Swelling and Itching in the Scrotum and Foreskin Issues

Q: Swelling and Itching in the Scrotum and Foreskin Issues

Hello： <br>1. <br>A few days ago, I experienced itching in the scrotum and scratched it a few times. <br>After a few days, I noticed that the scrotum was swollen and still itchy, with some areas slightly broken skin that oozed and formed crusts, causing a stinging sensation when

Currently, there is a condition known as phimosis?

Hello, doctor.
I have been experiencing a series of issues over the past few days...
1.
A few days ago, I noticed itching in the scrotum, and after scratching it a few times, I found that the scrotum became swollen.
It still itches, and I have slightly broken the skin, causing some fluid to accumulate and resulting in a stinging sensation when the irritated area is rubbed.
In the last two to three days, I noticed slight swelling on the lower right side of the foreskin, which has now become more pronounced.
What could be the cause of this condition? How can I restore my health without seeing a doctor? Are there any recommended medications or ointments? 2.
The swelling on the lower foreskin is not painful, and I am unsure if there is redness or swelling.
My foreskin is naturally darker in color, and now it appears slightly darker.
It seems like my penis has shrunk.
I haven't engaged in sexual activity for a long time, and I recently masturbated once.
I wash daily and push back the foreskin to clean the glans and foreskin.
After showering, I do not dry it before pushing the foreskin back.
I have a condition of phimosis, and when not erect, the foreskin covers the glans; however, when erect, I can see a bit of the glans.
Regardless of whether I am erect or not, I can push back the foreskin to expose the entire glans.
How can I determine if the swelling of the foreskin is due to edema or an infection? How can I restore my health without seeing a doctor? Are there any recommended medications or ointments? -----End-----

wei, 30~39 year old female. Ask Date: 2023/10/16

Dr. Du Shixi reply Urology

Hello:
1.
A few days ago, I experienced itching in the scrotum and scratched it a few times.
After a few days, I noticed that the scrotum was swollen and still itchy, with some areas slightly broken skin that oozed and formed crusts, causing a stinging sensation when the broken skin was rubbed.
Over the past two to three days, I noticed slight swelling on the lower right side of the foreskin, which has now become more pronounced.
What could this condition be? --> If there is broken skin and swelling, it is likely an infection, and it will continue to enlarge if I do not seek medical attention.
How can I return to normal health? --> In case of infection, what medications or ointments do you recommend? ---> I cannot provide recommendations without a proper examination.
2.
The swelling of the foreskin does not hurt, and I am unsure if there is redness or swelling.
My foreskin is a darker skin tone, and it now appears slightly darker.
The penis seems to have shrunk.
I haven't had sexual intercourse for a long time, but I did masturbate once recently.
I wash daily and push back the foreskin to clean the glans and foreskin.
After showering, I do not dry off before pushing the foreskin back.
I have a condition of phimosis, and when not erect, the foreskin covers the glans.
When erect, I can see a little of the glans, and I can push back the foreskin to fully expose it regardless of whether I am erect or not.
How can I determine if the swelling of the foreskin is due to edema or an infection? --> If there is broken skin and swelling, it is likely an infection, and it will continue to enlarge (usually accompanied by redness).
How can I return to normal health without seeking medical attention? The same question applies regarding recommended medications or ointments.

Reply Date: 2023/10/16

More Info

When it comes to understanding swelling and itching in the scrotum and issues related to the foreskin, it's essential to consider several potential causes and the appropriate steps to take for treatment. Based on your description, it sounds like you may be experiencing a combination of irritation, possible infection, and perhaps an allergic reaction or dermatitis.

Possible Causes
1. Irritation or Dermatitis: The itching and subsequent scratching can lead to irritation of the skin, which may cause swelling and redness. This is often exacerbated by moisture and friction, especially if the area is not kept dry.

2. Infection: Conditions such as fungal infections (like candidiasis), bacterial infections, or sexually transmitted infections (STIs) can cause similar symptoms. If there is a discharge, odor, or significant redness, this could indicate an infection.

3. Allergic Reaction: Sometimes, products such as soaps, lotions, or even laundry detergents can cause allergic reactions, leading to itching and swelling.

4. Phimosis or Paraphimosis: Given that you mentioned having a longer foreskin, if the foreskin is not retracting properly, it can lead to swelling and discomfort. If the foreskin becomes trapped behind the glans, this can lead to paraphimosis, which is a medical emergency.

Recommendations for Treatment
1. Hygiene: Continue to maintain good hygiene by gently cleaning the area with mild soap and water. Avoid using harsh soaps or products that could further irritate the skin.

2. Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation and itching. If a fungal infection is suspected, antifungal creams like clotrimazole or miconazole can be effective. However, if you suspect a bacterial infection, it is crucial to consult a healthcare provider for appropriate antibiotics.

3. Avoid Scratching: Try to avoid scratching the area, as this can worsen the irritation and lead to secondary infections.

4. Moisture Control: Keep the area dry and consider wearing loose-fitting underwear to reduce friction and moisture buildup.

5. Consult a Healthcare Provider: Given the symptoms you described, especially the swelling and potential skin breakdown, it is advisable to see a healthcare provider. They can perform a physical examination, possibly conduct tests, and provide a definitive diagnosis and treatment plan.

When to Seek Immediate Care
If you experience any of the following, seek immediate medical attention:
- Severe pain or discomfort
- Fever or chills
- Significant swelling that does not improve
- Discharge from the penis or foreskin
- Signs of a systemic infection (e.g., increased heart rate, confusion)

Conclusion
While there are several potential causes for the symptoms you are experiencing, a healthcare provider's evaluation is crucial for an accurate diagnosis and appropriate treatment. Self-treatment may provide temporary relief, but understanding the underlying cause is essential for long-term health. Avoiding irritants, maintaining hygiene, and using appropriate topical treatments can help manage symptoms, but professional guidance is recommended to ensure proper care.

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