Hi Nirajan,
Painful red lump and fungal infection on penis are likely related, usually due to mixed bacterial and fungal balanitis.
Keep area clean and dry; wash gently with plain water, avoid soap/irritants, and wear loose cotton underwear.
Start Tab Augmentin (amoxicillin‑clavulanate) every 8 hours after food, if you are not allergic to penicillin and only under local doctor’s supervision.
Continue/shift to proper antifungal cream (like clotrimazole) twice daily for 1–2 weeks, and avoid any sexual activity till fully cured.
If swelling, fever, difficulty passing urine, or no improvement in 3–4 days, meet a urologist/skin specialist urgently.
Dr Nikhil Chauhan urologist
Hello Niranjan, I understand your worry. Your problem is very treatable. But, a doctor needs to see the lesion/wound on the affected part. Without a proper visualization it’s impossible to catch rhe disease and treat effectively.
Do not start any medicine/ ointment without showing your lesion to a certified doctor.
Kindly share a picture of the affected area, or visit a certified dermatologist or a family medicine specialist.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Medicine
Hello Niranjan Thanks for explaining your symptoms. A painful, hard lump that is warm and red near your penis, along with a fungal infection, suggests there might be a skin infection called a boil (furuncle) or possibly an abscess. These can sometimes develop if the skin is irritated or broken, especially if there’s already a fungal infection present. The two issues can be related because fungal infections can make the skin more vulnerable to bacterial infections.
What you should do: - Keep the area clean and dry. Gently wash with mild soap and water, and pat dry. - Don’t squeeze or try to pop the lump. This can make the infection worse. - Continue using your antifungal cream as prescribed for the fungal infection, but avoid applying it directly on the lump if it’s open or oozing. - Apply a warm compress (clean cloth soaked in warm water) to the lump for 10–15 minutes, 3–4 times a day. This can help reduce pain and may help the lump drain naturally.
Rx- Flucanazole 150 mg - take on alternate days for 1 month Ointment BNC cream - apply on affected area thrice a day
Thank you
Continue antifungal treatment
Use the antifungal cream as prescribed (e.g., clotrimazole / ketoconazole)
Apply only on the fungal rash, not on the lump unless told by a doctor
Keep the area clean and completely dry
Apply warm compresses (clean cloth, warm water) → 10–15 minutes, 3–4 times daily
Wear loose cotton underwear
Avoid friction, masturbation, or tight clothing for now
Hello,
Ok this seems to be a bacterial and fungal infection is coexisting.
Continue the antifungal cream over the fungal infection only .
About the lump;
Actually it needs a medical evaluation
Because if pus pocket is there, INCISION AND DRAINAGE is the first treatment
So kindly consult a urologist or dermatologist in person
Meanwhile; Warm compress 2–3 times daily Keep the area clean, dry Wear loose cotton underwear Avoid sex / masturbation temporarily
For pain relief you can take paracetamol
I trust this helps Thank you
The hard, painful lump you’re describing sounds like it could potentially be an abscess or a boil, especially if it’s warm and red. This might be a separate issue from the fungal infection unless the fungal infection has led to secondary bacterial infection due to skin breakdown or irritation. Boils and abscesses are typically caused by bacterial infections, often from Staphylococcus bacteria, which can enter through tiny cuts or hair follicles. It’s important to not try to squeeze or pop the lump, as this can worsen the infection or spread it. As for the fungal infection, continue using the antifungal cream as directed by your healthcare provider. However, if you’re not noticing improvement in both the fungal infection and the painful lump, it’s important to see a healthcare provider. They can assess whether the lump may need draining or if you need antibiotics. Also, avoid using topical corticosteroids on fungal infections, as these can worsen the condition. Make sure to keep the area clean and dry, wear loose-fitting clothing to reduce irritation and friction. If any of these symptoms worsen, if you experience fever, or if the redness starts spreading, seek medical attention promptly, as these could be signs of a spreading infection. In the interim, applying a warm compress to the lump might help ease discomfort and promote drainage, but this is only a temporary measure until you can see a doctor.
