question: Hi, about a week ago I noticed a bump about the size of a pea on the shaft of my penis, it was really uncomfortable, but not necessarily painful unless I touched it. I stupidly tried to squeeze it (had to squeeze really hard) and it burst and lots of yellow pus came out, along with a little bit of blood. By the next day it had scabbed over, but then the scab came off and it was leaking puss. At this time my lymph nodes on the left hand side also felt really tender and had small lumps. By the next day it had scabbed over again and when the scab came off there was no puss, but it looked like a yellow ulcer and stung if I touched it. Its been another two days now (so a week since I first popped it) and there's no more discharge, but it still looks like a round yellow sore about half an inch across, with some red swelling around it. I still have small lumps in my lymph nodes on the left, but there's little to no tenderness. I haven't had unprotected sex, but I have had "hand jobs" (sorry) and unprotected oral sex in the past few months. Does this sound like the symptoms of syphilis or genital herpes? :(
Brief Answer:
?Syphilitic chancre
Detailed Answer:
Hello,
Welcome to healthcare magic.
I understand from your history and description that you had a small, painless papule which ruptured to form a small painless ulcer with associated lymph node swelling.
You have also mentioned that you have had multiple unprotected oral intercourse in the last few months.
Keeping your history and description in mind, I would consider the possibility of primary syphilis. What you might be having could be a syphilitic chancre.
Genital herpes presents with multiple painful ulcers, which is quite symptomatic.
You have already taken oral augmentin, which could partially alter the clinical picture.
However, I would suggest that you get a blood work done to confirm the diagnosis.
The tests which will help you to confirm include VDRL and TPHA. Since you have a history of unprotected sexual intercourse, it is advisable to get HIV 1 and 2 tests done.
You have a feature to upload the images by yourself at the right side of the query page, please utilize that so that I can answer your query better. You can also send the image as attachment to YYYY@YYYY , with the subject as 'Attn: Dr. Johny Chacko'
Hope this helps you.
If you have any more queries, I will be glad to answer.
Regards,
Dr. Johny Chacko
?Syphilitic chancre
Detailed Answer:
Hello,
Welcome to healthcare magic.
I understand from your history and description that you had a small, painless papule which ruptured to form a small painless ulcer with associated lymph node swelling.
You have also mentioned that you have had multiple unprotected oral intercourse in the last few months.
Keeping your history and description in mind, I would consider the possibility of primary syphilis. What you might be having could be a syphilitic chancre.
Genital herpes presents with multiple painful ulcers, which is quite symptomatic.
You have already taken oral augmentin, which could partially alter the clinical picture.
However, I would suggest that you get a blood work done to confirm the diagnosis.
The tests which will help you to confirm include VDRL and TPHA. Since you have a history of unprotected sexual intercourse, it is advisable to get HIV 1 and 2 tests done.
You have a feature to upload the images by yourself at the right side of the query page, please utilize that so that I can answer your query better. You can also send the image as attachment to YYYY@YYYY , with the subject as 'Attn: Dr. Johny Chacko'
Hope this helps you.
If you have any more queries, I will be glad to answer.
Regards,
Dr. Johny Chacko
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. Vinay Bhardwaj
Answered by
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