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मेरी फोरस्किन पर खुजली और सफेद धब्बे क्यों हो रहे हैं और इसका इलाज कैसे करें?
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Sexual Health & Wellness
Question #30170
29 days ago
98

मेरी फोरस्किन पर खुजली और सफेद धब्बे क्यों हो रहे हैं और इसका इलाज कैसे करें?

Client_3fc8e3

मेरे शरीर में कुछ दिनों से खुजली हो रही है। मेरी उंगलियाँ, अंडकोष, नितंब और लिंग की चमड़ी में सबसे ज्यादा खुजली हो रही है। मेरी लिंग की चमड़ी पर सफेद/सूखे धब्बे हैं और वे छोटे सफेद उभार जैसे दिखते हैं। यह जगह कभी-कभी गीली भी रहती है। कभी-कभी हल्की जलन भी होती है। परिवार के अन्य सदस्यों को भी खुजली की समस्या है। क्या यह खाज, फंगल इन्फेक्शन या कुछ और हो सकता है?

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Doctors' responses

Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
28 days ago
5

Hello. Since you have generalized itching involving the fingers, scrotum, buttocks, and genital area and other family members are also itching, scabies becomes an important possibility. Scabies commonly causes: - Intense itching (often worse at night) - Itching between fingers, buttocks, groin, wrists, and genitals - Small bumps or rash - Spread among family/close contacts

At the same time, the moist itchy foreskin with white/dry patches and burning may also suggest a fungal infection (candidal balanitis) or irritation from scratching. Sometimes both conditions can occur together.

Important possibilities include: - Scabies infestation - Fungal infection of genital skin - Eczema/contact dermatitis - Irritation due to scratching/moisture

Things you should do: - Avoid scratching as much as possible - Keep genital area clean and dry - Do not share towels/clothes - Wash bedding/clothes in hot water if scabies suspected - Family members may also require treatment together in scabies

You should seek direct medical evaluation if: - Pus develops - Severe redness/swelling occurs - Painful urination develops - Fever occurs - Rash spreads rapidly

Final Prescription / Advice: 1. Permethrin 5% cream from neck down overnight (if scabies suspected), repeat after 1 week 2. All close household members may need treatment simultaneously 3. Cetirizine 10 mg at night for itching 4. Keep genital area dry; wear loose cotton underwear 5. Clotrimazole 1% cream twice daily on foreskin/scrotal area if fungal infection suspected 6. Dermatology consultation if symptoms persist or diagnosis remains unclear

Because family members are also affected, scabies is quite possible, but genital fungal irritation may also be contributing locally.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
28 days ago
5

Hello

The symptoms suggest there may be more than one issue happening together. Since multiple family members are also itching, scabies is definitely a possibility, especially if the itching is worse at night and affects fingers, wrists, groin, buttocks, and genitals. Scabies can spread easily through close contact and causes intense itching with small bumps or rash.

The white or dry patches on the foreskin with moisture and burning may also indicate a fungal infection such as candidal balanitis, especially if the skin stays moist or irritated. Friction, sweating, diabetes, poor hygiene, or scratching can make it worse. Sometimes scabies scratching can also irritate the foreskin and create secondary infection or eczema-like patches.

Keep the genital area clean and dry, avoid harsh soaps, and do not scratch. Wear loose cotton underwear and avoid sharing towels or clothes. If scabies is suspected, treatment usually involves permethrin cream applied to the whole body from neck down overnight, and all close contacts/family members are usually treated together to prevent reinfection. Bedding and clothes should also be washed in hot water and dried well.

For the foreskin patches, an antifungal cream such as clotrimazole may help if it is fungal, but steroid combination creams bought over the counter can sometimes worsen fungal infections and should be avoided unless prescribed.

You should see a doctor or dermatologist for confirmation, especially if the foreskin becomes painful, swollen, difficult to retract, develops discharge, or if the white patches persist despite treatment, because other skin conditions can sometimes look similar.

Take care

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Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
27 days ago
5

Hi there! 🩺 Itchy all over + family members affected + white patches on foreskin = this needs attention fast. Let’s break it down.

🔍 What’s likely causing it?

1. Scabies – top suspect 🕷️

· Why: Intense itching (worse at night), affects finger webs, scrotum, buttocks, foreskin – AND other family members itch too = classic scabies. · White patches? Scabies doesn’t cause them directly – but scratching can lead to dry, scaly, or even secondarily infected skin.

2. Fungal infection (Candida balanitis) 🍄

· Why: White/dry patches, small bumps, moist areas, burning – fits yeast infection on foreskin. · But fungal infection alone doesn’t spread to fingers or family members like this.

3. Mixed picture – scabies + secondary candidal balanitis

· Scratching scabies burrows → skin barrier broken → yeast overgrows → white patches + moisture.

✅ What to do now (step by step):

🚨 For the whole family (treat everyone at the same time):

· Permethrin 5% cream – apply from neck to toes, leave for 8–14 hours, wash off. Repeat in 7 days. · Wash all clothes, bedsheets, towels in hot water (60°C) and dry on high heat. Seal non-washables in a bag for 3 days.

🩹 For the foreskin white patches specifically:

· Clotrimazole 1% cream (antifungal) – apply twice daily for 7–14 days. · Keep area clean and dry – avoid soap directly on glans. · If severe burning or swelling → see a doctor to rule out lichen sclerosus (needs steroid cream).

🛑 Stop these now:

· No sharing towels, clothes, or beds until treatment done. · Avoid sex (reinfects partner). · Don’t use hydrocortisone alone – can worsen scabies and fungus.

👨‍⚕️ When to see a doctor (soon, if possible):

· If no improvement after 1 week of above treatment. · If white patches turn into shiny, scar-like areas (possible lichen sclerosus – different treatment). · To confirm scabies with a skin scraping.

Bottom line:

· Itching all over + family affected = scabies until proven otherwise. · White patches on foreskin = likely added fungus from scratching. · Treat everyone with permethrin + clotrimazole on foreskin. See a doctor if unsure.

— Dr. Nikhil Chauhan

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
28 days ago
5

Hello dear I think it is candidiasis. It is common in extreme ties It will require comprehensive evaluation Please follow below precautions and medication for improvement Topical Antifungals powders-Clotrimazole- Candid/clomed/clozed twice a day for 15 days Micogel to be applied topically Nizoral for Skin application Terbinafine 250 mg twice a day for 5 days ( oral) Tolnaftate ointment

2. Oral Antifungal Medications Fluconazole Diflucan Itraconazole -Sporanox ( on prescription by general physician only) in addition Apply lulliconazole or fusidic acid topical application twice a day for 5 days Prevent moisture contamination Dry the involved organ

In case of no improvement consult general physician (medicine) for better clarity Hopefully you recover soon Regards

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
28 days ago
5

Hello Thanks for describing your symptoms in detail. Itching all over the body, especially at night, with involvement of fingers, scrotum, buttocks, and foreskin, plus white/dry patches and small white bumps on the foreskin, and the fact that other family members are also itching—this pattern strongly suggests scabies as the most likely cause.

Why scabies? - Scabies is a skin infestation caused by tiny mites. - It spreads easily among people in close contact (like family). - Itching is often worse at night and commonly affects the areas you mentioned. - White bumps and dry/moist patches can appear where the mites burrow.

Fungal infection is also possible, especially for the moist, white patches on the foreskin, but it usually doesn’t cause widespread itching in multiple family members at the same time.

What to do next: - See a doctor or dermatologist soon for confirmation and prescription treatment (scabies needs specific creams/lotions for all family members). - Wash clothes, bedding, and towels in hot water to prevent reinfection. - Avoid scratching to prevent skin infection.

Thank you

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Based on your description of the symptoms along with the fact that other family members are experiencing similar issues, scabies might be a strong suspect. Scabies is caused by the Sarcoptes scabiei mite, leading to intense itching, often worse at night, and can affect many people in a household. The small white bumps and dry patches on your foreskin and other areas you described, could fit into a scabies infestation. It’s important to confirm this with a healthcare professional who can accurately diagnose through clinical examination, sometimes supported by skin scraping tests.

In the meantime, if scabies is suspected, over-the-counter creams won’t help. You would need a prescription treatment such as permethrin cream or oral ivermectin, applied according to medical instructions. It’s essential to treat all members of the household simultaneously, even those who aren’t symptomatic yet, to prevent reinfestation. Bedding, clothing, and towels used by the affected individuals should be washed in hot water and dried on high heat or sealed in a plastic bag for at least 2-3 days.

If your doctor rules out scabies, a fungal infection like candidiasis could be considered likely, especially given the moistness in some areas. In such cases, antifungal creams such as clotrimazole or miconazole might be recommended. However, given the involvement of other family members, scabies remains a more probable cause.

Get an appointment with your doctor soon to clarify the cause. Prompt and precise treatment ensures faster relief and reduces the chance of it spreading. If the condition appears to worsen rapidly, spread to new areas, start causing severe discomfort, or if fever develops, seek immediate medical attention.

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