What are the symptoms of fungal balanitis?

Patient's question:

Hello doctor, I have started experiencing. I went to the hospital for a thorough examination, and the doctor prescribed potassium permanganate solution. After washing with it for several days, the condition improved. However, the skin under the foreskin itched, and when I focused solely on washing with potassium permanganate, it didn’t help. Instead, the foreskin opening became tighter, and there were many white smegma, making it difficult to retract the glans even when it was soft. Later, I consulted online and bought clotrimazole cream. After applying it, the condition improved day by day. After about ten days of treatment, the foreskin opening relaxed and returned to normal. Now, during erection, I can retract the glans, and the smegma has disappeared.
Hello, can I stop the medication, or should I continue applying it for a while longer? How can I confirm that I have fully recovered? Should I go to the hospital for a thorough examination?

Doctor's answer:

Based on your description, this condition may be inflammation of the glans and foreskin. As for recommendations and treatment plans, first and foremost, maintain good local hygiene. Wash it once tomorrow, wear loose cotton underwear, change and sterilize your underwear frequently, and avoid spicy foods. If the foreskin is overgrown, surgery can be considered at a later date. Regarding medication, it's best to continue using it for a few more days. Afterward, just pay attention to local hygiene. Glans inflammation can be relieved, but the treatment period is usually long, and it's prone to recurrence after treatment. Therefore, actively cooperate with your doctor's medication plan during treatment. Additionally, it's recommended to adopt a healthy lifestyle and maintain a proper diet during the treatment period.

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