Patient's Query
Helo doctor,
My penis is swollen in the front part with itching and irritation from yesterday. I was trying to check online, it says maybe it is balanitis, not sure though. Please guide what needs to be done? I am currently on medications for high BP and uric acid.
Hi,
Welcome to icliniq.com.
It is very likely to be balanitis with the background of acute infection and swelling. You can take tablet CISMA DT (Cefpodoxime) 200 mg twice a day, tablet NISE (Nimesulide) 100 mg twice a day, Tube Dermiford (for local application) twice a day. Take all these medicines for seven days. Review in a week if not resolved.
Check your HbA1c (glycated hemoglobin) levels and send reports.
Are you sexually active? If yes, is your partner having white discharge? If so, your partner also needs treatment to prevent balanitis.
Patient's Query
Thank you doctor,
Yes, I and my wife are sexually active right now, and she is saying that she is having slight white discharge and itching. Kindly suggest.
Also, I just wanted to reconfirm, as per our knowledge and various social media platforms, NISE tablet is not good for health, do we continue with the same?
Hello,
Welcome back to icliniq.com.
Ask her to use Itraconazole powder and tablet Cisma DT (Cefpodoxime) 200 twice a day for seven days.
Many people use NISE tablet lifelong for pain. When used as an anti-inflammatory agent for swelling (NISE - Nimesulide 100) it is not harmful if used in advised dose and duration. You can use Calpol 500 mg thrice a day, but the same level of anti-inflammatory action might not be there.
Patient's Query
Hello doctor,
I have taken the medicine prescribed by you for a week and the problem has been resolved. But again facing the same problem, redness has again started in the front part of the penis skin along with major itching, not reached the stage of pain though. My wife has also used the medicine prescribed by you and she has not been facing any issues. We got sexually active after the medication, and were facing the issue of major dryness in the penis skin, but did not use any lubrication.
Hello,
Welcome back to icliniq.com.
Please send reports of HbA1c. Use any normal moisturizer or oil for dry skin.
Thank you.
Patient's Query
Hello doctor,
Yes, I have been using Dermi-ford. Will get the HbA1c test done tomorrow and share the report in a day or two.
Hello,
Welcome back to icliniq.com.
Continue to use the Tube Dermi-ford. Let us follow after the HbA1c report.
Thank you.
Patient's Query
Hello doctor,
Please find attached my HbA1c report along with other tests I have done. Please advise accordingly.
Hello,
Welcome back to icliniq.com.
Your reports show hypothyroidism and a severe rise in MCV. Take tablet Thyronorm 25 mcg in the morning empty stomach. Take the tablet Neurokind D3 once a day in the evening with food.
Thank you.
Patient's Query
Hello doctor,
I am already taking Thyronorm, but what about the itching problem that I am facing, though with the use of Dermi-ford, there is a relief, but the problem is coming back again when I stop. Also, I am continuing the 2 more medicines prescribed by you.
Hello,
Welcome back to icliniq.com.
You need to increase your dosage of thyroid hormone. You need to stop GUDCEF 200 mg and NISE 100 now. Take Tab Neurokind D3 once a day for the next three months. For penile leison use. Take tablet Itraconazole 100 mg twice a day for the next 10 days. Dermi-ford tube for local application twice a day on the site of red lesions and at the site of itching. Increase dosage of Thyronorm, target should be to get TSH below 3.
Thank you.
Patient's Query
Hello doctor,
I have been taking the medication prescribed by you last month regularly, but the problem is not going completely, it has reached up to a level and become stagnant there. Slight pain along with redness and swelling is still there. I am not sure if it is Balanitis or posthitis. Should it share a photo of the problem? Please help in resolving this. Also, I am not sexually active these days because of this.
Hello,
Welcome back to icliniq.com.
Get a test done for herpes, HSV 1 and 2, and IgG and IgM.
Thank you.
Patient's Query
Hello doctor,
As suggested by you, please find the report attached. Kindly suggest accordingly.
Hello,
Welcome back to icliniq.com.
Your Infection is fungal. Continue the given medications for 20 days.
Thank you.
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Answered byDr. Rahul Kansal
Medically reviewed byDr. Vinodhini J.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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