Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Soreness In The Tip Of Penis?
Question: Hi Doctor, I am travelling in Australia and have recently experienced a burning ad soreness in the tip of my penis. I can assure you that it is not related to sexual activity. I had a visit to a GP recently who prescribed antibiotics for a possible urinary tract infection. They took urine and blood test which according to the doctor's receptionist came up "with no actions required", I have moved on and the doctor will not return my calls. After 5 days on antibiotics and Ural Cranberry the pin is worse and I now have red blotching on the head of my penis. After doing a bit of reading I suspect that I have managed to contract candidiasis balanitis and I should stop the antibiotics and get some Diflucan and a imidazole cream. It is extremely difficult to get an appointment with a GP where I am today and it will be 3000km and another week before I am home. What do you reckon? XXXX
Brief Answer:
TAKE LOCAL STEROIDS AND ANTIFUNGAL OINTMENTS; GET A SWAB CULTURE DONE
Detailed Answer:
Hi,
Thank you for posting your query in healthcaremagic.com
This is Dr. Swarnava dattagupta answering your query.
I understand your concern.
See, it is difficult to say the actual cause of your burning tip of penis and rashes and blotching over the glans. The causes may be viral, fungal, bacterial and even autoimmune. However, you have used antibiotics with no use. so it is probably not of any bacterial cause. Also, UTIs are ruled out from urine reports. so, it comes to probably fungal or viral causes, and fungal being more common seems the cause. However, it would be better if you could send me a picture of the lesion and tell me whether it is associated with any pain or foul discharge or not.
In the meanwhile I will advise you the following-
Take plenty of fluids per oral.
Use clotrimazole cream locally for 7 days.
Use mild steroid cream like mometasone or fluticasone locally to deal with the inflammation.
Maintain genital cleanliness.
Get a swab of the lesion or discharge tested for culture of any organism.
Also get a blood sugar test done if you already have not.
You can talk to your local physician for the prescription of the medications and the swab culture.
Get back to me with the reports and i will be able to help you further.
Hope i have answered your question.
If you have any further questions i will be happy to help.
Regards
TAKE LOCAL STEROIDS AND ANTIFUNGAL OINTMENTS; GET A SWAB CULTURE DONE
Detailed Answer:
Hi,
Thank you for posting your query in healthcaremagic.com
This is Dr. Swarnava dattagupta answering your query.
I understand your concern.
See, it is difficult to say the actual cause of your burning tip of penis and rashes and blotching over the glans. The causes may be viral, fungal, bacterial and even autoimmune. However, you have used antibiotics with no use. so it is probably not of any bacterial cause. Also, UTIs are ruled out from urine reports. so, it comes to probably fungal or viral causes, and fungal being more common seems the cause. However, it would be better if you could send me a picture of the lesion and tell me whether it is associated with any pain or foul discharge or not.
In the meanwhile I will advise you the following-
Take plenty of fluids per oral.
Use clotrimazole cream locally for 7 days.
Use mild steroid cream like mometasone or fluticasone locally to deal with the inflammation.
Maintain genital cleanliness.
Get a swab of the lesion or discharge tested for culture of any organism.
Also get a blood sugar test done if you already have not.
You can talk to your local physician for the prescription of the medications and the swab culture.
Get back to me with the reports and i will be able to help you further.
Hope i have answered your question.
If you have any further questions i will be happy to help.
Regards
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Hi Dr Dattagupta. There is no discharge. See photo at http://i49.tinypic.com/sea7gz.jpg
This is almost identical to my symptoms, is on the web, I am unable to attach a photo. I think it may be early symptoms so want to treat it before it gets worse. My blood sugar levels were normal when last measured.
What about Diflucan?
No pain associated with the red patches on head of the penis only pain is on the tip which is where the pain is localized.
I will get canestan as soon as the shops open.
Thanks
XXXX
This is almost identical to my symptoms, is on the web, I am unable to attach a photo. I think it may be early symptoms so want to treat it before it gets worse. My blood sugar levels were normal when last measured.
What about Diflucan?
No pain associated with the red patches on head of the penis only pain is on the tip which is where the pain is localized.
I will get canestan as soon as the shops open.
Thanks
XXXX
Brief Answer:
APPLY CLOTRIMAZOLE OR FLUCONAZOLE; HOLD STEROIDS
Detailed Answer:
Hello.
I have seen the picture. If your lesions are similar to this, you need not worry much. This looks like some minor infection.
Diflucan is fluconazole and Canesten is clotrimazole, both are very potent antifungals. I have asked you to apply clotrimazole because it is easily available. If you get fluconazole also, there is no problem, you can apply any of the above.
However, hold steroids. There is not much inflammation if your problem matches the above picture; steroids are applied in more serious cases.
Also, get the swab done if possible. That can specifically diagnose the causative organism.
regards
APPLY CLOTRIMAZOLE OR FLUCONAZOLE; HOLD STEROIDS
Detailed Answer:
Hello.
I have seen the picture. If your lesions are similar to this, you need not worry much. This looks like some minor infection.
Diflucan is fluconazole and Canesten is clotrimazole, both are very potent antifungals. I have asked you to apply clotrimazole because it is easily available. If you get fluconazole also, there is no problem, you can apply any of the above.
However, hold steroids. There is not much inflammation if your problem matches the above picture; steroids are applied in more serious cases.
Also, get the swab done if possible. That can specifically diagnose the causative organism.
regards
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. Yogesh D
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
