[26M] With nasal and penile bumps

Patient Description

A 26-year-old male presents with a painful bump at the base of the left nostril, which has a black pimple at the head and has been present for a few days. The discomfort is lessened when not touched and potentially by using hydrogen peroxide. Additionally, the patient reports small, non-painful, non-itchy bumps on the penis, with no clear onset. No recent injuries or trauma to the genital area were reported, except for a friction burn a few months ago. There is no fever, swollen lymph nodes, discharge, bleeding, or any other systemic symptoms such as unexplained weight loss, night sweats, or a decrease in energy. No previous episodes of similar symptoms were noted, and there is no mention of prior testing for HSV or other sexually transmitted infections.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possibilities:

  • Herpes Simplex Virus (HSV): HSV-1 is often associated with cold sores around the mouth, but it can also cause genital herpes. Symptoms can include painful blisters or open sores in the genital area, but many people with HSV have no noticeable symptoms. The small, painless bumps on your penis could potentially be a mild outbreak of genital herpes, but it's also possible they're unrelated. The painful bump in your nostril could potentially be a herpes sore, especially if it's a blister-like lesion, but it could also be unrelated.

  • Other Skin Conditions: The bump in your nostril could be a simple pimple or an ingrown hair, especially if it's at the base of the nostril where hair grows. The small bumps on your penis could also be caused by a variety of other skin conditions, such as Fordyce spots, pearly penile papules, or molluscum contagiosum, all of which are harmless.

What you can do

  1. Avoid touching the bumps: Touching the bumps can potentially spread the virus to other parts of your body or to other people if it is indeed HSV.

  2. Keep the area clean: Wash the area gently with warm water and mild soap. Avoid using any harsh or fragrant soaps, which can irritate the skin.

  3. Get tested: The only way to know for sure if you have HSV is to get tested. A healthcare provider can usually diagnose herpes by performing a physical exam and taking a sample from a sore to be tested in a lab.

What you should look out for

  • If the bumps on your penis or in your nostril become painful, start to itch, or change in appearance, you should seek medical attention.

  • If you develop flu-like symptoms, such as fever, body aches, or swollen glands, these could be signs of a primary HSV outbreak and you should seek medical attention.

  • If you develop any new symptoms, or if your current symptoms get worse or don't improve, you should seek medical attention.

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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10 mo ago

People Also Ask


What could cause a painful bump at the base of the nostril?

A painful bump at the base of the nostril could be caused by a pimple, an ingrown hair, or a herpes sore. It's important to monitor the bump for changes and consult a healthcare provider if it worsens or doesn't improve.


Are small, non-painful bumps on the penis a cause for concern?

Small, non-painful bumps on the penis are often harmless and could be Fordyce spots, pearly penile papules, or molluscum contagiosum. However, if you're concerned or notice changes, it's best to consult a healthcare provider.


How can I differentiate between a pimple and a herpes sore?

A pimple is usually a raised, red bump that may have a white head, while a herpes sore often starts as a blister and can be painful. A healthcare provider can help differentiate between the two through examination and testing.


What steps should I take if I suspect I have herpes?

If you suspect you have herpes, avoid touching the affected area, keep it clean, and consult a healthcare provider for testing. They can provide a diagnosis and discuss treatment options if necessary.


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