I have red bumps on my foreskin, which do not itch. Please help.

Hi,

Welcome to icliniq.com.

I understand your concern.

They appear to be balanitis after going through the history and image provided (attachment removed to protect the patient's identity). Balanitis is an inflammatory condition affecting the glans penis, and foreskin, which may be due to multiple factors, including fungal and bacterial infections, eczema, psoriasis, autoimmune conditions, and idiopathic causes. It may also appear due to using harsh and strong chemicals, soaps, or shampoos to clean sensitive and private areas, hygiene issues, other underlying medical conditions, and in case of any other skin disorders.

They usually appear as red to white spots and white scales, dry flakes to scales, and redness and may also appear to have secretion or oozing. They may present with no symptoms, but some may also experience itching, pain, discomfort, burning sensation, and burning during urination.

They may appear on and off but may be managed.

My advice:

1. Clotrimazole cream is to be applied on the affected area in the morning and in the afternoon for eight weeks or till the rashes reduce.

2. Fusidic acid and Hydrocortisone cream are to be applied at night in a very thin layer in a very small quantity on the affected area for four weeks.

The medications mentioned above are in generic names or content names so that they may be availed in any brand of the above contents available in your country of residence.

3. Lukewarm salt water to be used to wash the affected area in the morning daily for 2 to 3 minutes.

4. Oilatum emollient or oilatum bath formula may be added in the amount of 2 caps full (cap of the bottled medication) to be mixed in 1 liter of water (normal temperature). It may be used to wash the affected area daily in the morning.

5. Capsule Omega 3 once daily at night after food for two months. It helps in reducing dryness.

6. Make sure to keep the affected area moisturized and avoid using harsh chemicals, soaps, or shampoos to wash the area.

7. Ensure using more fruits and vegetables and consume at least 15 glasses of water (250 ml standard glass size) daily. Avoid milk, dairy products, red meat, sweets, and fried and oily food.

8. In case of severe balanitis, it may require surgical intervention. Therefore in such a situation, I would like to advise you to consult your specialist doctor, discuss with them, and take the medicines with their consent.

It may take a few weeks to months for the lesions to fade, so it is advised to continue the medication consistently. Fucidin H (Hydrocortisone and Fusidic acid) cream, a strong cream, is not advised to be used for more than four weeks. In case of continuing its usage, it need to be discontinued for three weeks following the first four weeks of application and then continue again for four weeks following a break of 3 weeks.

Hope the details are informative and provide clarity.

Kindly follow up in case of further queries.