and Managing Glans Inflammation: A Patient's Guide

Could you please have a doctor check if it is balanitis?

Hello Doctor: About five days ago, after doing some DIY (I had washed my hands with antibacterial hand sanitizer before the DIY), I noticed a red spot on the coronal sulcus, and the area around it was red.
I visited a local hospital's dermatology department, and the doctor prescribed RinDERON VA Cream.
I found that the more I applied it, the more it hurt (isn't it true that steroid ointments shouldn't be applied too much?).
I took the liberty of applying the ointment all over the glans...
Now the red spot has disappeared, but I noticed that there is a red area on the top of the glans (with some erythema), and the redness and pain have worsened...
I went to a dermatology department at a medical center, and the doctor examined it with a flashlight and said there was nothing to worry about.
It might be that the RinDERON was too strong and caused a skin allergy, so they adjusted my medication and prescribed: 1.
Gishu Cream 2.
Eucerin Hydrophilic Ointment, advising me to apply both ointments simultaneously.
I have been applying them for about a week...
The redness and pain have decreased, but there is still a red area on the top of the glans with no signs of improvement...
The pain is mild, but sometimes it feels quite noticeable...
Do I need to adjust my medication? Should I continue applying the ointments? Should I temporarily stop using RinDERON? PS: I have not engaged in any sexual activity; I just wore the same underwear for at least a week without changing...
I wonder if the friction between the glans and the underwear caused the inflammation (I do not have phimosis; it is fully exposed).
Thank you for your help, Doctor...
I am very anxious...
because of the slight itching and pain...
sitting is uncomfortable, and standing is uncomfortable too...

jie, 20~29 year old female. Ask Date: 2014/06/14

Dr. Wu Yuxin reply Dermatology

Since I cannot see the actual condition of your skin, I am unable to provide an answer.
Please seek medical attention as soon as possible.

Reply Date: 2014/06/14

More Info

Understanding glans inflammation, also known as balanitis, is crucial for effective management and treatment. Balanitis can be caused by various factors, including infections, irritants, and underlying medical conditions. In your case, it seems that the inflammation may have been exacerbated by the use of topical medications and possibly friction from wearing the same underwear for an extended period.

Causes of Balanitis
1. Infections: Bacterial, fungal, or viral infections can lead to inflammation. Common culprits include Candida (yeast) infections and sexually transmitted infections (STIs).

2. Irritants: Products such as soaps, lotions, or medications can irritate the sensitive skin of the glans. In your case, the use of the steroid cream (RinDERON) may have contributed to skin thinning or irritation, leading to increased sensitivity and discomfort.

3. Hygiene: Poor hygiene can lead to the accumulation of smegma, which can irritate the glans. Conversely, excessive washing or using harsh soaps can also strip the skin of its natural oils, leading to irritation.

4. Friction: As you mentioned, wearing the same underwear for an extended period can cause friction, leading to irritation and inflammation.

Treatment Options
1. Topical Medications: It’s essential to use medications as prescribed. If a steroid cream is causing irritation, it may be wise to stop its use, as prolonged use can lead to skin thinning and increased sensitivity. The new medications prescribed (吉舒乳膏 and 優足達親水軟膏) should be used as directed. These may help soothe the inflammation and promote healing.

2. Hygiene Practices: Maintain good hygiene by gently washing the area with mild soap and water. Avoid using harsh soaps or products that may irritate the skin. Ensure that you dry the area thoroughly after washing.

3. Avoid Irritants: If you suspect that certain products are causing irritation, discontinue their use. This includes any topical medications that may not be suitable for your skin type.

4. Clothing Choices: Wear loose-fitting, breathable underwear to minimize friction and allow the area to stay dry. Change underwear regularly to prevent moisture buildup.

5. Follow-Up: If the redness and discomfort persist despite following these recommendations, it is crucial to follow up with your healthcare provider. They may need to reassess your condition and consider alternative treatments or further investigations to rule out any underlying issues.

When to Seek Further Medical Attention
- If the redness worsens or spreads.

- If you experience increased pain, swelling, or discharge.

- If you develop systemic symptoms such as fever or chills.

Conclusion
In summary, managing glans inflammation involves a combination of good hygiene, appropriate use of medications, and avoiding irritants. It’s essential to listen to your body and adjust your treatment plan as needed. If you have concerns about the effectiveness of your current treatment or if symptoms persist, do not hesitate to consult your healthcare provider for further evaluation and guidance. Your comfort and health are paramount, and addressing these symptoms promptly can lead to better outcomes.

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