There are little red spots on the glans

Small red spots on the glans may be related to balanitis, allergic reactions, fixed drug eruptions, contact dermatitis, genital warts and other factors. Small red spots on the glans usually manifest as local redness, swelling, itching or pain. It is recommended to seek medical treatment in time for a clear diagnosis.

1. Balanitis

Balanitis is common in men with poor hygiene or excessive foreskin and may be related to bacterial or fungal infection. Symptoms include glans erythema, white discharge, and itching. Treatment requires keeping the area clean and using drugs such as clotrimazole cream or erythromycin ointment as directed by the doctor. If symptoms recur, circumcision may be considered.

2. Allergic reaction

Allergic reactions in the glans area are usually caused by irritation from condoms, detergents or clothing fabrics. It manifests as dense red spots with obvious itching and no discharge. You can wash it with warm water and stop using the suspected allergen. In serious cases, you can take oral loratadine tablets or topical hydrocortisone cream as directed by your doctor.

3. Fixed drug eruption

Fixed drug eruptions caused by drug allergies can appear as well-defined erythema or blisters on the glans. Common triggering drugs include antipyretics, analgesics, antibiotics, etc. Suspicious drugs need to be stopped immediately, and compound dexamethasone acetate cream or calamine lotion should be used to relieve symptoms as directed by the doctor.

4. Contact dermatitis

Contact with chemicals such as lubricants and disinfectants may cause contact dermatitis of the glans, manifesting as erythema, scaling and burning sensation. Treatment should first remove the irritant, rinse with normal saline, use hydrocortisone butyrate cream as directed by the doctor, and take ebastine tablets orally if necessary.

5. Genital warts

Genital warts caused by HPV infection may appear as small red papules scattered on the glans in the early stage, and may develop into cauliflower-like growths in the later stage. The diagnosis requires an acetate white test, and treatment includes cryotherapy, laser removal, or topical imiquimod cream. Sexual partner screening is also required.

Daily care should be taken to keep the perineum clean and dry, avoid using irritating lotions, and choose pure cotton breathable underwear. It is forbidden to scratch or abuse drugs on your own. If symptoms persist for more than 3 days or ulcers, pus, etc. occur, you must seek immediate medical attention from a urology department. Eat a light diet and reduce the intake of spicy foods. People with allergies should record possible allergens.