The inner foreskin frenulum is red and swollen after applying medication..?
Hello Dr.
Fu, I have noticed redness on the inner side of the foreskin due to a small scratch (which is almost invisible) caused by a fingernail.
After applying povidone-iodine and antibiotic ointment for two days, the wound accidentally opened up.
I continued using both povidone-iodine and the antibiotic ointment, but after a day, I suddenly found it difficult to wash off the ointment from the foreskin, so I switched to only applying povidone-iodine.
After half a day, I noticed that the redness of the frenulum had significantly decreased, but I am experiencing some stinging sensation.
What could be the reason for this? (Previously, the redness and swelling were noticeable, but there was no pain unless I touched the wound.) How should I proceed with the medication? Thank you, Mr.
X.
Mr. X, 30~39 year old female. Ask Date: 2015/11/03
More Info
Managing redness and pain in the frenulum area after treatment can be a delicate process, especially when dealing with minor injuries like the one you described. It sounds like you have been proactive in caring for the small injury on your frenulum, but the changes in symptoms can be concerning. Let's break down your situation and provide some guidance on how to manage it effectively.
Understanding Your Symptoms
1. Redness and Pain: The redness you observed is likely a sign of inflammation, which is a natural response of the body to injury. The fact that you initially had significant redness and swelling that improved with the application of iodine suggests that your body was reacting to the injury. The pain you are experiencing, especially the stinging sensation, could be due to irritation from the topical treatments or the healing process itself.
2. Topical Treatments: You mentioned using both iodine and antibiotic ointment. While iodine can be effective for disinfecting the area, it can also be irritating to sensitive skin, especially in delicate areas like the frenulum. The antibiotic ointment is intended to prevent infection, but if it is not washing off easily, it may cause additional irritation.
Recommendations for Continued Care
1. Switching Treatments: Since you noticed improvement after switching to just iodine, it may be beneficial to continue with that for now. However, if the stinging sensation persists or worsens, consider discontinuing the iodine and allowing the area to breathe. Sometimes, less is more when it comes to wound care.
2. Keep the Area Clean: Gently clean the area with mild soap and water. Avoid scrubbing, as this can exacerbate irritation. After cleaning, you can pat the area dry with a clean towel.
3. Moisturizing: If the area is dry or if you notice any crusting, applying a thin layer of a gentle, fragrance-free moisturizer may help soothe the skin. This can also prevent the formation of scabs, which can be uncomfortable.
4. Avoid Irritants: Be cautious with any products you apply to the area. If you find that the iodine or any other topical treatment causes irritation, it may be best to avoid them. Instead, focus on keeping the area clean and dry.
5. Monitor for Infection: Keep an eye on the injury for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, or if the pain worsens, it would be wise to consult a healthcare professional.
6. Pain Management: If the pain becomes bothersome, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Always follow the recommended dosage instructions.
When to Seek Medical Attention
If the redness does not improve, if you experience increasing pain, or if you notice any signs of infection, it is important to seek medical attention. A healthcare provider can assess the area and determine if further treatment is necessary, such as a prescription for a different topical medication or an evaluation for potential underlying issues.
Conclusion
In summary, managing redness and pain in the frenulum area involves careful monitoring and gentle care. It is essential to keep the area clean, avoid irritants, and be mindful of any changes in symptoms. If you have concerns or if your symptoms do not improve, do not hesitate to reach out to a healthcare professional for further guidance. Your proactive approach to your health is commendable, and with the right care, you should see improvement in your symptoms.
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