Hello Thank you for sharing your detailed history. I understand this has been a long and frustrating problem for you. Let’s break down your symptoms:
- Itching and very small sores on the front of the penis (since 2022, still present) - Headaches with imbalance, pain, and difficulty reading - Abdominal pain, possible ulcers, or a lot of gas - Persistent symptoms despite hospital visits
Here’s what could be going on:
### Possible Causes 1. Chronic genital infection or irritation: Persistent itching and sores could be due to a fungal infection (like candidiasis), a chronic bacterial infection, or even a skin condition like eczema or lichen planus. 2. Sexually transmitted infection (STI): Some STIs can cause long-term itching and sores, even if tests were negative before. 3. Systemic issue: Headaches, imbalance, and abdominal symptoms may or may not be related, but sometimes chronic infections or autoimmune conditions can cause widespread symptoms. 4. Gastrointestinal issues: Ulcer-like pain and gas could be due to gastritis, ulcers, or irritable bowel syndrome.
### What You Can Do - Genital care: Keep the area clean and dry, avoid harsh soaps, and wear loose cotton underwear. - Avoid scratching: This can worsen irritation and delay healing. - Monitor for new symptoms: Fever, spreading sores, discharge, or severe pain should prompt urgent medical review.
### What to Ask Your Doctor - Request a full evaluation by a dermatologist or urologist for the genital symptoms. - Ask for specific tests for fungal, bacterial, and viral infections (including herpes, even if sores are small). - For headaches and imbalance, a neurologist review may be helpful. - For abdominal pain, consider a gastroenterologist consult and tests for ulcers or H. pylori infection.
### Indian Home Remedies (Supportive) - Sitz bath: Soak in warm water for 10-15 minutes daily to soothe itching. - Coconut oil: Can be gently applied to the area for mild relief (if no allergy). - Avoid spicy and oily foods if you have gas or ulcer symptoms.
### When to Seek Immediate Help - If you develop severe pain, high fever, spreading redness, or difficulty urinating.
Summary:
Your symptoms are persistent and affecting multiple areas, so a thorough re-evaluation is needed. Sometimes, chronic skin/genital issues need a specialist’s eye and specific tests. Don’t lose hope—many people find answers after seeing the right specialist.
Thank you
Hi, I’m Dr. Nikhil Chauhan (Urologist)
I’m sorry you’re going through this since 2022. Your combination of symptoms – penile itching + sores + headache with balance issues + abdominal cramping + constipation + fever – is unusual and needs urgent, thorough investigation.
Why this is concerning:
· Persistent genital sores (over 6 months) + neurological symptoms (loss of balance, headache) + abdominal pain → could point to a systemic illness, not just a local skin problem · Possibilities include: neurosyphilis, Behçet’s disease, HIV with opportunistic infection, or autoimmune vasculitis
What you must do immediately:
1. Stop relying on just prescription creams/tablets – you need a full diagnostic workup 2. Go to a larger hospital – see a Urologist + Infectious Disease specialist + Neurologist 3. Get these tests without delay: · Blood: RPR/VDRL (for syphilis), HIV, HSV serology, ANA (for autoimmune), CRP/ESR · Penile swab / biopsy (if sores persist) · Neurological exam + possible brain MRI (due to balance issues) · Abdominal ultrasound / stool examination
Do not ignore:
· If you develop severe headache, vomiting, vision change, or inability to walk – go to ER immediately
👉 You’ve suffered too long. This is NOT normal. Please see a specialist this week – your symptoms may be curable if diagnosed correctly.
— Dr. Nikhil Chauhan (Urologist)
Hello dear I think it is balanitis It is primarily fungal in nature with predominance of candidiasis Iam suggesting some precautions and medication for improvement Please follow them for atleast two weeks 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) in addition Tablet paracetamol 500 mg 6 hourly Cold fomentation application on head and feet twice daily on fever Apply lulliconazole or fusidic acid topical application twice a day for 5 days Prevent moisture contamination Dry the involved organ Use lukewarm water for cleaning
In case of no improvement consult general physician (medicine) for better clarity Hopefully you recover soon Regards
long-standing mild itching with very small sores on the penis, along with abdominal discomfort, gas/constipation, and unrelated symptoms like headache or imbalance—do not clearly point to a single serious reproductive disease, and it’s important to separate them. The genital symptoms are most commonly due to chronic mild balanitis (irritation), fungal infection, dermatitis, or less commonly a sexually transmitted infection, especially since the sores are small, stable, and not worsening; however, the abdominal pain and gas are more likely digestive issues (such as gastritis, acidity, or IBS) and not directly related to the penis. Since this has been ongoing for years without resolution, you should have a focused evaluation: a physical exam by a doctor (preferably dermatologist or urologist), and simple tests like blood sugar (to rule out diabetes), urine test, and possibly STI screening if there is any sexual risk. Avoid irritants (strong soaps, tight clothing), keep the area clean and dry, and do not self-use multiple creams randomly as that can worsen the condition
Hi, I understand this has been going on for a long time and is worrying. Your symptoms are likely not all from one single disease. You have most likely separate issues, not one reproductive problem. Your Penile itching + small sores might be due to Balanitis or Candidiasis or Sexually transmitted infection, etc. Your headache+ balance issues might be due to Migraine or stress or vision problems, etc. Your Abdominal pain + gas + constipation might be due to Functional dyspepsia or Irritable Bowel syndrome, etc. Why your treatment didn’t work?- You were given antibiotics. But Fungal conditions need antifungal treatment. Functional gut issues need different management. Headache needs separate evaluation. Here is my advise-
1. For penile issue- Keep area clean and dry. Avoid harsh soaps. Physically consult a dermatologist/ family medicine specialist for visual inspection of your penile region to make a proper diagnosis and plan treatment. A chat consultation won’t help.
2. Get these tests done- CBC, RBS, HbA1C, Urine Routine Microscopy, HIV, VDRL, HbsAg, Anti-HCV.
3. For headache/balance, See a doctor urgently if Balance problem persists, Vision issues or Severe headache.
4. For stomach issues- Regular meals Avoid spicy/oily food. - Take Syrup Lactulose 15ml with warm water at night Ă— 7 days.
Seek urgent care if- Worsening balance problems, Severe headache, Large painful genital ulcers or Fever. This is not one single reproductive disease. You likely have Local genital infection, separate headache issue& digestive problem. Penile itching- likely fungal/inflammatory (treatable). Headache + balance- needs proper evaluation. Abdominal symptoms- likely functional.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
The symptoms you’re describing—persistent itching and small sores on the penis, headaches with balance issues, and abdominal pain that feels like ulcers or gas—can potentially be connected and are worth investigating thoroughly. Persistent itching and sores on the penis could be due to a sexually transmitted infection (STI) such as herpes simplex virus (HSV). Herpes can cause intermittent sores and itching, and it’s often accompanied by systemic symptoms such as headaches, which aligns with your symptoms of balance issues and memory difficulties. If you haven’t already been explicitly tested for STIs, it would be crucial to do so, as this could guide appropriate treatment. The abdominal pain might not be directly related, but stress and chronic pain from other untreated symptoms could certainly exacerbate these gastrointestinal issues; perhaps a thorough evaluation for conditions like chronic gastritis or peptic ulcers might be beneficial. You mentioned that you’ve visited a hospital, but it’s essential to revisit and ensure that comprehensive STI testing is included, along with a possible referral to a specialist like a dermatologist or neurologist based on ongoing symptoms. Meanwhile, avoid any irritants such as harsh soaps or lotions on the affected area and consider using a barrier method during sexual activity to protect against further irritation. If an infection is identified, antiviral medications available can significantly reduce symptoms and frequency of outbreaks, particularly with viral infections like herpes. Remember, effective diagnosis is key, so definitely pursue further assessment if symptoms persist despite initial investigations. Feel free to prompt for another visit with your healthcare provider to discuss these symptoms in detail, sometimes reevaluating a case or consulting a specialist leads to new insights and relief.
