[18M] With a red bump on penis

Patient Description

An 18-year-old male reports a red bump on his penis, approximately the size of a pimple, which developed gradually. The bump is mildly painful when squeezed, rated 1 out of 10 in intensity. The patient denies any other symptoms such as changes in sensation, injuries, or trauma to the area. He has not been tested for sexually transmitted infections and has no recent new sexual partners. He has a history of a skin condition causing little red dots on the body, but the specific diagnosis is unknown. The patient is allergic to amoxicillin and sulfa drugs and is currently taking an unspecified medication to aid sleep, which is not amoxicillin or sulfa.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for the bump on your penis:

  • Folliculitis: This is a common skin condition where hair follicles become inflamed, often resembling a pimple. It can be caused by bacteria or fungi and is usually not serious. Mild pain when squeezed is common.

    • Treatment typically involves keeping the area clean and dry. Warm compresses can help, and in some cases, topical antibiotics may be recommended by a healthcare provider.
  • Pearly Penile Papules: These are small, benign growths that can appear on the penis. They are normal anatomical variations and not harmful.

    • No treatment is necessary unless for cosmetic reasons, and a healthcare provider can confirm this diagnosis.
  • Sexually Transmitted Infection (STI): Although you haven't had new partners recently, some STIs can cause bumps or lesions. It's important to get tested, especially if you're sexually active without protection.

    • Testing and treatment from a healthcare provider are essential. Many STIs are treatable with medication.
  • Cyst or Sebaceous Cyst: These are non-cancerous, closed pockets of tissue that can be filled with fluid or pus. They can occur anywhere on the body, including the genital area.

    • Treatment may not be necessary unless the cyst becomes painful or infected, in which case a healthcare provider can offer options.

What you can do

  1. Keep the Area Clean: Gently wash the area with mild soap and water. Avoid scrubbing or using harsh products.
  2. Avoid Squeezing: Try not to squeeze or pick at the bump, as this can lead to infection or scarring.
  3. Warm Compress: Apply a warm, damp cloth to the area for 10-15 minutes a few times a day to help reduce discomfort.
  4. Monitor for Changes: Keep an eye on the bump for any changes in size, color, or pain level.
  5. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track any changes, and share this information with a healthcare provider.

What you should look out for

Seek medical attention if you notice any of the following:

  • The bump becomes significantly larger, more painful, or starts to ooze pus.
  • You develop additional symptoms such as fever, chills, or other unexplained bumps.
  • You experience any new symptoms that concern you.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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2 mo ago

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People Also Ask


What are the common causes of a red bump on the penis?

Common causes of a red bump on the penis include folliculitis, pearly penile papules, sexually transmitted infections, and cysts. Each has distinct characteristics, and a healthcare provider can help determine the exact cause.


How can I differentiate between a harmless bump and a sexually transmitted infection?

A harmless bump, like pearly penile papules or a cyst, typically doesn't cause significant pain or other symptoms. In contrast, an STI might be accompanied by other symptoms such as discharge, itching, or pain during urination. Testing is the best way to differentiate.


What home remedies can help alleviate discomfort from a bump on the penis?

Home remedies include keeping the area clean with mild soap and water, avoiding squeezing the bump, and applying a warm compress to reduce discomfort. These measures can help manage symptoms while monitoring the bump.


When should I seek medical attention for a bump on my penis?

Seek medical attention if the bump becomes significantly larger, more painful, starts to ooze pus, or if you develop additional symptoms like fever or chills. It's also important to consult a healthcare provider if you're concerned about the possibility of an STI.


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