Does balanitis in this case require oral medication?

Patient's question:

There are many red spots on the glans and foreskin, but they don't cause pain or itching. I went to the hospital today and had blood tests, and it was diagnosed as balanitis. The doctor prescribed two boxes of Sophora Flavescens capsules, two boxes of Cefuroxime Extended-release Tablets, and two boxes of Fluconazole Dispersible Tablets. I asked if it's okay to apply topical medication, and he said that in my case, applying medication alone would be ineffective. However, I noticed that these medications are quite liver-damaging. Although he also prescribed Compound Glycyrrhizin Tablets. Could you please ask the doctor if it's necessary to take these medications?

Doctor's answer:

Mainly, it is caused by inflammation, which is quite common in this case. It is recommended that you take oral cephalosporin antibiotics for treatment, which is usually sufficient. While undergoing treatment, avoid drinking beer and eating spicy foods, as these can be beneficial for your condition. The condition of balanitis tends to recur frequently, requiring long-term medication. For male patients, it is important to seek medical attention at a professional and reputable hospital as soon as possible. Treatment should be considered based on the results of a thorough examination. Additionally, it is important to control sexual activity and maintain a positive mood.

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