[30M] With penile bumps and itching

Patient Description

A 30-year-old male has been experiencing an insatiable itch near the head of his penis for about a month, accompanied by two bumps. One bump is larger, whitish/reddish, and resembles a boil, while the other is smaller and looks like a circular scab. The itching is primarily localized around these bumps. There is no discharge, burning, or other symptoms like sweats or headaches. The patient's girlfriend has no similar symptoms, and he hasn't had any new sexual partners since last year. The patient finds some relief from the itching with A&D ointment and Epsom baths. Additionally, the patient has a condition where his anus falls out during bowel movements, for which he uses an antibiotic cream. He also used a steroid topical cream in November and December to clear his penile skin, which may have thinned the skin. No other medications or supplements are being taken.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible conditions that might explain your symptoms:

  • Folliculitis: This is an infection of the hair follicles, often caused by bacteria. It can result in red, inflamed bumps that may resemble boils. Itching is also common.

    • Treatment typically involves good hygiene, warm compresses, and sometimes antibiotic ointments or oral antibiotics prescribed by a doctor.
  • Genital Herpes: Although you mentioned no new sexual partners recently, herpes can sometimes present with bumps or sores that may itch. However, it usually involves painful sores rather than just itching.

    • Antiviral medications can manage outbreaks and reduce symptoms.
  • Contact Dermatitis: This could be a reaction to something that has come into contact with your skin, such as a new soap, detergent, or even the steroid cream you used.

    • Treatment involves avoiding the irritant and using topical corticosteroids to reduce inflammation.
  • Molluscum Contagiosum: This is a viral infection that causes small, firm, raised bumps on the skin. These bumps can be itchy and are usually painless.

    • Treatment might include topical therapies or procedures to remove the bumps.

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Maintain Good Hygiene: Keep the affected area clean and dry. Use mild, unscented soap and warm water.
  2. Avoid Irritants: Refrain from using any new products that might irritate your skin, including soaps, lotions, and detergents.
  3. Warm Compresses: Applying a warm compress to the bumps can help reduce discomfort and promote healing.
  4. Over-the-Counter Treatments: You can continue using A&D ointment for relief. Hydrocortisone cream might also help with itching, but use it sparingly and avoid prolonged use without medical advice.
  5. Avoid Scratching: Try not to scratch the affected area, as this can worsen the condition and potentially lead to infection.

What you should look out for

Seek medical attention if you notice any of the following:

  • Increased Pain or Swelling: If the bumps become more painful, swollen, or start to ooze pus, this could indicate an infection that needs medical treatment.
  • Fever or Malaise: If you develop a fever or feel generally unwell, it could be a sign of a more serious infection.
  • Spread of Symptoms: If the bumps or itching spread to other areas of your body, consult a healthcare provider.
  • No Improvement: If your symptoms do not improve or worsen despite self-care measures, seek medical advice.

Remember, while this information can help guide you, it is essential to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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6 mo ago

People Also Ask


What could cause an insatiable itch and bumps on the penis?

An insatiable itch and bumps on the penis could be caused by several conditions, including folliculitis, genital herpes, contact dermatitis, or molluscum contagiosum. Each condition has distinct characteristics, so a healthcare provider should be consulted for an accurate diagnosis.


How can I differentiate between folliculitis and genital herpes?

Folliculitis typically presents as red, inflamed bumps that may resemble boils and are often itchy. Genital herpes usually involves painful sores or blisters rather than just itching. A healthcare provider can perform tests to accurately diagnose the condition.


What are some effective home remedies for relieving itching and bumps on the genital area?

Effective home remedies for relieving itching and bumps on the genital area include maintaining good hygiene, using mild unscented soap, applying warm compresses, and using over-the-counter treatments like A&D ointment or hydrocortisone cream sparingly. Avoiding irritants and not scratching the area are also important.


When should I see a doctor for bumps and itching on the penis?

You should see a doctor if the bumps become more painful, swollen, or start to ooze pus, if you develop a fever or feel generally unwell, if the symptoms spread to other areas of your body, or if there is no improvement or worsening of symptoms despite self-care measures.


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