Itchy Red Bumps: Urology Concerns and Solutions - Urology

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My lower body is very itchy?


I have developed a red bump on my penis and another red bump on my testicles.
I've been scratching the itchy areas, and the itching has gradually spread to my thighs, calves, and even my buttocks.
The more I scratch, the itchier it gets.
What should I do, doctor? Please help.

Jiahong, 10~19 year old female. Ask Date: 2016/06/11

Dr. Chen Jiansheng reply Urology


Hello, sir: Skin issues in the perineal area are difficult to address through online consultations.
Please visit the clinic for an in-person examination by a physician.
Chen Jian-sheng, Urology Department, Xinying Hospital.

Reply Date: 2016/06/11

More Info


Itchy red bumps on the genital area, as well as on the thighs and buttocks, can be concerning and may indicate a variety of conditions. Given your symptoms of itching and the appearance of red bumps, it is essential to consider several potential causes and appropriate management strategies.

Firstly, the presence of itchy red bumps could be due to a dermatological condition such as contact dermatitis, which is an allergic reaction to substances that come into contact with the skin. This could include soaps, lotions, or even laundry detergents. Another possibility is a fungal infection, such as jock itch (tinea cruris), which is common in warm, moist areas and can cause red, itchy rashes. Additionally, sexually transmitted infections (STIs) like herpes or molluscum contagiosum can present with similar symptoms, especially if there are vesicles or pustules.

Given that the itching has spread from the genital area to the thighs and buttocks, it may also suggest a systemic reaction or a condition like scabies, which is caused by tiny mites that burrow into the skin, leading to intense itching and a rash that can spread across the body.

To manage your symptoms effectively, here are some steps you can take:
1. Avoid Scratching: While it may be tempting to scratch the itchy areas, this can lead to further irritation and potential secondary infections. Try to keep your nails short and consider wearing loose-fitting clothing to minimize irritation.

2. Topical Treatments: Over-the-counter hydrocortisone cream can help reduce inflammation and itching. Antihistamines like diphenhydramine (Benadryl) can also provide relief from itching, especially if it is due to an allergic reaction.

3. Maintain Hygiene: Keep the affected areas clean and dry. Use mild, unscented soaps and avoid hot baths, which can exacerbate itching. After bathing, ensure the area is thoroughly dried.

4. Avoid Irritants: Identify and avoid any potential irritants or allergens that may have triggered your symptoms. This includes changing soaps, detergents, or any personal care products you may have recently started using.

5. Consult a Healthcare Provider: If your symptoms persist or worsen, it is crucial to seek medical attention. A healthcare provider can perform a physical examination, take a detailed history, and possibly conduct tests to determine the underlying cause of your symptoms. They may prescribe stronger topical steroids, antifungal medications, or other treatments depending on the diagnosis.

6. Consider STIs: If there is any possibility of exposure to STIs, it is essential to get tested. Early diagnosis and treatment can prevent complications and the spread of infections.

In summary, while itchy red bumps can be caused by various conditions, proper hygiene, avoidance of irritants, and appropriate topical treatments can help manage symptoms. However, consulting a healthcare professional is vital for a definitive diagnosis and tailored treatment plan. Your health and well-being are paramount, and addressing these symptoms promptly can lead to better outcomes.

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