Patient's question:
Male, 33 years old, medical history of one year. One year ago, there were red rashes on the glans, followed by ulcers, which worsened after drinking alcohol. After applying Dianping ointment for a few days, it healed, but it recurred later. This summer, his girlfriend was tested positive for trichomoniasis vaginitis with external genital itching. He had an unprotected sexual history one year ago. Please consult a doctor for diagnosis: is it trichomoniasis vaginitis or other sexually transmitted diseases?Doctor's answer:
According to your symptoms, it is considered that the phenomenon is caused by balanitis. The most common cause of balanitis is bacterial or fungal infection caused by poor hygiene during penis cleaning. Phimosis can make it difficult to clean the glans, so it may increase the chance of developing balanitis. Detergents, soaps, and other chemicals, as well as irritants like wool, may also trigger balanitis.Based on your condition, it is recommended to pay attention to maintaining external hygiene, bathe frequently, and change underwear often. Underwear should be washed separately. Additionally, dietary adjustments are advised, such as reducing spicy and fried foods, drinking more water, and consuming more vegetables and fruits. Avoid using strong-stimulating cleaning solutions for bathing. Currently, for treatment, it is suggested to apply erythromycin ointment or Clotrimazole with cotton swabs after cleaning.
Pay attention to maintaining external hygiene and actively prevent and treat infections caused by phimosis or balanoposthitis.