and Managing Inflammation of the Foreskin: A Guide - Urology

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Balanitis


Hello: I have inflammation of the foreskin, and I went to see a doctor.
The doctor prescribed me "Lifuh" and antibiotics.
After applying it, I felt a bit better, but now I seem to have developed some small ulcers in the coronal sulcus area.
I have been applying the medication for about 5 to 6 days, and I'm unsure how long it will take to heal.
I would like to ask the doctor: 1.
What is the correct way to apply the medication? Should I wash with water before applying? 2.
Could this ointment make the condition worse with continued use? 3.
If in a few days there is no improvement or if it worsens, should I go back to see the doctor to change the medication or consult another doctor? The doctor prescribed me a week's worth of medication, and I'm unsure if I should return for a follow-up.

Hi, 10~19 year old female. Ask Date: 2016/03/19

Dr. Li Xinyi reply Urology


It is recommended not to apply "Lifoo." It is advisable to return to the urology department for an examination and discuss with the physician.

Reply Date: 2016/03/19

More Info


Understanding and managing inflammation of the foreskin, also known as balanitis, can be a delicate issue that requires careful attention to hygiene, medication application, and monitoring of symptoms. Here’s a comprehensive guide to help you navigate your situation.


1. Proper Application of Medication
When applying topical medications, such as the one prescribed to you (利膚), it is essential to follow a proper technique to maximize effectiveness and minimize irritation. Here are some steps to consider:
- Clean the Area: Before applying any medication, it is advisable to gently wash the affected area with warm water. This helps remove any discharge, debris, or irritants that may be present. Avoid using harsh soaps or products with fragrances, as these can exacerbate irritation.


- Dry Thoroughly: After washing, gently pat the area dry with a clean towel. Moisture can promote further irritation or infection, so ensure the area is completely dry before applying the medication.

- Apply the Medication: Use a clean finger or a cotton swab to apply a thin layer of the medication to the affected area. Avoid using excessive amounts, as this can lead to a buildup of the product and potentially worsen irritation.


2. Concerns About Worsening Symptoms
It is not uncommon to experience some initial irritation or discomfort when starting a new medication. However, if you notice new symptoms, such as small ulcers or increased redness, it is crucial to monitor these changes closely. Here are some points to consider:
- Medication Side Effects: Some topical medications can cause localized irritation or allergic reactions, leading to symptoms that may appear worse than the original condition. If the medication is causing increased discomfort or new lesions, it may be necessary to reassess its use.

- Infection Risk: If the area is not healing and new sores are developing, there is a possibility of a secondary infection. This can occur if the skin barrier is compromised, allowing bacteria to enter.


3. When to Seek Further Medical Attention
If you have been using the prescribed medication for 5-6 days without significant improvement, or if your symptoms are worsening, it is advisable to consult your healthcare provider. Here are some guidelines for when to seek further medical attention:
- Persistent Symptoms: If you do not notice any improvement in your symptoms after a week of treatment, or if they worsen, it is essential to return to your doctor. They may need to reassess your condition and consider alternative treatments.

- Change of Doctor: If you feel uncomfortable with your current treatment plan or if your concerns are not being addressed, it is entirely reasonable to seek a second opinion. A different healthcare provider may offer new insights or alternative therapies that could be more effective.

- Signs of Infection: If you experience increased pain, swelling, pus, or fever, these could be signs of a more serious infection requiring immediate medical attention.


Conclusion
Managing inflammation of the foreskin involves careful hygiene, appropriate medication use, and vigilant monitoring of symptoms. Always prioritize gentle cleaning and drying of the area before applying any topical treatments. If symptoms persist or worsen, do not hesitate to seek further medical advice. Your health and comfort are paramount, and it is essential to ensure that you receive the most effective care possible.

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