How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Hanson Your Own Question

Dr. Hanson
Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience:  Diplomate, American Board of Quality Assurance & Utilization Review Physicians
90970
Type Your Health Question Here...
Dr. Hanson is online now
A new question is answered every 9 seconds

Why does my penis and anus itch

Customer Question

Actually my issue is my penis and some itchiness around and in it.
On the outside of the penis on the right, just below the head, in the same spot all the time, I get a twing occationally. Not real painful, but bothersome for a minute of so. However, I also get some annoying itches just inside my penis opening. Again, not painful, but annoying and itchy. They both comes and go and a few times a day.
Also, it sounds weird but I have itch or feeling inside my rectum area. ( like a very small bug is in there, moving around once in a while) Not real itchy, but annoying for short times.
What the heck?
Anyway, I went to a doc I knwo and he inspected my penis ( i did not mention anus) and he said all looks ok.
He wrote an rx for Doxyccl hyc 100 mg 2x10 days, saying that maybe i had something but he could not tell. ( i started it)
Is there a faster more potent option?
What else can I do?
Does this sound liek anything contagious?








Optional Information: Male , Age: 44Already Tried: it is in ques
Submitted: 8 years ago.
Category: Health
Expert:  Dr. Hanson replied 8 years ago.
# XXXXX"Itching around and in penis."

You have balanitis which is an inflammation of the glans (head) of your penis. The itching is caused by candida albicans due to the Doxycycline and a moist glans. It usually occurs in men who have a foreskin. Candida albicans is a yeast that grows on the glans of the penis due to moisture and warmth under the foreskin. Keep the glans and foreskin of your penis clean (especially after urinating and after sex). Use water and sorbolene and glycerine cream instead of soap because soap can irritate your skin. Then dry your glans and under the foreskin of your penis. Doxycycline is a broad spectrum antibiotic that causes the itchy yeast on the glans and under the foreskin of your penis. Yeast infections of the penis are treated with Mycostatin ointment. The skin should be kept dry. Corticosteroid ointments may be used to reduce the itching and pain.
You can restore the normal flora and ecology of your intestines by eating yogurt. This should also stop the itching.

#2 -----"itch or feeling inside rectum area. (like a very small bug is in there, moving around once in a while)"

You also have pruritus ani (anal itch) also caused by candida albicans (yeast) due to the Doxycycline. Pruritis ani is an irritation of the skin in and around your anus caused by the growth of yeast and possibly pinworms. Doxycycline is a broad spectrum tetracycline antibiotic that can cause anal itch by causing an imbalance of normal flora in the intestines allowing candida albicans to grow. Doxycycline kills the "good" flora which controls the candida albicans. However, when you take Doxycycline then this allows candida albicans to grow in your intestinal tract. Yeast infections of the anus are treated with a nystatin suppository.

This is a list of creams, lotions, and ointments to treat a yeast infection:

Fungizone 3% cream, lotion, ointment Apply to affected area twice to four times/day
Mentax 1% cream Apply to affected area once daily
Lotrimin, Mycelex 1% cream Apply to affected area twice/day
Spectazole 1% cream Apply to affected area once to twice/day
Nizoral 2% cream Apply to affected area once daily
Monistat-Derm, Micatin 2% cream, powder, spray Apply to affected area twice/day
Mycostatin cream, ointment, powder Apply to affected area twice/day
Lamisil 1% cream Apply to affected area twice/day
Tinactin1% cream Apply to affected area twice/day
Fungizone 3% cream, lotion, ointment Apply to affected area twice to four times/day
Mentax 1% cream Apply to affected area once daily
Lotrimin, Mycelex 1% cream Apply to affected area twice/day
Spectazole 1% cream Apply to affected area once to twice/day
Nizoral 2% cream Apply to affected area once daily
Monistat-Derm, Micatin 2% cream, powder, spray Apply to affected area twice/day
Mycostatin cream, ointment, powder Apply to affected area twice/day
Lamisil 1% cream Apply to affected area twice/day
Tinactin 1% cream Apply to affected area twice/day
http://www.doctorfungus.org/Mycoses/human/CANDIDA/Cutaneous_General.htm

Pinworms can cause itching of the anus. After a person ingests the enterobius vermicularis roundworm eggs they move to the intestine where the pinworm eggs hatch. Then in two months the female pinworm crawls out of the anus and lays her eggs on the skin around the anus which causes the person's anus to itch. Pinworms glow if you shine a light on them. Pinworms are treated with one tablet of Vermox.

Good hygiene including frequent hand-washing is important.

Balanitis and pruritis ani are both contagious. Pinworm eggs are contagious for 3 weeks.

If you have additional questions I will gladly answer them, otherwise please click "ACCEPT". "POSITIVE FEEDBACK" and a "BONUS" would be greatly appreciated.

Dr. H
Customer: replied 8 years ago.
Reply to XXXXX XXXXXson's Post: I am happy and be following up with payments. I'm not sure if othe remail went through.

I had the issue before the doxy so i do not think that started the problem, however, between atletes foot I had, and other exposer that i may have had to to fungus, yeast and whatever, it makes sence.

What can I do now? Go to Pharmacy? Ask for one of those things on teh list of treatments?

Where else can you get the pinworm? How do i get a dose of Vermox?

Expert:  Dr. Hanson replied 8 years ago.
#1---"What can I do now? Go to Pharmacy? Ask for one of those things on teh list of treatments?"

Call your doctor and ask him for a prescription for Fungizone 3% Cream 20 GM (the ingredient is Amphotericin B). Fungizone 3% Cream 20 GM is an antifungal. Fungizone 3% Cream 20 GM will help to clear up your yeast infection much sooner than the less potent over-the-counter (OTC) medications. Or, you can buy over-the-counter medications that will treat your yeast infection e.g. Tinactin, Lotrimin, and Micatin.

#2---Where else can you get the pinworm?

People become infested with pinworms by unknowingly ingesting microscopic pinworm eggs that can be found on many different surfaces, including bed linens, towels, clothing (especially underwear and pajamas), toilets, bathroom fixtures, food, drinking glasses, eating utensils, kitchen counters, desks or lunch tables at school, and children's toys. Infestation with pinworms is caused by finger transfer of microscopic pinworm eggs from the perianal area (area around a person's rectum) to their clothing, bedding, furniture, rugs, etc. from which the microscopic eggs are picked up by the next person. The microscopic eggs can survive on clothing, bedding, furniture, rugs, etc. for as long as 3 weeks at normal room temperature. Then the eggs are transmitted to the next person's mouth by their un-washed hands where the microscopic eggs are swallowed. Microscopic worm eggs in the air may be inhaled and then swallowed. Re-infestation with the pinworms occurs through finger transfer of ova from the perianal area to the mouth when people do not wash their hands after using the restroom.

#3---"How do i get a dose of Vermox?"

Call your doctor and ask for a prescription of Vermox. A pharmacy near your home can verify the prescription. Vermox is the brand name of mebendazole. It comes in chewable 100 mg. tablets (U.S. and Canada). Vermox is in a group of medicines called anthelmintics used in the treatment of worm infections e.g. roundworms (ascariasis); hookworms (uncinariasis); pinworms; whipworms (trichuriasis); and more than one worm infestation at a time. Vermox keeps the worms from absorbing glucose (sugar) in your gut. This eventually causes the death of the worms. Take one tablet. In three weeks take a second tablet if you are not cured after taking the first tablet. You might feel some abdominal pain and diarrhea after taking the Vermox because your body will be expelling the worms.

You can also use pyrantel pamoate which is a non-prescription medication used to treat pinworm infections. One brand of pyrantel pamoate is called Combantrin. Take one dose of Combantrin then wait 14 days and then take a second dose (as long as no side effects were noted after the first dose). Combantrin (pyrantel pamoate) does not kill pinworm eggs; it only kills adult pinworms. Combantrin (pyrantel pamoate) is available without a prescription. Treatment with a second dose of Combantrin (pyrantel pamoate) usually is recommended because the eggs can survive for 2 weeks after treatment. If you have problems calculating your dose or you have specific questions about the medication then talk with a pharmacist. It is important that you understand your medications.

IN SUMMARY:
I recommend that you telephone your doctor and ask him for a prescription for Fungizone 3% Cream 20 GM Amphotericin B and a prescription for chewable Vermox 100 mg. (mebendazole 100 mg).

I hope this information is helpful. If you have additional questions I will gladly answer them, otherwise please click "ACCEPT". "POSITIVE FEEDBACK" and a "BONUS" would be greatly appreciated.

Dr. H
Customer: replied 8 years ago.
Reply to XXXXX XXXXXson's Post: OK, Great, almost there. Question and let me see if i have it right.

Should I stop taking the Doxy? I wanted to finish it ( im on day 5 out of 10) to be sure I have nothing liek an std or something! However, it sounds from your advise, maybe do not need it and it coudl make it worse by killing good flora?

Should I get an Rx of the anal suppository you mentioned?

It sounds like both Anus and penis are caused by same thing, yeast infection. I should get Mycostain RX for the penis and Fungizone RX for Anus?

I am thinking this will solve things if i do not have pinworm, which I hope and think I probably do not because I would have seen other things?

Lastly, how can i expalin how i got a yeast infection to penis and anus!?

Thanks!
Expert:  Dr. Hanson replied 8 years ago.
#1---The Doxycycline was ordered by another physician; therefore, I cannot tell you to discontinue taking the medication.

#2---Should I get an Rx of the anal suppository you mentioned? It sounds like both Anus and penis are caused by same thing, yeast infection. I should get Mycostain RX for the penis and Fungizone RX for Anus?

Yes. Prescriptions are much better than over the counter and will help you much quicker. Telephone your physician and tell him that you have a yeast infection of your penis and rectum and possibly pinworms.

Ask your physician for prescriptions for:

1) Mycostatin (nystatin) suppositories for your anal itch

2) Fungizone 3% Cream 20 GM Amphotericin B for your penis. Amphotericin B (Fungizone) is an antifungal type of antibiotic. It treats fungus infections of the skin.

3) Chewable Vermox 100 mg. (mebendazole 100 mg)---even if you can't see them, the pinworm eggs could be causing your anal itch. Taking the Vermox won't hurt you even if you don't have pinworms.

Eat yogurt. Cut down on the amount of sugar you eat to reduce the energy (sugar) that you feed the Candida albicans and the pinworms that could be in your body. You can also buy over the counter Monistat-3 suppositories 200 mg. that you insert once a night for 3 nights. Monistat-3 is the brand name for miconazole 200 mg. that is used by women to cure vaginal or rectal yeast infections. Many men use it for rectal itch. If you're too embarrassed, then just tell the pharmacist it's for your girlfriend.

#3---"how can i expalin how i got a yeast infection to penis and anus!?"

There is no direct evidence that a yeast infection is passed through sexual intercourse. The source of chronic candida yeast overgrowth is usually the gastrointestinal tract that is why you should cut down on your sugar intake because yeast thrive on sugar. Many people get yeast infections who do not have sexual intercourse. Some men get yeast infections by prolonged antibiotic use (e.g. Doxycycline), using condoms with nonoxynol-9 added to the lubricant which may contribute to anal yeast infection, direct contact, unprotected sex, and diabetes (men with diabetes are more susceptible to yeast infections due to elevated sugar in the urine).

Dietary Recommendations for Acute Candida:

Eat fresh vegetables and fruits
Fish and poultry
Flax seed (Linseed)
Whole grains
Organically raised foods where possible.
Other essential fatty acids, such as olive oil and nuts
Drink plenty of fresh water
Take 1 tablespoon Psyllium seed husk fiber and/or 6 to 8 tablespoons flax seed meal and/or ¼ cup Oat bran daily.

Avoid: excessive sugar, excessive white flour products, alcohol, animal fats, caffeine, dairy products, fast foods and junk foods, and hydrogenated oils and margarines.

I hope this information is helpful. If you have additional questions I will gladly answer them, otherwise please click "ACCEPT". "POSITIVE FEEDBACK" and a "BONUS" would be greatly appreciated.

Dr. H










Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience: Diplomate, American Board of Quality Assurance & Utilization Review Physicians
Dr. Hanson and 3 other Health Specialists are ready to help you
Customer: replied 8 years ago.
Relist:
I had follow up question from this. I wanted to make sure the Rx suggested was also for the itch that seems to be coming from inside the opening in the penis, not just the outside. ( i had mentioned that in first question)
Expert:  Dr. Hanson replied 8 years ago.
Yes. Fungizone 3% Cream 20 GM (Amphotericin B) will eliminate the Candida albicans inside your meatal opening (the orifice from which your urine and semen is released). Also the Fungizone cream will eliminate the Candida from the head of your penis (glans) and inside and under your foreskin. Candida is a yeast and the most common cause of opportunistic mycoses worldwide. It is a frequent colonizer of human skin and mucous membranes. Candida is a member of normal flora of skin including the glans and prepuce of the penis and around and inside the anus.

Directions for using Fungizone 3% Cream 20 GM (Amphotericin B):

Wash the end of your penis and foreskin thoroughly using warm water only. Alternatively, sorbolene and glycerine cream (available from pharmacies and supermarkets) should be used as a substitute for soap. After washing, dry the end of your penis and foreskin thoroughly. After drying apply enough medicine to cover the affected area. Rub in gently. Allow the medicine to dry thoroughly on your penis and underneath the glans. Wash your hands immediately after using the medicine. Store it at room temperature, away from heat and light. Continue using the medicine until all of your symptoms are gone. If your symptoms do not improve within 1 to 2 weeks, or if they become worse, then check with your doctor. Avoid getting the medicine in your eyes or on the inside of your nose and mouth.

If you have pain or burning when you urinate and/or a yellowish thick discharge from your urethral meatus (opening where urine and semen is released), then I advise you to see your primary care physician or ask your primary care physician for a referral to a "urologist". A urologist is a physician who has specialized knowledge and skill regarding problems of the male urinary tract and the male reproductive organs.

You'll be fine after you follow my previous advice. If you have any additional questions please ask. I am here to help you.

You can let me know how you are doing by "private messaging" me at my private message address, "morekare".

Dr. H
Customer: replied 8 years ago.
Relist: I still need help.
I went to my local doc and he said that he did not see any yeast on penis on anus and said i did not have yeast infection.
He wants me to finish doxy, eat yogart, do a stool sample and then if there is yeast in stool, he will write a rx for diflucan.

Does he sound right? Would you see yeast? I asked that and he said he woudl see a rash.

Maybe i shoudl go find a better doc.
Expert:  Dr. Hanson replied 8 years ago.
Your physician suspects you have a Chlamydia infection. Nongonococcal urethritis (NGU) is an inflammation of the urinary tract caused by Chlamydia. 50 % of men have no symptoms. The most common symptom of a Chlamydia infection in a male patient is itching and/or a discharge of mucus or pus from their penis. Some men also notice pain when urinating.

You went to your local "doc" and he said that he did not see any yeast on penis or anus and said you did not have yeast infection.

Continue to follow your physician's advice.

Good luck.

Dr. H
Expert:  Dr. Hanson replied 8 years ago.
Your "doc" might be treating a Chlamydia infection. The antibiotic doxycycline (100 mg twice a day for 7 days) is used to treat chlamydia infections. The most common symptoms of a Chlamydia infection in a male patient are difficulty urinating, painful urination, burning sensation during urination, discharge from the penis, testicular tenderness, redness, and swelling of the opening of the urethra at the tip of the penis.   

You went to your local "doc" and he said that he did not see any yeast on your penis or anus and said you did not have a yeast infection. "Would you see yeast? I asked that and he said he woudl see a rash."

No. You can't always see a rash with a yeast infection. Normally people don't know it's there unless it causes itching. When a patient has Candida balanitis they initially complain of itchiness of their penis. A rash and whitish patches don't appear until the Candida infection has caused inflammation (swelling and irritation of the penis).

Oral fluconazole is sometimes used to treat difficult cases of yeast infection, but it can have unpleasant gastrointestinal side effects e.g. vomiting, nausea, abdominal pain, diarrhea, hepatitis, and altered liver function (PDR 2004).

Whatever your "doc" is treating should respond to the antibiotic. In the meantime, I don't see how he's treating your main complaint of penile and anal itching. I guess scratching yourself is not his concern.

"Maybe i shoud go find a better doc." If a physician gives you a prescription of doxycycline for a simple case of balanitis and anal candida, then finding a better doctor seems a reasonable decision.

Good luck.

Dr. H

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery