Patient's question:
In June, it recurred with symptoms similar to the last time, just that the head was very red. I bought these three kinds of medicine from the pharmacy again, using the same method as before. It has been a week, but the effect is very small. The last time, it took four days for the ulcer to heal.Doctor's answer:
1. Symptomatic treatmentMaintain local cleanliness, avoid various irritants, and circumcision should be performed in cases of excessive prepuce.
2. Local treatment
For erosion, exudation, or purulent discharge, apply a 1% ethidium solution or a 1:8000 potassium permanganate solution as a wet dressing. For dryness with scaling, apply topical corticosteroid ointment.
3. Etiological treatment
If the cause is identified, appropriate medication should be administered. For example, for candidal balanitis, topical nystatin ointment, clotrimazole, econazole, or miconazole cream can be used, or systemic antifungal drugs such as itraconazole, fluconazole, miconazole, or ketoconazole can be taken. For trichomoniasis balanitis, metronidazole, tinidazole, or griseofulvin can be selected. For amoebic balanitis, emetine, metronidazole, or tinidazole should be given. If the partner also has candidal vulvitis or trichomonal vulvitis, both must be treated simultaneously.