and Addressing Painful Red Bumps on the Foreskin - Dermatology

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Foreskin issues


There is a growth on the foreskin that causes slight pain when pressed, and it has a deep red color on the surface, resembling a bruise.

Niming, 10~19 year old female. Ask Date: 2019/05/01

Dr. Wu Yuxin reply Dermatology


No lesions were observed, making it difficult to determine the issue.
If it is causing significant distress, please seek medical attention promptly.

Reply Date: 2019/05/01

More Info


When it comes to painful red bumps on the foreskin, there are several potential causes that need to be considered. The symptoms you describe—pain upon pressure and a deep red coloration—could indicate a few different conditions, and it is essential to approach this issue with care.

One possibility is that the bump is a pearly penile papule, which is a common and benign condition characterized by small, painless bumps that can appear on the glans or foreskin. However, since you mentioned that the bump is painful and has a deep red color, this may not be the case.

Another potential cause could be folliculitis, which is an inflammation of the hair follicles. This condition can occur due to irritation, infection, or blockage of the follicles, leading to red, painful bumps. If the bump is near a hair follicle, this could be a likely explanation.

Infections are another consideration. Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can lead to painful swelling and redness. These infections can be caused by bacteria, fungi, or sexually transmitted infections (STIs). If the bump is accompanied by other symptoms such as discharge, itching, or a foul odor, it would be prudent to consult a healthcare provider for further evaluation.

Allergic reactions or irritation from soaps, lotions, or condoms can also lead to localized inflammation and painful bumps. If you have recently changed any products that come into contact with the genital area, this could be a contributing factor.

Given the symptoms you are experiencing, it is crucial to seek medical attention. A healthcare professional can perform a physical examination and may recommend tests to determine the exact cause of the bump. Treatment will depend on the underlying cause, and it may include topical or oral medications to address infection or inflammation.

In the meantime, here are some general recommendations to help manage discomfort:
1. Avoid Irritation: Refrain from using harsh soaps or products on the genital area. Opt for mild, unscented cleansers instead.

2. Keep the Area Clean and Dry: Maintain good hygiene to prevent further irritation or infection. Gently wash the area with warm water and pat dry.

3. Avoid Sexual Activity: Until you have a clearer understanding of the bump and its cause, it may be wise to avoid sexual activity to prevent potential irritation or transmission of an infection.

4. Pain Management: Over-the-counter pain relief medications such as ibuprofen or acetaminophen can help alleviate discomfort, but consult with a healthcare provider before taking any medication, especially if you have underlying health conditions or are taking other medications.

5. Monitor Symptoms: Keep an eye on the bump and any associated symptoms. If it worsens, changes in appearance, or if you develop fever or other systemic symptoms, seek medical attention promptly.

In summary, while there are several potential causes for the painful red bump on your foreskin, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure a swift recovery.

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