Red Spots and White Bumps in Balanitis: Treatment Options - Urology

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Consultation for Balanitis


Hello, doctor.
I have some red spots on my glans, and upon closer inspection, there are small white papules in the center of the red spots.
What could be the cause of this? Should I continue applying Meikang ointment? Can I also continue using Meikang ointment for redness and swelling (erythema) caused by abrasions or minor ulcers?

Hao, 10~19 year old female. Ask Date: 2020/10/03

Dr. Du Shixi reply Urology


Hello: If there is a wound, I personally do not recommend using Meikang ointment.
Keep the area clean and dry.
If disinfection is needed, you can use Betadine (alcohol-free).
Wishing you good health.

Reply Date: 2020/10/03

More Info


Balanitis, or inflammation of the glans penis, can present with various symptoms, including red spots and white bumps. These symptoms can arise from several underlying causes, including infections, irritations, or allergic reactions. The presence of red spots with white bumps in the center may suggest a few possibilities, such as:
1. Infection: Bacterial or fungal infections can lead to inflammation and the formation of red spots. For instance, candidiasis (a yeast infection) often presents with red, inflamed areas and white patches or bumps.

2. Irritation: Irritation from soaps, lotions, or even friction from sexual activity can cause redness and bumps. This is particularly common if there is a history of sensitive skin or allergies.

3. Dermatological Conditions: Conditions such as psoriasis or lichen planus can also manifest as red spots with white scales or bumps. These are chronic skin conditions that may require specific treatments.

4. Sexually Transmitted Infections (STIs): Certain STIs can cause similar symptoms. If there is any concern regarding STIs, it is crucial to consult a healthcare provider for appropriate testing and treatment.

Regarding the use of Meikang cream (美康乳膏), which is often used for its anti-inflammatory and soothing properties, it may be beneficial in cases of irritation or mild inflammation. However, if the condition is due to an infection, particularly a fungal or bacterial one, the cream may not be sufficient and could potentially exacerbate the issue.


Recommendations:
1. Consult a Healthcare Provider: It is essential to have a healthcare professional evaluate the symptoms. They may perform a physical examination and, if necessary, take swabs for laboratory analysis to determine the exact cause of the symptoms.

2. Continue Using Meikang Cream: If the cream has been prescribed for irritation or inflammation, it may be safe to continue using it unless advised otherwise by a healthcare provider. However, if there is no improvement or if symptoms worsen, it is crucial to stop using it and seek medical advice.

3. Avoid Irritants: Until the cause of the symptoms is determined, avoid using any potential irritants, such as scented soaps, lotions, or other topical products that could aggravate the condition.

4. Maintain Hygiene: Keeping the area clean and dry is essential. Gently wash the area with mild soap and water, and ensure it is thoroughly dried afterward.

5. Monitor Symptoms: Keep track of any changes in symptoms, such as increased redness, swelling, pain, or discharge. This information can be valuable for your healthcare provider.

6. Avoid Self-Diagnosis: While it may be tempting to self-diagnose based on symptoms, many conditions can present similarly. A healthcare provider can offer a definitive diagnosis and appropriate treatment plan.

In summary, while Meikang cream may provide relief for irritation, it is crucial to understand the underlying cause of the red spots and white bumps. Consulting a healthcare provider for a thorough evaluation and tailored treatment plan is the best course of action.

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