Patient's question:
I have many small red spots on my glans, which are neither painful nor itchy. There is a small ulcer on the lower foreskin of my glans, which is slightly redder than the inner foreskin. Sometimes it breaks, and sometimes it causes mild pain. HSV, UCTHPV, and HPV6.11 tests were all negative. I used Pramesin for 7 days and took Ciprofloxacin, Colistin, and Ofloxacin orally, but there was no improvement. What disease do I have? Is it syphilis? Thank you!!!Doctor's answer:
The basic principle of Western medicine treatment is anti-inflammatory and antibacterial. It is generally a combination of internal and external treatment. For the treatment of acute superficial balanitis and circinate balanitis, erythromycin and tetracycline are the first-line drugs, usually taken 0.5g each time, four times a day. For trichomoniasis balanitis, metronidazole is the first-line drug, taken 0.2g each time, three times a day, for a total of 10 days. For balanitis caused by Candida albicans, it is common to use griseofulvin or itraconazole for treatment. Griseofulvin 100,000 to 200,000 units, twice a day; itraconazole 100mg each time, twice a day, for a total of 7 days.