white precipitation around pennies.

around my pennies head there is a white precipitation starts to form in 4 hours after taking bath. and it starts to give a bad odor{smell). and also feeling like burn while passing urine. after 8 hours a scale like white thick layer is getting formed with a very bad smell. after cleaning by water the head looks like very soft.if i wipe it in towel also its burning. i feel the white precipitate is my dead skin layer..this is very urgent ...your help will be much useful for me..please do needful
Reg
Vijay

[Bhupinder Kaur, MD]

Hello,
It can be smegma or balanitis penis. Oral course of antibiotics is needed. In addition, please don’t use any cosmetics on the penis, instead use some topical antimicrobials like Bacitracin or Lotrimin. Also corticosteroids and topical immunosuppressants can be used but they are available under prescription. Also retract the foreskin daily and soak in warm water to clean penis and foreskin. In case the symptoms persist then consult a urologist/dermatologist for evaluation and antimicrobials and steroids prescription.

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 doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[Bhupinder Kaur, MD]

Hello,
It can be smegma or balanitis penis. Oral course of antibiotics is needed. In addition, please don’t use any cosmetics on the penis, instead use some topical antimicrobials like Bacitracin or Lotrimin. Also corticosteroids and topical immunosuppressants can be used but they are available under prescription. Also retract the foreskin daily and soak in warm water to clean penis and foreskin. In case the symptoms persist then consult a urologist/dermatologist for evaluation and antimicrobials and steroids prescription.

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 doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[svijay2189]

Hi doctor,
thank you very much doctor.i saw the images of smegma and balanitis in internet. i believe i am suffering more from smegma and suffering a very little in balanitis. so shall i try with bacitracin?. is it cream (ointment) or tablet. what is the dosage.how to use it and when to use, (how frequent morning or night)  ?

Regards,
Vijay

[svijay2189]

Hi Doctor,
I searched so many shops(12) but i could not able to find bacitracin or lotrimin .but finally in a pharmacy the shop keeper gave me some medicines without prescription.the medicines are,. sporidex AF-750 3 times a day,crolim- tacrolimous cream 2 times a day and KMNO4(pottasium permanganate to wash with water once a day after bath. he told me to take oral medicines for at least 5 days.now i am following that. can i follow that? will it give any side effect?

Regards,
Vijay

[Bhupinder Kaur, MD]

Hello,
AF 750 is an oral antifungal drug and should always be taken under prescription because it has plenty of side effects. Also tacrolimus is an immunosuppressant drug and should always be used under medical guidance. Please use these drugs only after consulting your doctor.

Till then clean the foreskin thoroughly and you can use Neosproin.

I hope it helps. Take care and regards.

[svijay2189]

hi doctor,
i already started to have these medicines. .i feel it works i am able to see the changes .but even though i feel a little burn.sure i will consult a doctor. thank you very much.
one more question. is there any relation with masturbation? what will be the cause for this? and how i can avoid this in future?

Regards,
Vijay

[svijay2189]

Hi doctor,

I didn't went to consult doctor. I took the same medicines.but per day instead of three tablets i took only one ,on some day two maximum.till now totally i took 10 tablets. tablets were finished 4 days back. now i am not getting that problem.thank you very much or the extended help. without u i wont be aware of that disease and medicines for that.

Regards,
Vijaya kumar S