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Dr.Sumanth
Dr.Sumanth, Doctor (MD)
Category: Urology
Satisfied Customers: 15381
Experience:  Consultant Pediatrician at Kanchi Kamakoti CHILDS Trust Hospital
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1I try to make an appointment for my son, yes 10 ago, can’t

Customer Question

Hi
JA: Hello. How can I help?
Customer: 1I try to make an appointment for my son
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: yes 10 ago
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: Hi can’t pees normally
Submitted: 22 days ago.
Category: Urology
Customer: replied 22 days ago.
Hi
Customer: replied 22 days ago.
He's in a lot of pain when he goes to the toilet To pees
Customer: replied 22 days ago.
My son is in a lot of pain when he wants to go to the toilet to pee
Customer: replied 22 days ago.
His penis are close and I want to make an appointment for specialist to cut and clean around
Customer: replied 22 days ago.
Expert:  Dr.Sumanth replied 22 days ago.

Hi...Welcome to Just Answer. I am Dr. Sumanth Amperayani. I have 16 years of experience in the field of Pediatrics at a tertiary care referral hospital. I am currently reviewing your question.

Kind regards ***** ***** Sumanth Amperayani

Expert:  Dr.Sumanth replied 22 days ago.

What is his age please?

Customer: replied 22 days ago.
4
Expert:  Dr.Sumanth replied 22 days ago.

Is his penis tip bulging while passing urine?

Please elaborate the difficulty he is facing.

Customer: replied 22 days ago.
Expert:  Dr.Sumanth replied 22 days ago.

Can you upload an image the tight prepuce while stretching the prepuce please?

Customer: replied 22 days ago.
Yeah, it's got the flat tip when it pees and it hurts every time
Expert:  Dr.Sumanth replied 22 days ago.

Can you upload an image please?

Customer: replied 22 days ago.
File attached (MZ265Q7)
Expert:  Dr.Sumanth replied 22 days ago.
Thank you for uploading the image for my better understanding.
This looks like tight prepuce and usually the kid might need to strain while passing urine for it to open up completely and for free passage of urine.
10 years back the only solution for this was circumcision but now application of hydrocortisone can do the trick.
I suggest the following technique -
Hold the kid in supine posture.
Try to stretch the penile skin back up to the extent where it is not paining him.
Take 1% Hydrocortisone on clean fingers and apply it from the tip of the penis down the shaft of the penis with mild pressure.
Repeat the procedure of application like this 5 to10 times once in the morning and once in the evening regularly for 4 weeks.Usually this should do the trick and open the tight prepuce.I sincerely ***** ***** I have helped you today!Is there anything else where I can be of assistance to you in this regard please. We can continue here until you are satisfied, simply use the reply box and let me know.Kind regards ***** ***** Sumanth Amperayani
Customer: replied 22 days ago.
One more question?
He do pee in the bed every single night!How do you think this are happening because penis are close?
Expert:  Dr.Sumanth replied 22 days ago.

It might be as he might be holding back the urine during day and involuntarily passing at night.