Is It a Bacterial Infection? Concerns About White Discharge in Infants

Is it a bacterial infection?

I changed my son's diaper and noticed a white substance next to his glans.
I wiped it, but it kept coming back.
I thought I would gradually push it out, and after wiping, the substance was gone and formed a string-like shape (because there was a small opening).
I pulled it out with my hand, and after finishing with the left side (I noticed a foul smell), I looked at the right side and saw there was also a white patch inside.
It seemed a bit swollen, but I couldn't squeeze it out; I was afraid to push too hard because I didn't want to hurt my son.
What could this condition be? What are the potential consequences? As a young mother, I thought that since my child is still small (just over a year old), I shouldn't need to retract the foreskin to clean it thoroughly.
Could this lead to any infections or other issues?

Xinji Ren Shi, 20~29 year old female. Ask Date: 2009/06/04

Dr. Tu Xiuhong reply Urology

Please observe for a few days.
If the situation persists, please visit the urology clinic for further examination to determine the cause.
It is also important to maintain proper hygiene of the child's foreskin.
Mothers should take extra care in cleaning to prevent bacterial infections.

Reply Date: 2009/06/04

More Info

When it comes to the concerns regarding the presence of white discharge near the glans of an infant's penis, it is essential to approach the situation with care and understanding. The symptoms you describe may indicate a few potential conditions, and it is crucial to differentiate between them to determine the appropriate course of action.

Firstly, the white discharge you observed could be a result of smegma, which is a natural substance that can accumulate under the foreskin in males. Smegma consists of dead skin cells, oils, and other bodily secretions. In infants and young boys, it is common for smegma to build up, especially if the foreskin is not fully retractable. This is generally not a cause for concern and can be managed with gentle cleaning during diaper changes.

However, if the discharge has a foul odor, is accompanied by swelling, redness, or any signs of discomfort for your child, it may indicate a bacterial infection or a condition known as balanitis. Balanitis is inflammation of the glans and can occur due to poor hygiene, irritation, or infection. In such cases, it is essential to maintain proper hygiene by gently cleaning the area with mild soap and water during diaper changes, ensuring that the area is dried thoroughly afterward.

As a young mother, it is understandable to feel apprehensive about the proper care of your child's genital area. It is important to note that while it is not necessary to forcibly retract the foreskin in infants, regular cleaning of the external genitalia is recommended. If you notice any persistent discharge, swelling, or if your child seems to be in pain, it is advisable to consult a pediatrician for a thorough examination. The doctor may perform a physical examination and, if necessary, recommend appropriate treatment, which could include topical antibiotics if an infection is confirmed.

In summary, while the presence of white discharge may not be alarming, the accompanying symptoms and the odor you described warrant attention. Maintaining good hygiene practices and consulting with a healthcare professional will help ensure your child's health and comfort. If you have any further concerns or if the symptoms persist, do not hesitate to seek medical advice. Early intervention can prevent complications and provide peace of mind for you as a parent.

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