[28M] Experiencing penile redness and mild swelling

Question

What std does this sound like

Patient Description

A 28-year-old male presents with redness and sensitivity around the penis, accompanied by mild swelling and slight pain during urination. The patient has tested negative for STDs and reports no recent use of new soaps, lotions, or unprotected sexual encounters. There is no penile discharge. The patient's medical history is notable for the absence of physical chronic illnesses, diabetes, autoimmune conditions, and allergies or adverse reactions to medications. Currently, the patient is on Adderall (10mg daily) and Wellbutrin (300mg daily). No other symptoms were reported.

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Arora's Assessment

What might be happening

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

  • Balanitis: This is inflammation of the head of the penis (glans). It's often caused by poor hygiene or an infection, but you've mentioned that you've tested negative for STDs. It can also be caused by skin conditions like eczema or psoriasis. Symptoms can include redness, swelling, pain, and sensitivity in the area.

    • Treatment usually involves good hygiene practices, topical creams or ointments, and sometimes antibiotics if an infection is present.
  • Contact Dermatitis: This is a type of skin reaction caused by contact with certain substances. The reaction usually occurs within a few hours or days of exposure. It can cause redness, itching, and discomfort.

    • Treatment usually involves avoiding the irritant and using creams to help with the inflammation.
  • Drug Reaction: Some medications can cause skin reactions. However, it's less likely in your case as the medications you're taking (Adderall and Wellbutrin) are not commonly associated with these types of reactions.

What you can do

  1. Maintain good hygiene: Clean the area gently with warm water daily. Avoid using soaps or shower gels until the symptoms have cleared up.
  2. Avoid irritants: Try to identify and avoid potential irritants or allergens. This could include certain types of condoms, lubricants, soaps, or shower gels.
  3. Over-the-counter creams: You could try a mild steroid cream like hydrocortisone. This can help reduce inflammation and discomfort. However, it's important not to use it for more than a week without speaking to a healthcare professional.

What you should look out for

If your symptoms persist or worsen, or if you notice any of the following, you should seek medical attention:

  • Discharge from the penis
  • Painful urination or difficulty urinating
  • Sores or blisters on the penis
  • Swelling or pain in the testicles

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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9 mo ago


People Also Ask


What are the common causes of balanitis and how can it be treated?

Balanitis is often caused by poor hygiene, infections, or skin conditions like eczema or psoriasis. Treatment typically involves maintaining good hygiene, using topical creams or ointments, and sometimes antibiotics if an infection is present.


How can contact dermatitis affect the genital area and what are the treatment options?

Contact dermatitis in the genital area can occur due to exposure to irritants or allergens, leading to redness, itching, and discomfort. Treatment involves avoiding the irritant and using anti-inflammatory creams to alleviate symptoms.


Can medications like Adderall and Wellbutrin cause skin reactions or sensitivity?

While Adderall and Wellbutrin are not commonly associated with skin reactions, any medication can potentially cause side effects. It's important to monitor for any new symptoms and consult a healthcare professional if concerns arise.


What steps can be taken to prevent irritation or inflammation in the genital area?

To prevent irritation or inflammation in the genital area, maintain good hygiene, avoid potential irritants like certain soaps or lotions, and use mild, fragrance-free products. Wearing loose-fitting clothing and ensuring the area is dry can also help.


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2 Comments


Leo#3962

9 mo ago

Not convinced this is an STD tbh. Are there any bumps or pimple-like spots? It sounds more like you irritated or injured your penis, in which case some anti-inflammatory cream or even vaseline might help

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Archie#3960

9 mo ago

Why do you think std? Did you have new partners?

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