Skin Issues: Bumps on Scrotum and Lips in Adolescents

Keratosis pilaris

A few weeks ago, I noticed something near my scrotum that looks like "skin where the feathers of a chicken have been plucked," and it appears to be grainy.
It looks quite alarming and there are many of them.
What could this be? Also, I have developed what looks like pimples inside my lips, and there are quite a few of them.
They look like small grains stuck in my lips, which is also very concerning.
Could this be related to something from my genital area affecting my lips?

Yu, 10~19 year old female. Ask Date: 2004/08/21

Dr. Cai Bingkun reply Urology

It sounds like what you're describing about your scrotal skin resembling plucked chicken feathers in small bumps is normal.
That is the skin of the scrotum, which is highly elastic and can stretch to a size comparable to a small pillow, so there’s no need to worry.
As for the issue with your lips, it would be best to consult an ENT specialist or a dentist.

Reply Date: 2004/08/21

More Info

When it comes to skin issues, particularly in adolescents, it's essential to approach the situation with care and understanding. The symptoms you've described—bumps on the scrotum and similar lesions on the lips—can be concerning, but they are not uncommon in this age group. Let's break down the possible causes and what you can do about them.

Bumps on the Scrotum
The bumps you are observing near the scrotum could be several things. One common cause is pearly penile papules, which are small, harmless bumps that can appear on the shaft of the penis or around the scrotum. They are a normal anatomical variation and are not a sign of any disease or infection. Another possibility is folliculitis, which is an inflammation of the hair follicles that can occur due to irritation, infection, or blockage. This can lead to small, red, or pus-filled bumps.

In some cases, these bumps could also be sebaceous cysts, which are small lumps filled with a fatty substance that can develop in the skin. They are generally harmless but can become infected or inflamed.

Bumps on the Lips
The bumps inside your lips that resemble small pimples could be mucous cysts or fibromas, which are benign growths that can occur in the oral cavity. Another possibility is oral herpes, which can cause small, painful blisters or sores on the lips and inside the mouth. If these bumps are painful, itchy, or associated with other symptoms like fever, it would be wise to consult a healthcare provider.

Should You Be Concerned?
While these conditions are often benign, it is crucial to monitor them. If the bumps are persistent, painful, or changing in appearance, you should seek medical advice. A healthcare professional can provide a proper diagnosis and recommend treatment if necessary.

What to Do Next
1. Avoid Picking or Squeezing: This can lead to infection or scarring.

2. Maintain Hygiene: Keep the area clean and dry. Avoid using harsh soaps or products that can irritate the skin.

3. Consult a Doctor: If the bumps do not improve or worsen, it’s essential to see a healthcare provider. They can perform a physical examination and may recommend tests if needed.

4. Do Not Self-Diagnose: While it’s tempting to search for answers online, self-diagnosis can lead to unnecessary worry or inappropriate treatment.

Conclusion
In summary, while the bumps you are experiencing on your scrotum and lips can be alarming, they are often benign and treatable. It’s essential to maintain good hygiene and consult a healthcare provider for a proper diagnosis and peace of mind. Remember, it’s always better to seek professional advice when it comes to health concerns, especially during adolescence when your body is undergoing many changes.

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