Question: hi there , i had a developed a painless bump of my penile shaft few days after having sex . The bump does not look like having any pus formation, its not painful unless its pressed hard. i have no problem is passing urine . but i did felt some back pain and body ache ..Hence i took some vitamin c and amoxcilin 500mg 3 dosage per day for 5 days thinking it could be uti ( self medictaion ) . Now i started applying acyclovir as an experiment . but it doesnt look like hsv 2 or genital herpes .. is this a cause of concern ? i searched lot of medical websites .too many infos .. so am kind of uncertain . should i see a doctor .. pls advice

hi there , i had a developed a painless bump of my penile shaft few days after having sex . The bump does not look like having any pus formation, its not painful unless its pressed hard. i have no problem is passing urine . but i did felt some back pain and body ache ..Hence i took some vitamin c and amoxcilin 500mg 3 dosage per day for 5 days thinking it could be uti ( self medictaion ) . Now i started applying acyclovir as an experiment . but it doesnt look like hsv 2 or genital herpes .. is this a cause of concern ? i searched lot of medical websites .too many infos .. so am kind of uncertain . should i see a doctor .. pls advice

Thanks Dr XXXXXXX for Replying

If it was Furuncle i should be having intense pain / puss and it should grow bigger every day right but I do not feel pain unless i try to squeeze the bump hard . could it be lymphocele?

if you examine the picture i had attached earlier very closely . there are very very small white dotes spread all over. is that hair follicle or any thing else

what are the anti inflammatory tablets or cream would you suggest. how long should i wait before i see a doctor .( I mean if the bumb is not growing or not painful or does it burst it on its own or shall i squeeze it out or in the case if subside on its own ). basically how long it takes to recover

The unwell/uneasy feeling /bodyache were almost reduced after taking amoxicillin but i continued it for 5days just to complete the whole set of dosage . yes noted in regards to acylovir usage .Thanks

I have another query apart from the above .

As i remember 6-7 years ago i have taken a full screening std test and hiv test just for myself to monitor my sexual health . everything was fine.

while explaining the results the doctor said if i recall correctly hsv 2 is less than 35 % not sure whether is antibody/antigen count . he played it down saying almost every one get hs1 in their life time and hs2 are most common in sexually active people aged 18-50

do u think its a good idea for me to get HPV vaccinated . prior vaccination what test i should be checking on.
(if am already having any strains of hpv , the vaccination doesnt amke any sense right )

so back my actual question
what is hsv2 less than 35% means .. does it change over years i mean does our body produce auto immune /antibody over time and it become less contagious

lets assume if some one had hsv-2 . do u think they will have problems in having/delivering a healthy baby in future . does that complicate their sexual life or they cant have active sexual life .

is herpes infection is a death sentence. do we have promisingor latest medical treatment even its not a complete cure avail in near future .. similarly fever cold /flu doesnt have a complete cure either as it keep coming on and off so in similar way how we can better manage herpes well and still lead a healthy life

let me know ur valuable thoughts

Thanks Dr XXXXXXX for Replying

If it was Furuncle i should be having intense pain / puss and it should grow bigger every day right but I do not feel pain unless i try to squeeze the bump hard . could it be lymphocele?

if you examine the picture i had attached earlier very closely . there are very very small white dotes spread all over. is that hair follicle or any thing else

what are the anti inflammatory tablets or cream would you suggest. how long should i wait before i see a doctor .( I mean if the bumb is not growing or not painful or does it burst it on its own or shall i squeeze it out or in the case if subside on its own ). basically how long it takes to recover

The unwell/uneasy feeling /bodyache were almost reduced after taking amoxicillin but i continued it for 5days just to complete the whole set of dosage . yes noted in regards to acylovir usage .Thanks

I have another query apart from the above .

As i remember 6-7 years ago i have taken a full screening std test and hiv test just for myself to monitor my sexual health . everything was fine.

while explaining the results the doctor said if i recall correctly hsv 2 is less than 35 % not sure whether is antibody/antigen count . he played it down saying almost every one get hs1 in their life time and hs2 are most common in sexually active people aged 18-50

do u think its a good idea for me to get HPV vaccinated . prior vaccination what test i should be checking on.
(if am already having any strains of hpv , the vaccination doesnt amke any sense right )

so back my actual question
what is hsv2 less than 35% means .. does it change over years i mean does our body produce auto immune /antibody over time and it become less contagious

lets assume if some one had hsv-2 . do u think they will have problems in having/delivering a healthy baby in future . does that complicate their sexual life or they cant have active sexual life .

is herpes infection is a death sentence. do we have promisingor latest medical treatment even its not a complete cure avail in near future .. similarly fever cold /flu doesnt have a complete cure either as it keep coming on and off so in similar way how we can better manage herpes well and still lead a healthy life

let me know ur valuable thoughts

hello Dr XXXXXXX Good morning .

Thank you for replying

The mention Aceclofenac 100mg taken 3 doses per day? for 5days to 1week
In case if i cannot get this tablet over pharmacy counter ( As you know certain medication requires DR's prescription) can i take ibuprofen 200mg , or if any alternatives.
i guess ibuprofen is anti- inflammatory if i can take whats the per day dosage. some times names of certain medicines are slightly diffrent in diffrent countries due to various pharmacy companies

So for i only took amoxiciilin and i stopped it from yesterday.. so do i have to continue with amoxicclin when i take this anti -inflammatory tablet. I mean should i take both at same time ?

As you have cautioned about acyclovir cream usage . should i stop applying it ?

yes Dr i understand that u cant comment on HSV2 % with out seeing the report. now worries

since i have tested 7 yeras back i have disposed the hard copy .. may be you could give me a general guideline of HSV2 count/or anitgen bodies on whats considered as normal or not at contagious level just for me to understand how hsv1/2 are guaged .

perhaps iam curious same time anxious and get panic when i feel some thing abnormal diffrence in me.
I do read a lot of medical/medication journals of mayoclinic,NHS.and XXXXXXX medical sites . hence too many infos are there and i tend to co relate things at times

by the way ,does crank sores under the tounge /oral herpes pass/ transmit through intimate kissing . if the crank sore does go away after using betadine gargle soultion in 3 to 4 days, then it cannot be classified under oral herpes right. or what could be classified as oral herpes .
seems like we r living left/righ with bacteria and viruses

DR ,some of my questions may not be very related but i am asking it as preventive measures to protect myself by seeking right infos for my own medical awareness from a medical expert like you . hope you could understand .

hello Dr XXXXXXX Good morning .

Thank you for replying

The mention Aceclofenac 100mg taken 3 doses per day? for 5days to 1week
In case if i cannot get this tablet over pharmacy counter ( As you know certain medication requires DR's prescription) can i take ibuprofen 200mg , or if any alternatives.
i guess ibuprofen is anti- inflammatory if i can take whats the per day dosage. some times names of certain medicines are slightly diffrent in diffrent countries due to various pharmacy companies

So for i only took amoxiciilin and i stopped it from yesterday.. so do i have to continue with amoxicclin when i take this anti -inflammatory tablet. I mean should i take both at same time ?

As you have cautioned about acyclovir cream usage . should i stop applying it ?

yes Dr i understand that u cant comment on HSV2 % with out seeing the report. now worries

since i have tested 7 yeras back i have disposed the hard copy .. may be you could give me a general guideline of HSV2 count/or anitgen bodies on whats considered as normal or not at contagious level just for me to understand how hsv1/2 are guaged .

perhaps iam curious same time anxious and get panic when i feel some thing abnormal diffrence in me.
I do read a lot of medical/medication journals of mayoclinic,NHS.and XXXXXXX medical sites . hence too many infos are there and i tend to co relate things at times

by the way ,does crank sores under the tounge /oral herpes pass/ transmit through intimate kissing . if the crank sore does go away after using betadine gargle soultion in 3 to 4 days, then it cannot be classified under oral herpes right. or what could be classified as oral herpes .
seems like we r living left/righ with bacteria and viruses

DR ,some of my questions may not be very related but i am asking it as preventive measures to protect myself by seeking right infos for my own medical awareness from a medical expert like you . hope you could understand .

hi Dr , thanks for replying
you have mentioned in your reply mssg " You can take Ibuprofen 200mg daily after food instead of Aceclofenac as it is Anti inflammatory too.You should take along with Amoxicillin for better results."

sure , noted the above comment

Kindly help to mention the dosage per day and how many days i must take it ( for both ibuprofen 200mg along with amoxicillin 500mg)

pls take note (For last 5 days i have already took ( 3- dose per day of amoxicillin-500mg only) except yesterday.

Thank you Dr

hi Dr , thanks for replying
you have mentioned in your reply mssg " You can take Ibuprofen 200mg daily after food instead of Aceclofenac as it is Anti inflammatory too.You should take along with Amoxicillin for better results."

sure , noted the above comment

Kindly help to mention the dosage per day and how many days i must take it ( for both ibuprofen 200mg along with amoxicillin 500mg)

pls take note (For last 5 days i have already took ( 3- dose per day of amoxicillin-500mg only) except yesterday.

Thank you Dr

Thanks a million for your valuable suggestions

I have already taken the dosage you have suggested. i shall update u in few days if i have any improvement

by the way Dr what are side effects of acyclovir cream if i use it on skin or bumps .. is it toxic or destroy kidney or any credible reasons.

yes so far you have answered all questions. Appreciated and am very grateful to you for guiding me

Thanks a million for your valuable suggestions

I have already taken the dosage you have suggested. i shall update u in few days if i have any improvement

by the way Dr what are side effects of acyclovir cream if i use it on skin or bumps .. is it toxic or destroy kidney or any credible reasons.

yes so far you have answered all questions. Appreciated and am very grateful to you for guiding me

Hi Dr ,
just to update you. Today evening I noticed a very very small hole(exactly like if use saftey Pin to Punch a hole) in the bump and very very little blood dropping naturally ( I never touch or try to squeeze)

i used a tissue to wipe it off. and i never felt any pain when i press and not a bit of puss of any form. its just blood. Is this our bodys natural response of draining body fluid as its own.?

do i have to wash with some dettol (for hygeine) and apply any cream.( i have mupirocin ointement 2% with me).

does it automtically stop or i should squeeze or drain the blood away since its naturally coming out . pls advice

Hi Dr ,
just to update you. Today evening I noticed a very very small hole(exactly like if use saftey Pin to Punch a hole) in the bump and very very little blood dropping naturally ( I never touch or try to squeeze)

i used a tissue to wipe it off. and i never felt any pain when i press and not a bit of puss of any form. its just blood. Is this our bodys natural response of draining body fluid as its own.?

do i have to wash with some dettol (for hygeine) and apply any cream.( i have mupirocin ointement 2% with me).

does it automtically stop or i should squeeze or drain the blood away since its naturally coming out . pls advice

Thanks for replying doctor .

Yes i understand your analysis

As you suggest i will clean up with dettol and apply mupiroxin

i will observe for 3 days , if no puss or if the hole close on it own i mean dried on its own. should I still see a surgeon to a make further incision?

is this the common symptoms of a furuncle as you mentioned earlier..
because its on penis area iam bit worried if its anything else Dr

Thanks for replying doctor .

Yes i understand your analysis

As you suggest i will clean up with dettol and apply mupiroxin

i will observe for 3 days , if no puss or if the hole close on it own i mean dried on its own. should I still see a surgeon to a make further incision?

is this the common symptoms of a furuncle as you mentioned earlier..
because its on penis area iam bit worried if its anything else Dr