What causes redness and itching on the glans?
Patient: Hello Sir, I m a 19 yr old male. I have a question. I wish you could help me out please. From the last 1.5 months I had itching and redness on the glans and in the below end of glans. I m uncircumcised . And I masturbate almost twice everyday. My doctor gave me prulifoxacin 600mg for 5 days after which my redness and itching went away. I reckon it was Urinary Tract Infection. Later when the meds finished i masturbated, although the itch and redness were gone, the itch is sligthtly present like 5% of the whole. And Please note it only happens after masturbation rest of the time , its fine and it all disappears while the itch after masturbation is only for like 15 mins with a very very slight sensation of prick inside the penis and on the left side of the glans and some engorged red veins just for sometimes after masturbation and then its gone. I ve never had sexual relations yet but yes i admit i have alot alot alot of sexual thoughts across the day and that i stay erect numerous times in a day. The doc was unwilling to provide me any meds cuz i ve met two docs in the past and they said that i ve got mental stress and need psychiatrist. It s true a bit that i ve never been to school since 7th grade which i left challenging the principal and since then i ve completed and excelled in everything from school students and infact have defeated many teachers as well in knowledge despite of learning on my own at home. I ve immense and very hyper (above normal) enthusiasm in biology and especially in Microbiology. It may have been my half knowledge thats causing stress as i ve been stayin very afraid towards diseases but its certainly not OCD and due to recent outbreak of ebola even though there hasnt been a single case of it In India but im staying too precautious . I excercise everyday with dumbells and pushups . I listen music and don t like eating sweet much especially in the morning or as meal. Hence i cut tea from my daily schedule and only drink milk without sugar . I only like spicy hot, bitter and sour but sweet at its least. Recently i ve had abdominal pain below the left side of the ribcage (not the rear side) for six months which had gone for months but came back since yesterday and indigestion for 1.5 months which both the doctor say that s because of my overthinking. And yes last month i did a CBC in which everything was normal except. haemoglobin which was 0.5% less than normal but the docs said its not even a 1% matter of concern and infact i can donate blood with those levels and also my ultrasound i.e sonography (abdomen) reports were completely normal. I m just scared although i know its nothing serious since i never have had sex. I just wish to know whats the problem with my glans (balans) and why the itch . Does UTI take time to heal after 10 days of finishing medicines? Or is it due to excessive masturbation (although i paused for 2 days but of no avail) and its weird but i ve been masturbating since the age of 5 (although no ejaculations till puberty) but it hasnt every happened before or is it due to overthinking as the docs said? I thank u very very much sir Doctor: HelloThanks for query Based on the facts that you have posted you seem to be intelligent guy but unfortunately wasting your knowledge and time which are of least importance in day to day life .The itching and redness over glans that you get after masturbation is mostly due to infection of glans penis due to contamination (Ballanitis).You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily .along with topical antibiotic ointment like Neosporin twice daily.Most of your problems are due to anxiety .It is better you consult qualified Psychiatrist for counselling .Reduce  frequency of masturbation by keeping yourself busy in activities like sports ,reading ,social work etc so that you will not get free time to masturbate.Dr.Patil.