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Possible allergic reaction / Maybe fungal / Maybe infection...

by TheMailMan, May 23, 2008 09:16PM
This is a repost because I wanted to give an image to help demonstrate and describe the symptoms a little clearer.

I have an issue that has has been troubling me. I am a 25 year old healthy circumcised male with the following symptoms:
- A consistent feeling I can only describe as discomfort localized to the glans similar to the urge to urinate.
- Discoloration / redness and swelling of only the top of the rim of my penis. It is usually a light red to a purplish sometimes.
What bothers me the most is the unusual sensation that feels like a dull ache or urge to urinate ALL the time.
These symptoms are often mild but are pretty steady and get pretty annoying. The symptoms seem to worsen when I shower or have the urge to urinate. Both symptoms seemed to be linked as when one worsens so does the other.

The symptoms started 3 months ago and seemed to coincide with a sexual encounter that consisted of protected vaginal sex with a female whose background was unknown. The symptoms started approx 2-3 days after said encounter.

I have seen a GP about this issue and she believed it to be Gonorrhea or Chlamydia(Despite my telling her that my risk of exposure was extremely low). I was treated for both. I was given a shot of Azithromiacin and an oral antibiotic (Can't remember off hand - Maybe Cipro?). Regardless the tests ended up coming back negative and my urine was very clean. No white cells / proteins etc. Not even a trace as often is normal anyway. So since I have been doing some research on my own and found that Trichimonas can often create a tingling in the penis which doesn't quite match my dull sensation but seemed closer than anything else thus far so I mentioned this to her. I was told there was no way for the facility to test males but was treated with 2g Metronidazole anyhow. It has been a week since and no improvement.

So here are my thoughts; I think that it is possibly fungal? Maybe thrush but if so it would be an extremely mild case as I don't have the sort of rash usually associated with male yeast infections. It could always be another sort of fungal infection and it would make sense that it worsened considering the cocktail of antibiotics I have been given.
I know that Balanitis is the most common symptom with thrush so this is why I think it maybe something of that sort.

I am NOT experiencing any of the following:
- Discharge
- Painful / Dificult urination
- Ulcerations of any sort

This has been an ongoing issure for 3 months. Any guidance would be extremely helpful in getting this cleared up. Thank you in advance.
Member Comments (5)

by Vanessa Lacuesta, May 24, 2008 01:31AM
Hi.

Based on the image you have posted, this appears to be a dermatitis. I do not see the clear reddish demarcation and fine scaling which usually accompanies a fungal infection. The papules or bumps  present on the rim of the penis does not seem infectious. It does not look herpetic to me. This may be a dermatitic skin condition. Your tests came back negative for the STD's and you have no discharge and urinary symptoms. I suggest that you have this assessed by a dermatologist (was this done?).

A topical corticosteroid may be able to help here. If we are considering a dermatitis here, there is no definite medical therapy for this.

by TheMailMan, May 26, 2008 08:37PM
To: Vanessa
Well I do have the discomfort in the head of the penis that is similiar to the urge to urinate  or just a dull annoying sensation. Is that considered a urinary symptom? What could this be?

by TheMailMan, Jun 14, 2008 11:30AM
To: Vanessa
Well I do have the discomfort in the head of the penis that is similiar to the urge to urinate  or just a dull annoying sensation. Is that considered a urinary symptom? What could this be? If the pain is associated with trauma, could it last for 4 months now with varying degrees of pain/discomfort?

by TheMailMan, Jun 16, 2008 10:59AM
To: Anyone
Please help if you have any ideas.

by kelowna25, Jun 16, 2008 01:28PM
To: MailMan
This looks Identical to what I have been having problems with for 2 years, minus the frequent urination. I have alittle bit more red areas than yourself. Steroid cremes only seem to reduce, not get rid of. When you stimulate your penis through intercourse, it only seems to get worse. I have had skin conditions all my life.
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