Balanitis: Symptoms, Causes, and Treatment Options

Q: Balanitis: Symptoms, Causes, and Treatment Options

Hello： After experiencing a skin break, it is important to take good care of the wound. <br>Do not use soap or body wash on the injured area. <br>Pay special attention to keeping it clean and dry. <br>Clean the wound daily and pat it dry. <br>If there is a lot of discharge, it is

Foreskin issues

Hello, doctor.
A few weeks ago, I think I was too vigorous during masturbation, which led to a stinging pain and redness in a certain area when I was showering.
I ended up washing it with soap.
The next day, I noticed that area was very itchy, and I kept scratching it, resulting in redness and bleeding, and even some pus.
In the following days, the area under the foreskin remained red and itchy.
Although it has improved a lot now, I still experience occasional itching and discomfort.
I'm not sure if I have balanitis.
I also noticed some white discharge, which seems dry, and when I rub it, some flakes come off, but some do not seem to come off, and I wonder if it could be fibrosis.
In the past, I had some smegma and white spots, but it was never this severe.
My brother has diabetes and also has balanitis, but I don't think I have diabetes because I'm very thin, I don't have frequent urination, and urination doesn't cause any discomfort.
I would appreciate your guidance on this.
Thank you.

Johnny, 10~19 year old female. Ask Date: 2022/03/28

Dr. Jian Weihong reply Urology

Hello: After experiencing a skin break, it is important to take good care of the wound.
Do not use soap or body wash on the injured area.
Pay special attention to keeping it clean and dry.
Clean the wound daily and pat it dry.
If there is a lot of discharge, it is likely still inflamed, and it is advisable to seek medical treatment to prevent it from becoming chronic or frequently recurring.
As for whether there is diabetes, a blood test is necessary for diagnosis.
If diabetes is present, the foreskin is more prone to inflammation and can also become chronic.
It is recommended to inform the physician about any family history of diabetes during the visit and to check fasting blood sugar levels.
Wishing you good health.

Reply Date: 2022/03/28

More Info

Balanitis is an inflammation of the glans (the head) of the penis, and it can be caused by a variety of factors, including infections, irritants, and underlying medical conditions. Based on your description, it sounds like you may be experiencing symptoms consistent with balanitis, particularly after engaging in vigorous activity that may have caused irritation.

Symptoms of Balanitis
The symptoms of balanitis can vary but typically include:
- Redness and swelling of the glans
- Itching or burning sensation
- Pain or discomfort, especially during urination or sexual activity
- Discharge, which may be clear, cloudy, or purulent (pus-like)
- Foul odor
- Presence of white patches or a thick, white substance (smegma) under the foreskin
In your case, the symptoms you described—redness, itching, and discharge—are indeed indicative of balanitis. The fact that you have experienced bleeding and pus suggests that there may be an infection present, which could be bacterial or fungal in nature.

Causes of Balanitis
Balanitis can be caused by several factors, including:
1. Infections: Bacterial infections, yeast infections (such as Candida), and sexually transmitted infections (STIs) can lead to balanitis.

2. Irritation: Friction from vigorous sexual activity or masturbation, as well as irritation from soaps, lotions, or other personal care products, can contribute to inflammation.

3. Poor Hygiene: Accumulation of smegma (a combination of dead skin cells and oils) under the foreskin can lead to irritation and infection.

4. Underlying Conditions: Conditions such as diabetes can predispose individuals to infections, including balanitis. Even if you do not have diabetes, it is important to monitor for symptoms, especially if there is a family history.

Treatment Options
Treatment for balanitis depends on the underlying cause:
- Good Hygiene: Keeping the area clean and dry is crucial. Gently wash the area with warm water and mild soap, and avoid harsh soaps or irritants.

- Topical Treatments: If a fungal or bacterial infection is suspected, antifungal or antibiotic creams may be prescribed. Over-the-counter antifungal creams can also be effective for yeast infections.

- Steroid Creams: In cases of inflammation without infection, topical corticosteroids may help reduce swelling and discomfort.

- Avoiding Irritants: If you suspect that soaps or other products are causing irritation, discontinue their use and opt for hypoallergenic alternatives.

- Medical Evaluation: If symptoms persist or worsen, it is important to seek medical attention. A healthcare provider can perform a physical examination, take a history, and possibly conduct tests to determine the exact cause of your symptoms.

When to Seek Medical Attention
You should see a healthcare provider if:
- Symptoms do not improve with home care.

- You experience severe pain or swelling.

- There is a significant amount of discharge or bleeding.

- You have fever or other systemic symptoms.

- You notice any changes in urination or sexual function.

In conclusion, while it is possible that you are experiencing balanitis, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can prevent complications and help alleviate discomfort.

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