Dark Red Bumps on the Penis: Causes and Solutions - Urology

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My penis?


Hello doctor, could you please tell me why my penis is swollen and when I scratch it, there are dark red areas along with small raised bumps? What could be the cause of this?

Sha Shou, 10~19 year old female. Ask Date: 2008/09/29

Dr. Xu Weikai reply Urology


Hello, the possible reasons for your condition could be: 1.
Infection: such as bacteria or fungi.
2.
Over-cleaning: chemical irritants causing localized skin reactions.
3.
Other specific sensitivities.
Recommendations: 1.
Consult a physician.
2.
If you prefer not to see a doctor, clean the area daily with cool water, avoiding soap and hot water.
After cleaning, apply baby oil or lotion to the itchy areas.
If you have any further questions, feel free to ask for more discussion and research.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan.
Director Xu Wei-kai.

Reply Date: 2008/09/29

More Info


When it comes to dark red bumps on the penis, there are several potential causes that could explain your symptoms. It's essential to approach this issue with care and seek medical advice for an accurate diagnosis. Here are some possible explanations for your condition:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the penis. They are normal anatomical variations and do not require treatment.

2. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can lead to red bumps that may be itchy or painful. Good hygiene and avoiding tight clothing can help manage this condition.

3. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or dark bumps. They are typically painless but can be bothersome. Treatment options include topical medications, cryotherapy, or surgical removal.

4. Herpes Simplex Virus (HSV): This viral infection can cause painful sores or blisters on the genital area. If you experience symptoms like itching, burning, or painful sores, it is crucial to consult a healthcare provider for diagnosis and treatment.

5. Candidiasis (Yeast Infection): An overgrowth of Candida can lead to red, itchy bumps on the genital area. Treatment usually involves antifungal medications.

6. Lichen Planus: This inflammatory condition can cause purplish, itchy bumps on the skin, including the genital area. A dermatologist can provide a diagnosis and treatment options.

7. Contact Dermatitis: Irritation from soaps, lotions, or other products can lead to red, itchy bumps. Identifying and avoiding the irritant is key to treatment.

8. Balanitis: This inflammation of the glans (the head of the penis) can cause redness and swelling, sometimes accompanied by bumps. Treatment may involve topical antifungal or steroid creams.

Given your description of dark red bumps that are itchy and raised, it is crucial to consult a healthcare professional for a thorough examination. They may perform a physical examination and, if necessary, order tests to determine the exact cause of your symptoms.
In the meantime, here are some general recommendations:
- Maintain Hygiene: Keep the genital area clean and dry. Use mild soap and avoid harsh chemicals.

- Avoid Irritants: Refrain from using scented products or lotions in the genital area that may cause irritation.

- Wear Loose Clothing: Opt for breathable fabrics to reduce friction and irritation.

- Avoid Sexual Activity: Until you have a clear diagnosis, it may be wise to abstain from sexual activity to prevent potential transmission of infections.

In conclusion, while there are several benign explanations for dark red bumps on the penis, some conditions may require medical intervention. Seeking prompt medical advice will help ensure that you receive the appropriate care and treatment.

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