Answered by Thakare Sampada Avinash

Answered by Thakare Sampada Avinash

How to manage recurrent fungal infections on the penis?

Hello doctor,

I had a full body to body contact with someone at a massage parlor three months ago. There was no intercourse or oral sex. I ejaculated. I got diagnosed with scabies and a fungal infection on the penis. I took medications for the same and the symptoms went away. However, the burning during urination did not stop. I took other tests and got diagnosed with bacterial vaginosis (BV). I took antibiotics for the same. The fungal infection again came back last month at the tip of the penis even though I had no sexual contact. I took an antifungal again and applied Onabet. The infection cleared up. Today, the fungal infection again came back even though there was no sexual contact. Do I need to take any tests? I have attached the pictures. I have taken all thenine Polymerase chain reaction (PCR) testsafter nine weeks of contact and enzyme-linked immunosorbent assay (ELISA) and venereal disease research laboratory (VDRL) after six weeks of contact. All came negative. I have been having pain in the nerves of my lower back since the contact. It goes away and comes back in a week or so. It is recurring and makes difficult to change postures while sleeping and sitting for long intervals. Sometimes, the pain is very severe. It makes me very difficult to stand or sit. I checked C-reactive protein and it was normal. Both semen culture and semen analysis were normal. But, there is a problem with a backache and itching and infection in the groin. Please help.

11 May 2024 - 1 min read

What could be done to manage small rashes on the belt line?

Hello doctor,

I have a small rash on my belt line that has been there for a number of weeks. It is red, inflamed, and bumpy. It tends to itch a lot. It is not ring-shaped, more like a razor burn. I take Roaccutane, Aropax, and Valtrex. Please find the image.

09 May 2024 - 1 min read

What is the treatment for a small bump on the private part?

Hi doctor,

I have a small bump on the lower side of my private part. Earlier, I tried to get rid of it and so, I pressed it hard. A kind of white thing came out, and the bump remains the same for more than a week. I have uploaded the images here for better understanding. Please help.

09 May 2024 - 1 min read

What is the treatment for the fungal infection on the hand?

Hello doctor,

I have one red spot on my right hand, which is a fungal infection. Sometimes, it will grow in other body parts like stomach or legs, but then automatically disappears in 2 to 3 days. I am so worried. What to do? What is the treatment for this?

08 May 2024 - 1 min read

Will Botox help with awkward smile. Please guide.

Hello doctor,

I wanted to get your opinion on my situation to see if you guys might be able to help. For several years now, I have had trouble with smiling fully in certain situations. Generally, in social situations, it is almost like I give an awkward half-smile. It is hard for me to smile fully. This does not really occur when I am alone, only when I am in a social setting around people. Needless to say, I also suffer from OCD, which seems to have gotten worse over the years. But it really just involves me checking things several times. The smile issue is affecting my life way more. However, I want to know if it is more of a physical thing or a mental thing. What leads me to believe it is physical, is that I have tried exercises like smile practice, in which I hold a smile in the mirror for about five minutes. About three minutes in of holding the smile, I feel a tightness in the cheeks area, and then right after that my smile feels normal, almost as if I have released tension in a muscle or something. This does work, but constantly having to do this multiple times a week is super annoying. This led me to look into Botox, specifically the DAO procedure, which essentially freezes up the depressor angularis oris muscle in the face, which prevents frowning, and allows people to smile a lot easier. I went to two local cosmetic surgeons, but they said they were not too familiar with this procedure, and that they felt that it might work or might not, but did not feel comfortable doing it. This problem is really ruining my life and has been for years. Being able to only give a half smile in social situations is embarrassing and something that everyone notices. This often leads me to take MDMA in social situations, which makes me really happy, and not care about my smile. However, I know that I ca not keep doing this. It is not a sustainable way to cope with this issue. I wanted to get your thoughts on my situation. Thanks.

08 May 2024 - 1 min read

Education

MD DVL., MBBS

Specialties

Dermatology

Specialized Treatments

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