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I Am A 77 Year-old Man And I've Had An

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Posted on Sun, 14 Feb 2021
Question: I am a 77 year-old man and I've had an itch inside my penis for a few months. There is no blood, burning, and no pain upon urination. I didn't see a doctor when I first noticed the itch due to the pandemic. The itch became worse so I risked a visit to my doctor in October. He saw small bumps on the tip of the penis and ran a simple urinalysis in his office. He prescribed Fluconazole 100 mg and Clotrim/Beta, .05 Cream. I took the Fluconazole as prescribed on 10/17, 10/20, 10/23 and 10/26. I refilled the meds and took them on 12/8 and 12/11. I used the cream continually. The bumps disappeared but the internal itch was constant. I returned to the doc on 12/30 and he ordered a more comprehensive urinalysis which indicated e coli. I took Sulfamethoxale and Trimethoprim 800-160 mg tablets as prescribed but the itch is even worse now. What do you suggest I do next?
doctor
Answered by Dr. Dr. P. T. Patil (6 hours later)
Brief Answer:
Need to rule out Diabetes

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted Itching of genital that you have is most likely to be due to what is called as Muco Cutaneous Genital Candidiasis which is common due to uncontrolled type 2 diabetes .

Please get your blood tests for sugar levels on empty stomach (Fasting ) and two hours after lunch (Post Prandial ) to rule out Diabetes .

In the mean time continue taking Fluconazole orally and topical anti fungal cream .

Consult qualified Diabetologist after getting the reports of blood sugar tests .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (3 hours later)
Thank you. I'll follow your advice.
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
O.K Bye

Detailed Answer:
Hello
Thanks for follow up
Do write after getting the reports
Thanks and Regards
DrPatil
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10590 Questions

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I Am A 77 Year-old Man And I've Had An

Brief Answer: Need to rule out Diabetes Detailed Answer: Hello Thanks for query . Based on the facts that you have posted Itching of genital that you have is most likely to be due to what is called as Muco Cutaneous Genital Candidiasis which is common due to uncontrolled type 2 diabetes . Please get your blood tests for sugar levels on empty stomach (Fasting ) and two hours after lunch (Post Prandial ) to rule out Diabetes . In the mean time continue taking Fluconazole orally and topical anti fungal cream . Consult qualified Diabetologist after getting the reports of blood sugar tests . Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you Thanks and Regards. Dr.Patil.