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Suggest Remedies For Itchy Lesions On Skin

Posted on Thu, 19 May 2016

Question: I am having itching and irritation on the round circle of pens head and the covering skin.This problem is now since about six months.Lots of medications have been taken but there is no improvement.doctor suggested to apply Panderm cream for few days. After applyinfg this ointment the irritation subsides for few days but again it reoccurs and so it goes on.Request you to advise proper medication to eradicate this issue completely.Doctor has found no problems in physical examination.

Answered by Dr. Ilyas Patel (50 minutes later)

Brief Answer:
Candidal balanoposthitis most probably

Detailed Answer:
Hi,

Welcome to HCM..

After reading history I feel that most probably you may be having candidal balanoposthitis most probably. But, before I say about therapy, I would like to see the photos of the affected parts. So, kindly post the photos. And please answer the few questions....
- describe the lesions..
- skin lesions....Elsewhere?
- history of other disease like diabetes
- history of any medicine
- past history of skin disease or other disease
- family history of other disease
- married?

Kindly answer and post the photos..

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ilyas Patel (7 hours later)

1.As per doctors examination there was nohing visible and everything was alright

2.I am having itching and irritation on the round circle on the head where the skin is strecthed and on the skin covering

3.There is no history of diseases and no signs of disbetes as the all the doctors whom i consulted got the same checked

4.I have taken all the medicines as per the doctors precriptions attached for about 2-3 months approx

5. I am not taking any medicines last 3 months and using only panderm plus ointment whenever I feel itching and irritation

6.There is no family history of diseas

7. I am married.My wife had problem of white discharge and urine ifection for which she have gone through treatment of Cryotherapy and several antibiotics .Nos she is fine and do not take any medications.

8. My problem had started when my wife's issue of white discharge started about 8-9 months back . As per doctors advise we started using condoms and still continue to do so.At the same time I had akso consulted the urologist of which the prescriptions are attached and he was aware of my wifes problem post which he had precsribed the treatment.

9.Request you to go through all the prescriptions as attached 1by 1 for complete medications and treatment I have taken also ihave attached photographs as requested.

Answered by Dr. Ilyas Patel (46 minutes later)

Brief Answer:
Candidal balanoposthitis most probably

Detailed Answer:
Hi,

Welcome back...

Thanks for answers and photos..

Your wife was having candidal vulvovaginitis, as you gave history of white discharge. And that may be responsible for your problem. So, I deeply feel that most probably you may be having chronic candidal balanoposthitis. This is an infection caused by fungus called Candida albicans. It seems that the skin lesions may be mild,but irritation and itching are there, which cause embarrassment. So, kindly relax and follow as below...

- antifungal cream like clotrimazole or secnidazole cream may be applied twice a day. Avoid steroid cream, which might exacerbate the disease.
- antifungal tablets like Ketoconazole twice a day for one to two months
- antihistaminics like Levocetirizine 10mg Once Daily at night till itching is relieved.
- Sitz bath in water tub mixed with few drops of Dettol
- avoid Soap bath
- take immunomodulator like LEVAMISOLE 150mg twice a week
- Tab. Fluconazole 300 mg twice a week may be given to your wife for few weeks

Kindly take treatment under observation of dermatologist.

I hope this would help you. If any query still, you may ask.

Wishing you early recovery.

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ilyas Patel (6 days later)

Hi Doc,

Thanks for your advise.

As you have advised some medications and ointment but I wanted to know that I have laredy done some courses of the above medicines in the [past but the problem is not getting resolved , so should i go again with these medicines or what should be other option

Kindly tell me the exact medication and ointment which i should try to eradicate the issue as I have already consulted 2-3 doctors in the past and they have given me almost same medications a bit here and there

Please advise

Answered by Dr. Ilyas Patel (57 minutes later)

Brief Answer:
Candidal balanoposthitis

Detailed Answer:
Hi,

Welcome back

Candidal balanoposthitis is a relapsing condition. Repeat the treatment whenever it relapses.

I have suggested exact medicines in the previous post.

Never take any medicines without consulting the dermatologist personally.

Answer given by me is just a guideline.

Wishing you healthy life.

Dr. Ilyas Patel MD

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. Sonia Raina