Inflammation and Eczema of the Glans and Foreskin

Glans and foreskin eczema inflammation?

Athletes engage in intense physical activity, but after each practice, they take a shower and rinse off (which removes the white residue and cleans the area between the glans and the foreskin).
However, there seems to be an issue with excessive washing.
After each wash, when they experience an erection at night while sleeping, there is a burning sensation (lying down does not cause pain, but sitting or bending during an erection results in severe pain, feeling as if the glans is stretching the foreskin and causing inflammation.
Pressing on the red areas of the glans and foreskin also causes some stinging pain).

Wang Dawei, 10~19 year old female. Ask Date: 2019/08/24

Dr. Xu Wencang reply Urology

Please visit the outpatient clinic for examination and treatment.

Reply Date: 2019/08/24

More Info

Understanding inflammation and eczema of the glans and foreskin can be quite complex, especially for individuals who engage in rigorous physical activities, such as athletes. The symptoms you describe—redness, burning sensations, and pain during certain positions—could be indicative of several underlying issues, including irritation, inflammation, or even an infection.

Potential Causes of Symptoms
1. Irritation from Over-Cleansing: While maintaining hygiene is crucial, excessive washing can strip the skin of its natural oils, leading to dryness and irritation. This is particularly true if harsh soaps or cleansers are used. The skin in the genital area is sensitive, and over-cleansing can result in inflammation, which may manifest as redness and discomfort.

2. Friction and Physical Activity: Engaging in sports can lead to friction in the genital area, especially if there is inadequate support or if the clothing is not breathable. This friction can cause irritation and inflammation of the skin, particularly during activities that involve bending or stretching.

3. Infection: Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can occur due to bacterial or fungal infections. Symptoms often include redness, swelling, and pain, especially during erections. If there is a discharge or a foul odor, it may indicate an infection that requires medical attention.

4. Eczema or Dermatitis: Eczema can occur in any part of the body, including the genital area. It is characterized by red, itchy patches and can be exacerbated by irritants or allergens. If you have a history of eczema elsewhere on your body, this could be a contributing factor.

Recommendations for Management
1. Gentle Cleansing: Instead of using harsh soaps, consider using mild, fragrance-free cleansers specifically designed for sensitive skin. Limit the frequency of washing to avoid stripping the skin of its natural oils.

2. Moisturizing: After cleansing, applying a gentle, hypoallergenic moisturizer can help maintain skin hydration and barrier function. Look for products that are free from fragrances and irritants.

3. Avoiding Irritants: Be mindful of any products that may come into contact with the genital area, including laundry detergents, fabric softeners, and personal care products. Switching to hypoallergenic options may help reduce irritation.

4. Wearing Appropriate Clothing: Opt for breathable, moisture-wicking fabrics during physical activities to minimize friction and moisture buildup. This can help reduce the risk of irritation and inflammation.

5. Medical Consultation: If symptoms persist or worsen, it is essential to consult a healthcare provider. They may perform a physical examination and possibly recommend tests to rule out infections or other underlying conditions. Treatment may include topical steroids for inflammation, antifungal or antibacterial medications if an infection is present, or other specific therapies based on the diagnosis.

Conclusion
In summary, the symptoms you are experiencing could be due to a combination of factors, including over-cleansing, friction from physical activity, or an underlying infection or dermatitis. It is crucial to adopt a gentle hygiene routine, moisturize adequately, and consult a healthcare professional if symptoms do not improve. Proper diagnosis and treatment are essential to alleviate discomfort and prevent further complications.

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