Another consideration of "itching and redness of the foreskin" is that you usually don't pay attention to hygiene, and the other party has gynecological inflammation, which leads to inflammation of the foreskin glans. It is recommended to go to the hospital for prescription treatment. Pay attention to hygiene at ordinary times and wash it with warm water every day. In addition, if the foreskin is too long but there is no discomfort after erection, it is recommended to leave the glans outside.
Balanitis of prepuce refers to inflammation of the inner plate of prepuce and penis head. A lipid substance secreted by the normal prepuce cavity. When the foreskin is too long or phimosis, this substance can accumulate into scale to stimulate the foreskin and penis head and cause balanitis. The foreskin of glans penis caused by drug allergy is a kind of delayed allergic reaction, which is quite common in clinic and usually occurs 24 ~ 72 hours after eye drops.
Symptom treatment of balanitis prepuce
Balanus dermatitis is a diffuse inflammation of the glans and foreskin. It is often caused by subgingival yeast or bacteria that have not been circumcised. Inflammation produces pain, redness and itching, which can lead to urethral stricture. Patients may develop balanitis sicca, phimosis, phimosis incarceration and cancer in the future.
There are several kinds of balanitis prepuce, and its symptoms are as follows:
(1) Acute superficial foreskin balanitis begins with local flushing, the penis skin is red and swollen, and the glans penis feels hot and itchy. When the foreskin is opened, it can be seen that the inside of the foreskin and the glans penis are congested and erosive, with exudate and even bleeding. Small ulcers can be seen after secondary infection, and there are malodorous milky purulent secretions. If you feel pain when rubbing underwear, patients often have trouble moving. May be accompanied by swelling and tenderness of inguinal lymph nodes.
(2) Circumferential ulcerative foreskin balanitis, erythema can be seen on the glans and foreskin, which gradually expands into a ring shape and can form a superficial ulcer surface.
(3) The foreskin and glans of Candida albicans have erythema, smooth surface and small herpes. Erythema has a clear edge, and there is erosion and exudation during acute attack.
(4) Trichomonas foreskin balanitis, papules and erythema appear on the glans, which gradually expand and have clear edges. Needle-sized blisters can be seen on the erythema, and finally a rotten surface is formed.
The basic principle of western medicine treatment is anti-inflammatory and sterilization. General internal and external treatment. Erythromycin and tetracycline are the first choice for the treatment of acute superficial balanitis prepuce and annular ulcerative balanitis, generally 0.5g per dose, 4 times a day. Metronidazole is the first choice for the treatment of trichomonas prepuce balanitis, 0.2g each time, 3 times a day, 10 day. Tricycycline or itraconazole is commonly used to treat balanitis caused by Candida albicans. Trogumycin 100 ~ 200000 units, twice a day, itraconazole 100mg, twice a day, for 7 days.
Traditional Chinese medicine often divides the disease into three types, namely, toxic fire stagnation type, damp-heat insect-generating type and liver-kidney yin deficiency type. Different treatments are given according to different clinical manifestations.
(1) In the toxic fire stagnation type, the foreskin and glans are red and swollen, with erythema, papules, blisters or ulceration, conscious pain, dysuria, sores on the mouth and tongue, impatience and irritability. This is because the poisonous fire is stagnant and cannot be discharged. Treatment should clear away heat, purge fire and detoxify. The commonly used prescription is Daochidan: Coptidis Rhizoma 10g Scutellariae Radix 10g Gardenia 10g Akebia Akebia 10g Radix Rehmanniae 10g Lophatherum Bambusae 10g Alismatis Rhizoma 10g Radix et Rhizoma Rhei 6g Radix Glycyrrhizae 10g decocted.
(2) The biotype of damp-heat insects can be seen as flushing, blistering or erosion of glans penis and penile pain; Laboratory examination showed candida albicans or trichomonas infection; Most of them are accompanied by pudendal dampness, pudendal itching, bitter taste, sticky mouth and Huang Chi in urine. This is due to the evil of insects caused by damp-heat diarrhea of the liver meridian. Treatment should clear away heat and dry dampness, kill insects and relieve itching. The commonly used prescription is Longdan Xiegan Decoction: Longdan 10g Bupleurum 10g Scutellaria baicalensis 10g Gardenia 10g Plantaginis 10g Alisma orientalis 10g Akebia Akebia 10g Rhizoma Smilacis Glabrae 30g Stemonae/kloc-0.
(3) Yin deficiency of liver and kidney can be seen as plaque or hypertrophy of the foreskin and glans penis, or sclerosis, generally without itching and pain, accompanied by symptoms such as backache and premature ejaculation. This is caused by dampness-heat or dampness-toxin hurting the yin of liver and kidney. Treatment should be based on nourishing liver and kidney. The commonly used prescription is Liuwei Dihuang Decoction: 10g Cornus officinalis 10g Yam 10g Lycium barbarum 10g Cortex Moutan 10g Poria 20g Danshen 10g Alisma orientale 10g Dandelion 30g.
Prevention and nursing of balanitis prepuce
(1) Pay attention to local hygiene and clean the glans penis and foreskin every day. If the foreskin is too long, it should be treated in time, circumcised if necessary, and the scales should be cleaned in time. (2) If the husband and wife suffer from sexual organ diseases, they should suspend their sexual life and treat them in time. If you have trichomoniasis or candida albicans infection, you should treat it at the same time. (3) Avoid unclean sexual intercourse and live a completely clean life. (4) If there is ulcer or erosion, dressing should be changed in time, twice a day to avoid discomfort. (5) For acute balanitis prepuce, corticosteroid ointment should be avoided to avoid causing more serious infection.