Question 1

I'm really worried about some issues I've been having recently. About a month and a half ago, I noticed my penis was itching and there was redness, a rash, and accumulated smegma. I'm uncircumcised and after searching online, I thought it might be balanitis. I've been applying coconut oil daily on my foreskin for over a month now, and while the rash, redness, and itchiness have gone, I've still got some cracks and cuts on the tip of my foreskin. I wash it daily, but for the past two weeks, there's been dry skin forming around the foreskin every day, even though I clean it regularly.

On top of that, I recently had a really hard stool and now my anus is itchy and swollen. I used coconut oil for the itch, which helped, but the swelling is still there. I'm not sure what's going on with my penis and anus. Should I be washing off this dry skin that forms daily? Also, which type of doctor should I consult for these issues? Are there any home remedies you can suggest to help with these cuts and cracks? I'm really concerned and would appreciate any advice.

Accepted Answer

Your symptoms may be caused due to dehydration. Increase your fluid intake on a daily basis and improve your genital hygiene by drying yourself well after each wash. Use non-irritant moisturisers and if the problem exacerbates, you should consider visiting a dermatologist.

Question 2

I'm dealing with a urinary tract infection and my test results are a bit worrying. They showed that there are many pus cells, occasional epithelial cells, and a few gram-negative bacilli. It also mentioned an E. coli colony count of 100,000ml. I'm not sure what to do next, could you guide me on the best way to treat this?

Accepted Answer

Urinary tract infections (UTIs) can be uncomfortable and painful. Based on your test results:

_Gram Stain Results_

1. _Pus cells_: Indicates a significant infection.
2. _Occasional epithelial cells_: Normal finding.
3. _Few gram-negative bacilli_: Suggests a bacterial infection.

_Culture Results_

1. _E. coli_: A common cause of UTIs.
2. _Colony count > 100,000mL_: Indicates a significant bacterial load.

_Treatment Recommendations_

1. _Antibiotics_: Your doctor will likely prescribe antibiotics to treat the E. coli infection. Common options include:
    - Nitrofurantoin
    - Trimethoprim-sulfamethoxazole
    - Ciprofloxacin
2. _Duration of treatment_: Typically 7-14 days, depending on the severity of the infection and your overall health.
3. _Pain management_: Your doctor may recommend pain relievers, such as acetaminophen or ibuprofen, to help manage discomfort.
4. _Hydration_: Drink plenty of water to help flush out the bacteria.
5. _Urinary analgesics_: Medications like phenazopyridine can help relieve burning sensations during urination.

_Follow-up_

1. _Complete the antibiotic course_: Finish the full treatment course, even if symptoms improve before completing the medication.
2. _Follow-up urine culture_: Schedule a follow-up urine culture to ensure the infection has cleared.

Question 3

I'm having a bit of an issue and I'm really concerned. During intercourse, I noticed that the foreskin on my penis gets cut at the lower inner joint. It bleeds quite a lot when it happens, although it does stop eventually. This has been worrying me since it first happened about 34 days ago. The cut is still open and in the process of healing. I'm also diabetic, which I know might make things a bit more complicated. Is this something serious? Should I be considering seeing a doctor about this?

Accepted Answer

It's important to get the cut checked by a doctor, especially with diabetes, as healing can be slower, and there's a risk of infection. If it's not healing properly or if you experience pain, swelling, or redness, please consult a healthcare professional for proper care.

What are some home remedies to control nightfall in teenagers?

Reduce or avoid watching sexually explicit content, Practicing meditation and relaxation methods to reduce anxiety and stress.

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