What should I do if there are small red spots on the glans?

Small red spots on the glans can be treated by keeping it clean, avoiding irritation, using topical drugs, oral drugs, and seeking medical examination. Small red spots on the glans may be related to allergic reactions, infections, friction irritation, skin diseases, sexually transmitted diseases and other factors.

1. Keep it clean

Gently clean the glans and the inside of the foreskin with warm water every day, and avoid using harsh cleaning products such as soap or shower gel. Wipe dry after cleaning and keep the area dry. You can choose pure cotton underwear with good breathability to avoid local moisture and heat. If there is excessive foreskin, the foreskin needs to be turned up to fully clean the coronal sulcus.

2. Avoid stimulation

Suspend sexual life and masturbation to reduce local friction. Avoid wearing tight pants or clothing made of synthetic materials. Avoid eating spicy and irritating foods, such as chili peppers, alcohol, etc. Do not apply ointments or use folk remedies on your own, especially the abuse of hormone-containing ointments.

3. External use drugs

For fungal infections, you can use miconazole nitrate cream or clotrimazole cream as directed by your doctor. For bacterial infections, use mupirocin ointment or fusidic acid cream. Atopic dermatitis can be treated with hydrocortisone cream for a short period of time. Before use, clean the affected area and apply a thin layer to avoid contact with the urethral opening.

4. Oral medications

Candida balanitis can be treated with oral fluconazole capsules. For bacterial infections, azithromycin tablets or cefixime dispersible tablets need to be selected based on drug susceptibility results. Loratadine tablets can be taken for allergic reactions. Herpes virus infection requires acyclovir tablets. All oral medications should be used only after evaluation by a physician.

5. Medical examination

If the erythema persists for 3 days and is accompanied by symptoms such as ulceration, exudation, pain during urination, or fever, you need to see a urology department or dermatology department in time. Doctors may perform secretion microscopy, bacterial culture, serological testing, etc. to determine the cause. Sexually transmitted diseases such as syphilis and genital herpes require standardized treatment and follow-up.

Daily attention should be paid to observing the changes in erythema and recording whether it is accompanied by symptoms such as itching and pain. Sexual intercourse is prohibited during treatment, and partners need to be checked simultaneously. Eat a light diet and drink plenty of water to promote metabolism. Avoid sitting for long periods of time and choose loose-fitting, breathable pants. Do not share towels and bathing equipment with others, and personal items must be disinfected regularly. If it is recurrent balanitis, circumcision may be considered to prevent recurrence.