Balanitis: Symptoms, Treatment, and When to Seek Help

Q: Balanitis: Symptoms, Treatment, and When to Seek Help

Hello： 1. <br>Yes, balanitis refers to inflammation of the foreskin, usually caused by factors such as phimosis, poor hygiene practices, or infections. <br>2. <br>It is not necessary, but it is important to maintain cleanliness and dryness. <br>If there is any DIY treatment, it s

Balanitis issues?

Because I have a phimosis issue, a few days ago I pushed back my foreskin and found that the area connecting to the glans was red, swollen, and itchy.
After applying clotrimazole for a few days, several red spots appeared in the swollen area.
Normally, I don't feel much when I retract the foreskin, but sometimes it itches, and touching it or washing with water causes slight pain.
After seeing a doctor, they said the redness and swelling are not severe, but the doctor might have missed the small red spot wounds.
The doctor prescribed Mecon cream to apply three times a day and did not prescribe antibiotics.

1.
I would like to ask if this is a symptom of balanitis.
2.
Should I reduce the frequency of applying the cream from three times a day?
3.
If I'm worried about the wounds worsening, can I use hydrogen peroxide to clean them? Will disinfecting help them heal faster?
4.
Do I need to see a doctor again to emphasize the presence of the red spot wounds?

Bu Bu, 10~19 year old female. Ask Date: 2023/03/10

Dr. Du Shixi reply Urology

Hello: 1.
Yes, balanitis refers to inflammation of the foreskin, usually caused by factors such as phimosis, poor hygiene practices, or infections.
2.
It is not necessary, but it is important to maintain cleanliness and dryness.
If there is any DIY treatment, it should be avoided for the time being.
The diet should be light and not too irritating.
3.
Avoid anything that is too irritating.
4.
You can explain your situation to the physician during your follow-up appointment, and if there has been any unsafe sexual behavior, you should also inform the doctor.
Wishing you good health.

Reply Date: 2023/03/10

More Info

Balanitis is an inflammation of the glans penis, often characterized by symptoms such as redness, swelling, itching, and sometimes pain. It can occur due to various reasons, including infections (bacterial, fungal, or viral), irritants (like soaps or lotions), or underlying medical conditions (such as diabetes). Given your description of symptoms—redness, swelling, itching, and the presence of red spots—it does sound like you may be experiencing balanitis, particularly in the context of your phimosis (the inability to retract the foreskin).

1. Is this balanitis? Based on your symptoms, it is plausible that you have balanitis. The inflammation and discomfort you are experiencing, especially after retracting the foreskin, align with common symptoms of this condition. The red spots you mentioned could be indicative of irritation or a mild infection, which is not uncommon in cases of balanitis, especially if hygiene is a concern or if there is a pre-existing condition like phimosis.

2. Regarding the application of the ointment: You mentioned that your doctor prescribed a topical ointment (likely a corticosteroid or an antifungal cream) to be applied three times a day. It is essential to follow your doctor's instructions regarding the frequency of application. If you find that the symptoms are improving, you might consider discussing with your doctor the possibility of reducing the frequency of application. However, do not make this decision unilaterally; always consult with your healthcare provider first.

3. Using hydrogen peroxide: While hydrogen peroxide is a common antiseptic, it can be harsh on sensitive skin, especially in delicate areas like the genital region. It may cause further irritation and delay healing. Instead, gentle cleansing with mild soap and water is usually recommended. If you are concerned about the cleanliness of the area, you might consider using a saline solution or a gentle antiseptic recommended by your doctor. Always consult your healthcare provider before applying any new treatment to avoid exacerbating the condition.

4. Should you seek further medical attention? If you notice that the red spots are not improving, are getting worse, or if you develop additional symptoms (such as increased pain, discharge, or fever), it would be wise to return to your healthcare provider. It’s important to communicate any concerns you have, especially if you feel that the initial examination did not fully address your symptoms. A follow-up visit can provide peace of mind and ensure that you receive appropriate care.

In summary, your symptoms are consistent with balanitis, and while the treatment prescribed by your doctor is appropriate, it's crucial to monitor your symptoms closely. Maintain good hygiene, follow your doctor's instructions regarding medication, and do not hesitate to seek further medical advice if your condition does not improve or worsens. Remember, early intervention can prevent complications and promote faster healing.

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