Can this really be normal??

[cooldude64]

I am having a wide range of symptoms...but the doctor's can't seem to figure out what is wrong. So I will list my symptoms here in hopes of hearing some good news. 1) Beginning of January I began to notice a rash the started on the corona and extended to the head (glands) of my penis. I am circumcised. These bumps also scatter throughout the entire head and sometimes get red and swollen. The urologist said that this is normal, yet I find that hard to believe. Also, some of these "bumps" turn pimple like and white sometimes. Still, the doctor says this is normal. :/ 2) The skin on my penis began to flake off and peel, almost as if it were sunburned. Doctor prescribed me Ketacanazole cream, which relieved the peeling, but didn't stop the itch I had acquired. 3) My testicles began to itch extremely bad...like ridiculously. I knew I had a fungus, but the doctor said the ketacanzole will help that as well. (Nothing yet) 4) The skin on my glans penis began to be very very scaly, and rough..and shiny, about to crack almost. Also, my urethra became inflamed and red and hurts to the touch, and a small sore developed next to it. It was all tested for herpes...NEGATIVE TEST RESULTS...The ketacanzole did however rid of this texture on the glands penis. 5) Developed a small pimple like bump on my perinea (are between testicles and anus)...which went away but I can still feel sensation there every now and again. 6) Sometimes my testicles get shiny and almost leathery looking. ;/ 7) Was diagnosed with Blastocitis Hominis (Intestinal Parasite) and will start medication for that soon. 8) New doctor said she doesn't think this is a fungus at all, better yet just an irritation. She has given me Hydrocortizone cream which relieves the itchy testicles, but does nothing about the redness and irritation of the testicles or urethra. Please someone help me...I can't go on with the diagnoses of this being (normal) because it most definitely is not.

[Bhupinder Kaur, MD]

Hello,
It is good that you have been tested for all STD’s. If it is a fungal infection then it can be transmitted by skin to skin close contact. Eczema is not contagious and hence I suggest you to get it evaluated from your dermatologist first.

I hope it helps. Take care and regards.

[cooldude64]

Thank you Dr. Kaur...I was tested for all the normal STD's and HIV...However; they have came back negative, so I am ruling out any possible STD's. But from what you know, do you think I should still be able to have oral sex until this gets cleared up? The doctor I went to says she doesn't think it is contagious.

[Bhupinder Kaur, MD]

Hello,
Sorry replied to an earlier question first. I cannot confirm anything without examination but it can be eczema or some fungal infection. To confirm the diagnosis I suggest you to get a KOH examination and fungal culture of the skin scrapings done. A biopsy skin can also help in cliniching diagnosis. Treatment is different for both. While it is antifungals for the fungal infection, it is steroids and antihistaminics for the eczema.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. Treatment can be started only when the diagnosis is confirmed. I sincerely hope that helps. Take care and please do keep me posted on how you are doing

[Bhupinder Kaur, MD]

Hello,
I cannot confirm anything without examination but it can be due to Fordyce spots( if you had thesde bumps earlier) or cheilitis due to atopy. Cheilitis(Inflammation of the skin on and around the lips)is often seen in atopic dermatitis. Treatment is by topical steroids or oral therapy of corticosteroids in severe cases.Topical creams like tacrolimus ointment (Protopic) and pimecrolimus cream (Elidel) are also useful. Till then keep your lips well moisturized.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. Treatment can be started only when the diagnosis is confirmed. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.