32 years male patient married
no h/o dm htn 
from last 10 days
32 years male patient married
no h/o dm htn 
from last 10 days cracks have come on the prepuse and foreskin of the penis and the skin is also become hard and stiff 
dx and rx plz
primarily pt has got phimosis and due to friction developed cracked fore skin with super added infection.
pt should go for blood sugar and hba1c test to see really diabetic or not because these sorts ailment common with the diabetic patients.
initially treatment of infection with
antibiotic broad spectrum
to clean the part and dried up application of mipurocin ointment 
once the infection is controlled
plan for curcumcission
if they have phimosis, sex will likely be better without the foreskin. phimosis can reliably be cured naturally though by just stretching the skin to where it functions normally.a guys foreskin protects the most sensitive part of the penis from being touched by anything else. why does it need to be protected? because that part of the body is designed to be sensitive in order to give pleasure during sex. anatomically the part of the body it protects is the exact same as a girls clit. a guy being circumcised is the exact same as a girl having her clitoral hood removed which--just like the penis--the clit would develop layers of callus over it therefore decreasing it's sensitivity. a simple way to relate to this is a guy with a natural penis cannot pull the skin back and walk about with pants on. the friction on his penis would be too intense. guys with without foreskins can do that without any issue though because their penis doesn't feel as much.so it is pretty easy to see that circumcision decreases sensitivity and is only beneficial if the guy has some type of incurable phimosis. having less sensitivity will not make sex better in the same way having a less sensitive clit will not make sex better for a woman. Hello Damar



Clots or white spots resembling sperm on the penis are probably smegma, smegma itself is a collection of oil deposits or dead skin tissue, this condition is not a disease because everyone experiences it. In men who are not circumcised, the buildup of smegma tends to occur in the inner area of ​​the foreskin of the penis, however, even men who are circumcised can still experience smegma buildup. but if every day the penis is regularly cleaned by pulling the foreskin and rubbing the penis and washing it, the buildup of this smegam can be prevented.



The presence of smegma is generally not dangerous, but if the amount is excessive, it will become a medium for germs to grow so that it can cause pain, swelling, itching, and redness. Smegma is also associated as a risk factor for cervical cancer in your partner, however, as long as the penis is cleaned regularly, the buildup of smegma can be prevented, and this risk factor can be minimized.



In addition to the presence of echoes of other medical conditions that are also a consideration for complaints in the form of a sperm-like fluid accompanied by a feeling of incomplete urine is



Gonorrhea, or better known as gonorrhea Chlamydia Epididymitis Orchitis Urinary tract infection  

Of course, an assessment by a doctor needs to be done first, in order to ascertain what condition Damar is actually experiencing at this time, a physical examination and a question and answer session regarding Damar's medical history will provide the necessary information in planning the right treatment or medical procedure.



Related articles to listen to how to care for the penis



May be useful



dr. Arnold It is normal to have more skin pigmentation in one's genital organs. i'm not sure what you're asking... the old marks aren't contagious, so there is little risk. of course, if he had chicken pox, he could get shingles later, so if you're at risk since you haven't had chicken pox, you should get vaccinated. if you're having other issues with your boyfriend, i don't think the marks will make a big difference. see more... A.  I think your analysis of the situation is correct. Your husband’s fears about not being able to perform are bigger than his concern for his 21 year marriage. Imagine how big those fears must be! The doctors who were trying to help weren’t helpful in that they treated the physical problem without taking into account the emotional message of their interventions. I wish they had talked to him about how normal it is for a man who is under lots of pressure to have trouble performing. I wish they had included you in the discussions.


You probably can’t help him understand that he is running away. At this point, he’s had 10 years of believing that whatever is wrong can’t be fixed. For that reason, I think it would be more helpful for you to start going to a therapist yourself — not because I think you are the patient here but because your relationship is in trouble. When one member of a couple has a problem, the couple has a problem. When one member of a couple starts to go to [therapy](https://psychcentral.com/psychotherapy/) and starts learning new ways to manage stress, it shows. Often that makes the other member of the couple willing to give it a try. Work with a therapist who can hear your whole story and who can give you suggestions about how to approach your husband in new ways. 



You’ve done what you can on your own. Your husband is a lucky man indeed to have a wife who is as understanding and as willing to help as you are. But both you and your husband are missing out on the intimacy that is a special part of a long marriage. For that reason, I encourage you to make an appointment and get started with therapy. 


I wish you well.  

Dr. Marie


Work as Avoidance Technique you could see a dermatologist, dentist, or oral surgeon. could be a canker sore (apthous ulcer) or herpes. topical lidocaine, or a mixtire of benadryl, (diphenhydramine) maalox, and lidocaine helps. stay away from citrus, or spicy foods. see more... the so-called, "collagen/anti-aging" cream is an advertising term and will not do what implies. use any make up that will mask the lesions.
for good health - have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. avoid saturated fats. exercise at least 150 minutes/week and increase the intensity of exercise gradually. do not use tobacco, alcohol, weed or street drugs in any form. 
practice safe sex. 
get hpv vaccine. see more... Hello, you can take homoeopathic medicine Glow care drops (Lord's) ( 10 drops in little water) thrice a day for a week and revert. 
Follow the tips 
1. Cleanse your face twice a day using lukewarm water to dissolve oil. 
2. Avoid touching your face with your hands as this germs to your facial [skin](https://www.lybrate.com/medicine/zole-skin-ointment), making it to breakouts. 
3. Ensure that you drink10-12 glasses of water daily. 
4. Avoid fried and spicy food. 
5.Include fruits, raw vegetables and fresh vegetable juices in your [diet](https://www.lybrate.com/treatment-for-healthy-diet). 
6.Avoid harsh skin products. Hello Satish ,
 Along with medication you need to avoid other trigger factors like - 
Caffeine 
Sugar and processed food 
Any food allergies or sensitivities that goes unnoticed. 
Be careful of your digestion. 
Drink plenty of water.
 
Home remedy -
1. 1tsp turmeric +1tsp raw honey + 1tsp milk apply this pack and wash after 30 mins.
2. Fresh cucumber blended into facial mask also helps .
 For customised treatment of naturopathy or homoeopathy you can contact me .
Regards, 
Dr. Heena changes are certainly possible, but if you feel a hard lump, or if you are uncertain of the significance of what you are feeling, you should see your doctor for an evaluation to make sure. see more...