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Dr  S.A.Alam
Dr S.A.Alam, Doctor
Category: Medical
Satisfied Customers: 3687
Experience:  MBBS/FCPS(R)/MRCP(R) U.K
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rashes..penis head..red spot, and like i thought it was like a pimple

Resolved Question:

hi doctor, i noticed on sunday i had two red rashes on penis head, one on each side of the penis head, i am circumsized, now i tried pushing at red spot, and like i thought it was like a pimple, but nothing happened, i pushed to much, that i made it pop kind of, but nothing came out, but now on one side, i noticed like a white head this morning, like a pimple i poped it, it came out, and now its only red the middle, like when u pop a pimple not suppose to, what do u think
Submitted: 2 years ago.
Category: Medical
Expert:  Dr S.A.Alam replied 2 years ago.
Hello,

Welcome to JustAnswer and thank you for your question.

Are you sexually active ?

When you noticed this spot ?

Have you seen a doctor yet ?

Is this a single spot or there are more ?

Do you have any symptoms of burning urination ? increased frequency of urination ?

Any abnormal discharge from the penis ?
Customer: replied 2 years ago.

hi there, not sexually active, been with same person for three years, and use a condom, had a different partner three years ago,

i noticed the spots on sunday, there is three spots total, not at the same place one on left side of penis head opening, one on right side of opening, and one on the right side lower still on penis hed, no burning in urination, no frequent urination, no discharge from penis, i went to see a dermotoglist, and gave me a cream for balanitis redness, and said dont touch it, just want a second opinion

Customer: replied 2 years ago.
hi doctor, since i played with the rashes, i made it more red, and like when u try to pop a pimple, and there is nothing, it is red the middle, like dry, should i be concerned. no pain urinating at all
Expert:  Dr S.A.Alam replied 2 years ago.
Hello,

Thank you for your reply,

These spots on the penis are very common and most do not have a serious cause especially if there person is not sexually active and uses condoms. However, occasionally spots can indicate a significant health problem if you have any of the symptoms like burning urination, increased frequency and are sexually active.

Causes can be hair follicle infection these are painful and lead to discharge of pus in late stages.
fordyce spots they are painless and not itchy, but may cause embarrassment or a fear that they might be sexually transmitted, which they are not..... They are abnormally dilated blood vessels, covered by thickened skin.
Balanitis is inflammation of penile skin occurs mostly in people who are not circumcised. So in your case this may not be the cause.
Allergic rash due to undergarments is one of the causes of the symptoms you gave and can be considered.

I would suggest that you use combination of antibiotic and anti allergic cream and use cotton underwear's and keep the area dry to help quick healing of the rash. Do not touch the area to much. I would consider holding off masturbation/other sexual activities for some time till this heals.

I hope this helps.
Let me know if you have more questions.
Dr S.A.Alam, Doctor
Category: Medical
Satisfied Customers: 3687
Experience: MBBS/FCPS(R)/MRCP(R) U.K
Dr S.A.Alam and 9 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
HI DOCTOR, THE AREA IS RED AND HEALING, OF COURE AT FIRST I TOUCHED THE AREA, SO I MADE IT BLEED KIND OF , SO NOW IT IS HEALING, LOOKS LIKE I SEE A DRYING UP, NO ITCHING OR BURNING, NO PAIN URINATING, I SHOULD NOT WORRY ABOUT ANYTHING SERIOUS RIGHT
Expert:  Dr S.A.Alam replied 2 years ago.
Hello,

Thank you for your reply,

With your history and symptoms you need to continue on the medication that was prescribed by the doctor. It takes a few days for these medicine to show their effect.

Can you send me the picture of the lesion so that i can re evaluate/see if there was something that was missed by your doctor.
Customer: replied 2 years ago.

hi doctor i am sending you the picture

graphic

Expert:  Dr S.A.Alam replied 2 years ago.
Hello,

This seems more like balanitis, with your history more chances of allergy to some object possibly undergarments, condoms or fungal infection. Your dermatologist is right you need to continue on the medicine for some days. There are chances that if this is fungal infection it can get worse with the antibiotics and anti allergic creams.
So you need to watch it for few days, if gets worse you need to get to your doctor ASAP as anti fungal medicine may be needed.

Here is a good reference with pictures of blunts that can help you understand the situation.

http://dermnetnz.org/site-age-specific/balanitis.html

I hope this helps.
Dr S.A.Alam, Doctor
Category: Medical
Satisfied Customers: 3687
Experience: MBBS/FCPS(R)/MRCP(R) U.K
Dr S.A.Alam and 9 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
HI DOCTOR, IT IS HEALING, JUST WANTED to know, it is normal, that is healing like when u pop a pimple, it is healing slowly, abit of crust, is that normal, just maybe worrying for nothing
Expert:  Dr S.A.Alam replied 2 years ago.
Hello,

Thank you for your reply,

Yes symptoms and signs of healing can be decrease in the symptoms of redness, pain, swelling, decreased rash, crust formation.
It is a good sign that symptoms are decreasing you need to give it few more days and continue the treatment.

I hope this helps.
Have a nice day.
Dr S.A.Alam, Doctor
Category: Medical
Satisfied Customers: 3687
Experience: MBBS/FCPS(R)/MRCP(R) U.K
Dr S.A.Alam and 9 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

HI DOCTOR,

so i have been using the cream, is it normal, after i take a shower i see like white spot in middle, like a pimple style kind off, on is a bit more red than the other, but i see it is get lighter slowly, is that normal, i shouldnt worry about anything, how long do u think it takes before it disappeers, i have no pain, urine fine,

Expert:  Dr S.A.Alam replied 2 years ago.
Hello,

Thank you for your question,

Appearance of spots with whitish area in the center indicate some accumulation of pus, this occurs in the healing process, this pus is composed of dead white cells and offending agents like dead bacteria. It is a good sign in most cases unless they spots are increasing in number. Decrease in pain, itch and redness are other markers of healing.
It can take 7-10 days for these lesions to heal.
warning signs to look for are increase in rash, pain, swelling, fever. These signs if present may indicate the need for use of oral antibiotics.

I hope this helps.
Dr S.A.Alam, Doctor
Category: Medical
Satisfied Customers: 3687
Experience: MBBS/FCPS(R)/MRCP(R) U.K
Dr S.A.Alam and 9 other Medical Specialists are ready to help you

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