What causes persistent red and shiny foreskin?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

The red and shiny appearance of your penis foreskin could be indicative of balanitis, often associated with chronic friction. Several factors can contribute to this condition, such as rough handling, use of high-potency steroids, broad-spectrum antibiotics, diabetes, contact with irritant chemicals, harsh soaps or lubricants, latex allergies, possible sexually transmitted infections, fungal or bacterial infections, or penile injury or trauma, autoimmune, or allergic causes.

I would suggest the following course of action:

1. Apply 1% Elica (Mometasone furoate) gel at night for ten days to reduce redness.
2. Wash the affected area daily with Episoft cleanser (purified water and Cetearyl alcohol) or a soap-free cleanser for one month.
3. Avoid scratching or rubbing the lesions. Be gentle in handling.
4. Minimize chronic friction and rough handling.
5. If you experience a burning sensation, apply Aveeno moisturizer (Glycerine, distearyldimonium chloride, and petrolatum) twice daily.
6. Apply Miconazole cream twice daily for a duration of six weeks.
7. Use Cetrimide (Ketoconazole) soap for bathing for one month.
8. Opt for loose, comfortable, thin cotton undergarments and boxers.
9. Keep a check on your sugar levels if you have diabetes.
10. Avoid excess moisture, as it can promote fungal growth. After washing, pat the area dry with a soft towel.
11. Follow up after six weeks.
12. Practice proper genital hygiene to prevent recurrent episodes.

In addition to this, please provide answers to the following questions:

Are you sexually active? Have you had unprotected sexual intercourse recently? Do you have a known history of diabetes? Are you currently experiencing itching, burning during urination, urethral discharge, or foul-smelling discharge?

Kindly reply with these details for further evaluation.

Regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Based on your description, it appears to be frictional dermatitis or balanitis. To avoid any potential sources of irritation or infection, it is important not to share undergarments with your father and brother. When engaging in sexual activity, it is advisable to practice safe sex by using barrier methods.

Hope this addresses your concern.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

I suggest the following measures:

1. Apply Elica 1 % gel or Desonide cream 0.025 % at night for seven days.

2. Get a swab test done to arrive at a definitive diagnosis or to rule out possible trigger factors.

3. Keep check on sugar levels.

4. Keep the area clean and dry.

5. Avoid moisture as moisture favors fungal growth and becomes the favorable site of infection.

6. Apply Micogel (Miconazole) twice daily for four weeks.

7. Avoid highly potent steroids on sensitive penile skin.

8. Avoid friction or rough handling.

9. Wear loose comfortable thin cotton inners with proper aeration.

10. Maintain proper genital hygiene.

11. Apply cream with a cotton tip applicator.

12. Avoid the use of harsh soaps, lubricants, latex use, or known triggers.

13. Practise safe sex.

14. Use barriers if not allergic to them.

Are you sexually active? Is there any history of high-risk exposure?

Please do reply to the above.

Regards.