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Red Splotchy Tip of Penis

Since about July of last year the tip of my penis tends to manifest a red and splotchy look from time to time.  This can also be accompanied by a slight burning sensation.  At most times the tip just appears slightly red, but at others it is very noticeable (at least to me).  After ejaculation it is always like this.  When I first noticed this problem I had just broken up with my girlfriend at the time, and we had unprotected sex somewhat regularly.  I've also noticed that my  knuckles can get this red splotchy look as well, which may be completely unrelated yet I doubt it.  I tend to be tired a lot and feel very warm even though I never seem to have a fever.  My temperature is usually around 97.6.  I also get pain in my testicles on occasion.  It feels like I have a constant low grade infection.

I've been to several different doctors and a urologist.  Upon visual inspection they never see anything out of the ordinary with the tip of my penis.  It's almost like the symptoms hide whenever I go to get them checked out.  I've tried a few types of antibiotics that didn't help as well as an antifungal.  I've pursued other alternative health remedies which also have not helped.  Lots of tests have been run with all of the results negative, stds, etc.  The last time I saw the urologist he had suggested  looking into my bladder which I don't really think would solve anything.  It's been a while since I've last been to a doctor (several months) since nothing seemed to work.  I'm thinking about going again possibly to a dermatologist this time and maybe another different general practitioner. Just wanted to see what anyone else had to say about my condition first.  Thanks.
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Avatar universal
The burning is on the inside.
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MEDICAL PROFESSIONAL
Hi.

If this burning sensation is noted on the surface of the glans and not associated with urination , then this may be due to the skin condition and is fairly superficial in nature. However , if the burning sensation is noted during or at the end of urination, then this may be something that you want to have your physician evaluate further.

Continue to observe this condition. At this point, this may not require an urgent intervention. A repeat urinalysis may be done just to rule out an underlying urinary tract infection.
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Avatar universal
Would the burning also be due to dermatitis?
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Avatar universal
MEDICAL PROFESSIONAL
Hi.

Based on your earlier post, it seems that you have been thoroughly assessed by your doctors. A urinary tract infection was most likely excluded or ruled out. You have also noted that the skin condition seems to be aggravated post ejaculation. One likely diagnosis for this is a dermatitis.This has been present for a year. It is intermittent which means it is not something which is persistent and progressing. I am not so worried about this from the way you describe it. Just wash the area with a mild and bland cleanser thoroughly after urination and sexual activity. Continue to observe your skin condition and note for any pain, swelling and discharge which may indicate further evaluation.
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Avatar universal
The condition has remained pretty much unchanged for almost a year now.  Like I said it comes and goes.  At times it may not be readily apparent to someone else who is not me.  Sometimes I do have abdominal pain.  There are no swollen lymph nodes that I can tell.
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Avatar universal
MEDICAL PROFESSIONAL
Hi.

I understand that this may be frustrating for you. During your consults however, your doctor may not find something remarkable which may indicate further management or intervention. I do not think this is something infectious since this has been present for months already and there seems to be no progression in the presentation of the disease (is this correct?). Thus, I suggest that you continue to observe the skin condition. This may be superficial skin reaction. It may be a mild form of balanitis.  However, do refrain from applying any creams or lotions in the area as this may only aggravate the condition.

Do you have any abdominal pain?

Any swollen lymph node in certain parts of the body?
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