Andrea Fungal balanitis can be treated by keeping the area clean and dry, applying topical antifungal drugs, oral antifungal drugs, avoiding sexual intercourse, and adjusting living habits. Fungal balanitis is usually caused by Candida albicans infection, low immunity, sexual transmission, poor control of diabetes, long-term use of antibiotics, etc.
1. Keep the area clean and dry
Wash the foreskin and glans area with warm water every day, and wipe dry after cleaning to avoid humid conditions. Weak acidic lotions can be used appropriately to assist cleaning, but irritating soaps or shower gels are prohibited. Choose cotton underwear with good breathability and change it daily to reduce local friction and stuffiness. If there is a problem of excessive foreskin, the foreskin needs to be completely turned up during cleaning to remove smegma.
2. Topical antifungal drugs
Clotrimazole cream can directly inhibit Candida albicans cell membrane synthesis and should be applied thinly to the affected area 1-2 times a day. Miconazole Nitrate Powder can interfere with fungal sterol synthesis and can be sprayed on dry affected areas to form a protective layer. After applying the bifonazole solution, you need to massage it until it is absorbed. A brief burning sensation may occur during use. Topical drugs need to cover all erythema and papule areas, and the treatment course usually lasts for 2-4 weeks until the symptoms disappear.
3. Oral antifungal drugs
Itraconazole capsules work by inhibiting fungal cytochrome P450 enzymes and are suitable for patients with recurrent infections or infections combined with other parts. Fluconazole tablets are highly selective against Candida and should be used with caution in patients with abnormal liver function. Nystatin tablets have poor intestinal absorption and are mostly used in conjunction with excessive proliferation of intestinal Candida. Oral drugs need to be accompanied by liver function monitoring and avoid combination with specific drugs.
4. Avoid sex
Unprotected sex is prohibited during treatment to prevent cross-infection or aggravation of the condition. Spouses or sexual partners need to be tested for fungi at the same time, and those who are positive need to be treated together. Condoms should be used during early sexual intercourse after recovery to reduce the risk of recurrence. When combined with urethral irritation symptoms, secondary urinary tract fungal infection should be investigated.
5. Adjust living habits
Controlling blood sugar is crucial for diabetics, as a high blood sugar environment can easily cause fungi to multiply. Reduce the abuse of antibiotics and use probiotics to maintain the balance of the flora when necessary. Strengthen nutritional intake to improve immunity, and appropriately supplement vitamin B and zinc. Avoid riding a bicycle or wearing tight pants for long periods of time to reduce local compression and sweating.
Patients should avoid scalding the affected area with hot water on a daily basis. When the itching is severe, cold compresses can be used to relieve it. The diet needs to limit the intake of high-sugar foods and alcohol, and eat more probiotic-containing foods such as yogurt. During treatment, follow the doctor's instructions for regular follow-up visits. If symptoms worsen or new ulcers appear, you need to seek medical attention promptly. For those with tight foreskin or phimosis, circumcision may be considered to prevent recurrence after the infection is controlled.
