Red Bumps: Common Skin Issues and When to See a Doctor - Dermatology

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Hello, doctor?


Hello, doctor: I recently noticed a small red bump under my foreskin.
I'm not sure what it is; it is slightly raised and sometimes causes a bit of pain.

A-Ming, 10~19 year old female. Ask Date: 2015/08/09

Dr. Wu Yuxin reply Dermatology


Based on the literal description, it is not possible to confirm the condition without actually seeing the lesion.
It is recommended to have a physician evaluate it for a proper diagnosis.

Reply Date: 2015/08/09

More Info


When it comes to red bumps on the skin, especially in sensitive areas such as the genital region, it is essential to approach the situation with caution and awareness of potential underlying conditions. Based on your description of a small, raised red bump on the foreskin that occasionally causes pain, there are several possibilities to consider.

Firstly, the bump could be a benign condition such as a sebaceous cyst, which is a small, non-cancerous lump filled with keratin and can occur anywhere on the body, including the genital area. These cysts are usually painless but can become inflamed or infected, leading to discomfort.

Another possibility is a condition known as pearly penile papules, which are small, harmless bumps that can appear around the corona of the penis. They are a normal anatomical variation and do not require treatment unless they become bothersome.

However, it is also crucial to consider sexually transmitted infections (STIs) or other dermatological conditions. For instance, herpes simplex virus can cause painful blisters or sores, while conditions like folliculitis (inflammation of hair follicles) can lead to red, painful bumps. Additionally, conditions such as balanitis (inflammation of the glans) can also present with redness and discomfort.

Given the potential for various causes, it is advisable to consult a healthcare professional, preferably a dermatologist or urologist, for a thorough examination. They can provide an accurate diagnosis based on a physical examination and, if necessary, additional tests such as swabs or biopsies.

In the meantime, here are some general recommendations:
1. Avoid Irritation: Refrain from using harsh soaps or products that may irritate the area. Stick to mild, fragrance-free cleansers.

2. Maintain Hygiene: Keep the area clean and dry. Regular washing with warm water and gentle soap can help prevent infections.

3. Avoid Self-Medication: While over-the-counter treatments may be tempting, it is best to avoid applying creams or ointments without a doctor's advice, as they may exacerbate the condition.

4. Monitor Symptoms: Keep track of any changes in the bump, such as increased pain, swelling, or the development of additional symptoms like discharge or fever.

5. Seek Medical Attention: If the bump persists, worsens, or is accompanied by other symptoms (such as fever, chills, or systemic signs), it is crucial to seek medical attention promptly.

In summary, while there are several benign explanations for a red bump on the foreskin, it is essential to rule out more serious conditions through professional evaluation. Early diagnosis and appropriate treatment can help alleviate discomfort and prevent potential complications. Always prioritize your health and well-being by consulting a healthcare provider when in doubt.

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