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What Causes Redness On Penis When Diagnosed With Fungal Infection?

Posted on Fri, 24 Jul 2015

Question: Doctor im starting the medication assuggested i have a few followcup pictures.. In both the pictures the spots have leesened.. I have put my foreskin completely down. The lower part of penis is overall more red than the uppar part i think its normal blood vessels or is it sonething else? Does the diagnosis change? ( i was diagnosed to habe yeast/fungal infection even though i was worried about herpes but that was ruled out)

Answered by Dr. Dr. Kakkar (2 hours later)

Brief Answer:
Continue with the same treatment as advised

Detailed Answer:
Hello XXXXXXX Welcome back.

I have reviewed the image and it looks better after just a day of treatment which is itself a proof that the initial diagnosis of candidal/ yeast jnfection is absolutely correct.
Redness is due to inflammation that accompanies yeast infection and it should resolve in a few days.
I suggest you to continue with the same treatment for a week.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (54 minutes later)

Yea and i have just used warm water and am yet to apply the cream although i do have some itchiness around the groin ocassionally. What are the possible causes specially when hackbg protevted sex

Answered by Dr. Dr. Kakkar (8 hours later)

Brief Answer:
Fungal infection is the likely cause for groin itching

Detailed Answer:
Hi.

Groin itching is commonly due to fungal infection/ tinea cruris. I don't think it has anything to do with recent protected sexual encounter.
Tinea cruris is specially common in summers and in humid weather conditions as there is lot of sweating from the groins.
Groin folds trap moisture and warmth & therefore provide an ideal environment for the fungus to grow.

I suggest that you first visit a dermatologist in your vicinity for a confirmatory diagnosis.

In my patients I usually treat tinea cruris with topical antifungal cream as well as Oral antifungal drugs e.g fluconazole tablet.

Cream needs to be applied twice daily whereas fluconazole tablet is usually once in a week dose

Duration of treatment with topical and oral antifungal, varies from 4-6 weeks.

One of the topical antifungals like clotrimazole 1% cream Or miconazole nitrate 2% cream can be used, twice daily for 4-6 weeks.
These active antifungal ingredients are available in various OTC creams as well as on prescription of a doctor.
Oral fluconazole tablet is a prescription product and should only be used after a doctors prescribes.

Along with topical and oral antifungals, In my patients wth tinea cruris I usually also suggest an OTC oral antihistamine e.g cetrizine 10 mg once daily for symptomatic relief from itching.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (2 hours later)

Hi sir thanks for the update.. I meed to follow up with some more facts/questions :-
1) these last two months i was in nairobi where weather was cool but used to get hot during afternoons and used to rain from time to time

2) could my condition be dur to irritation from the condom/friction? If this is not herpes is this just a coincidence that this has happened after five days ?

3) i am getting hiv test done after 2 weeks and then 4 weeks of incident i cant wait anxiety is too much. But in many sites says conclusive tests can only happen after 3/6 months?

Thanks a lot

Answered by Dr. Dr. Kakkar (15 hours later)

Brief Answer:
P24 Antigen tests for HIV can be performed early i.e at 2 weeks and 4 weeks

Detailed Answer:
Hi.

This is not due to irritation/ dermatitis to condom. These lesions were classical of candidal infection.
Time line of appearance of lesions 5 days after sexual intercourse is not the only factor for diagnosis of genital herpes. The lesions don't look like genital herpes, therefore I ruled it out.
Herpes looks very different. There are sores and there is usually a lot of burning sensation and pain along with the sores.

Antibody based screening tests for HIV are conclusive at 3 months, however, Antigen based tests have a short window period and are conclusive at 2-4 weeks after risky sexual encounter.
P 24 Antigen becomes detectable at about 2-4 week period.
Therefore you may take a screening test for detection of P 24 Antigen at 2 weeks and again at 4 weeks and if these are negative, that rules out HIV.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (24 minutes later)

Thanks doctor i will get the test done and apply thr cream i also have slight itching on my legs andarms at times.. No rashes and im also peeing 3 4 times a day which j think is normal .. Is this a condition for any std or or is it maybe stress induced ? Cz im under lot of stress ? The itching is not much

Answered by Dr. Dr. Kakkar (5 hours later)

Brief Answer:
Soothing lotion for symptomatic relief from itching.

Detailed Answer:
Hi.

Itching on arms, legs is not much of a concern.
You may use a soothing/ calming lotion on legs and arms e.g calamine lotion for symptomatic relief from itching.
Can also take a tablet of cetrizine 10 mg in evening if itching is troublesome.
Your urine frequency is absolutely within normalcy.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (45 minutes later)

Ok doc thanks i will do that and give a follow up soon.. Im also feeling a little dehydrated eventhough im drinking less than 3 litres a day coupled with all of the things i saud before does anything change.. Im realky sorry its just that i cant go to any doctor till monday when i go back home

Answered by Dr. Dr. Kakkar (10 hours later)

Brief Answer:
Apply antifungal cream for 7 days

Detailed Answer:
Hi.

You are taking enough fluids. Anxiety could be the only cause for feeling dehydrated and tired.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (50 minutes later)

Isnt dryness a symptom of hiv

Answered by Dr. Dr. Kakkar (18 minutes later)

Brief Answer:
Dryness is a not a specific sign of HIV

Detailed Answer:
Hi.

Dryness is not a specific sign of HIV Or an AIDS defining condition.
Dryness of skin is quite commonly seen in general population. You may use a moisturizing cream, twice daily.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (10 hours later)

Hi doctor i will be in new XXXXXXX next week can i have a pereonal appointment as well

Answered by Dr. Dr. Kakkar (13 hours later)

Brief Answer:
Will be pleased

Detailed Answer:
Hi.

It's entirely your wish. You can provide me your email ID and I'll send the details.

Regards

Above answer was peer-reviewed by : Dr. Prasad