What's the matter with the red spots on the glans?

The appearance of red spots on the glans may be related to factors such as balanitis, allergic reactions, fungal infections, contact dermatitis, and fixed drug eruptions. It is recommended to seek medical treatment promptly for a clear diagnosis and carry out targeted treatment under the guidance of a doctor.

1. Balanitis

Balanitis is mostly caused by bacterial or fungal infection and is common in those with excessive foreskin or poor hygiene. Symptoms include glans erythema, itching, and increased white discharge. You can use clotrimazole cream to fight fungi or erythromycin ointment to fight bacterial infections as directed by your doctor. Keep the area clean and dry daily and avoid scratching.

2. Allergic reaction

Contact with allergenic substances such as condoms and detergents may cause allergic dermatitis of the glans penis. It is characterized by a sudden rash with severe itching and, in severe cases, edema. The suspected allergen needs to be stopped immediately, rinse with water and apply hydrocortisone cream externally. The author recommends allergen testing for recurrent relapses.

3. Fungal infection

Candida infections are common in people with diabetes or those who take antibiotics for a long time. A well-defined red patch appears on the glans penis with white scales on the surface. Miconazole nitrate cream can be used externally, and blood sugar needs to be controlled if you have diabetes. Spouses need to be treated simultaneously to prevent cross-infection.

4. Contact dermatitis

Local exposure to chemical irritants such as soaps and essential oils may trigger an inflammatory reaction. It manifests as symmetrical erythema and burning sensation at the contact site. Use saline wet compresses to relieve symptoms and avoid using irritating lotions. Wear cotton underwear to reduce friction.

5. Fixed drug eruption

After taking sulfonamides and antipyretic analgesics, round purple-red rashes may appear on the glans and other parts of the body. After diagnosis, allergenic drugs must be stopped immediately, loratadine tablets should be taken orally for anti-allergy, and mometasone furoate gel should be applied topically. It is necessary to proactively disclose the history of drug allergy when seeking medical treatment in the future.

Daily care should be taken to clean the perineum, wash it with warm water and dry it every day. Avoid alkaline body washes and opt for breathable cotton underwear. During the treatment period, sexual intercourse is prohibited and spicy food is prohibited. If the red spots persist, become ulcerated, or are accompanied by fever and other symptoms, you must see a dermatologist or urologist immediately. Self-medication may mask the condition and delay treatment.