and Managing Painful Bumps on the Penis Head - Dermatology

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Foreskin issues


I have swelling near the head of my penis, which has been painful for the past few days.
After two days, I noticed a white substance that looked like pus.
After squeezing it, the swelling decreased somewhat.
Now it no longer hurts, but it has turned into a large bump that resembles both a pimple and a cyst.
It appears a bit red with white spots.
What should I do? I'm worried that it's not just a pimple, and that directly puncturing it could cause problems.

nan, 20~29 year old female. Ask Date: 2017/02/22

Dr. Wu Yuxin reply Dermatology


First, make an appointment with the urology department.

Reply Date: 2017/02/22

More Info


When dealing with painful bumps on the head of the penis, it is essential to approach the situation with caution and an understanding of potential underlying causes. Based on your description, it sounds like you may be experiencing a condition known as a sebaceous cyst, folliculitis, or possibly a sexually transmitted infection (STI) such as herpes or genital warts. However, without a physical examination, it is challenging to provide a definitive diagnosis.


Understanding the Symptoms
1. Painful Bumps: The presence of painful bumps can indicate inflammation or infection. If the bump is red and has a white center, it may suggest a pus-filled cyst or an infected hair follicle (folliculitis).
2. Discharge: The white substance you mentioned could be pus, which typically indicates an infection. If the bump is indeed a cyst, it may contain sebum, a natural oil produced by the skin.

3. Change in Symptoms: The fact that the pain has subsided but the bump remains is a positive sign, as it may indicate that the acute phase of inflammation is resolving. However, the persistence of the bump warrants further investigation.


Recommended Actions
1. Avoid Squeezing: It is crucial not to squeeze or pop the bump. Doing so can lead to further irritation, infection, or scarring. Instead, allow the area to heal naturally.

2. Maintain Hygiene: Keep the area clean and dry. Use mild soap and water to wash the area gently. Avoid using harsh chemicals or irritants that could exacerbate the condition.

3. Warm Compress: Applying a warm compress to the area may help reduce swelling and promote drainage if the bump is indeed an infected cyst. Do this for about 15-20 minutes, several times a day.

4. Topical Treatments: Over-the-counter topical antibiotics may be beneficial if there is a concern about infection. However, consult with a healthcare provider before applying any medication.

5. Monitor Symptoms: Keep an eye on the bump for any changes in size, color, or pain level. If it becomes increasingly painful, grows larger, or shows signs of spreading infection (such as fever or increased redness), seek medical attention promptly.


When to See a Doctor
It is advisable to consult a healthcare provider if:
- The bump does not improve within a few days.

- You experience significant pain or discomfort.

- There are signs of systemic infection, such as fever or chills.

- You have concerns about STIs, especially if you have had unprotected sexual contact.

A healthcare provider can perform a physical examination and may recommend tests, such as a swab of the bump or blood tests, to rule out infections or other conditions. They may also provide treatments such as drainage of the cyst or prescription medications if necessary.


Conclusion
While it is understandable to be concerned about the nature of the bump on your penis, it is crucial to approach the situation with care. Avoid self-treatment methods that could worsen the condition, and prioritize seeking professional medical advice for a proper diagnosis and treatment plan. Remember, many conditions affecting the genital area are common and treatable, so there is no need to feel embarrassed about seeking help.

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