Red Bumps on the Glans: Causes and Treatment Options - Urology

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Understanding red bumps on the glans can be concerning, especially when they appear repeatedly. Based on your description, it seems that you have been experiencing a condition known as balanitis, which is inflammation of the glans (the head of the penis). This condition can be caused by several factors, including poor hygiene, irritation from soaps or detergents, infections (both fungal and bacterial), and even skin conditions like psoriasis or eczema.


Causes of Red Bumps on the Glans
1. Balanitis: As mentioned, this is the inflammation of the glans and can manifest as red bumps or spots. It can be caused by irritants, infections, or underlying skin conditions.


2. Infections: Fungal infections, such as candidiasis (thrush), can lead to red bumps and irritation. Bacterial infections can also cause similar symptoms.

3. Skin Conditions: Conditions like psoriasis or eczema can affect the genital area, leading to red, scaly patches or bumps.

4. Allergic Reactions: Sometimes, products used for personal hygiene, such as soaps or lotions, can cause allergic reactions, resulting in bumps or irritation.

5. Sexually Transmitted Infections (STIs): Certain STIs can present with symptoms that include bumps or lesions on the glans.


Treatment Options
1. Topical Treatments: If your doctor has prescribed a topical cream or ointment, such as a corticosteroid or antifungal cream, it is essential to follow their instructions. If the bumps disappear with treatment, it may not be necessary to continue using the medication unless advised by your physician.

2. Hygiene Practices: Maintaining good hygiene is crucial. You mentioned that you clean the area daily and use a specific wash. Ensure that you are rinsing thoroughly and drying the area completely, as moisture can exacerbate fungal infections.

3. Avoid Irritants: If you suspect that a product may be causing irritation, consider switching to a hypoallergenic soap or wash. Avoid using scented products in the genital area.

4. Dryness Maintenance: If you are unable to undergo circumcision due to work commitments, you can maintain dryness by wearing breathable underwear and avoiding tight-fitting clothing. Cotton underwear is often recommended for better airflow.

5. Follow-Up with a Doctor: If the red bumps persist or worsen, it is advisable to return to your healthcare provider. They may need to perform additional tests to rule out infections or other underlying conditions. If necessary, they might refer you to a dermatologist for further evaluation.


Additional Considerations
- Avoid Self-Medicating: While you mentioned the possibility of using a specific cream (美X乳膏), it is crucial to consult with your doctor before using any over-the-counter treatments, as they may not be appropriate for your condition.

- Monitor Symptoms: Keep track of any changes in your symptoms, including the appearance of new bumps, changes in color, or any associated pain or itching. This information will be helpful for your healthcare provider.

- Lifestyle Adjustments: Consider lifestyle factors that may contribute to your symptoms, such as stress, diet, and overall health. A balanced diet and managing stress can positively impact your skin health.

In conclusion, while red bumps on the glans can be benign, they warrant attention, especially if they recur. Following proper hygiene, avoiding irritants, and consulting with your healthcare provider for persistent symptoms are essential steps in managing your condition effectively.