Ianthe Erythema on the glans may be related to factors such as balanitis, allergic reactions, fungal infections, sexually transmitted diseases, local friction irritation, etc. It can be relieved by local cleaning, anti-infection treatment, and avoiding contact with allergens.
1. Balanitis
Glans erythema is common in foreskin balanitis. It is often caused by bacterial infection caused by excessive foreskin or insufficient cleaning. It is often accompanied by redness, swelling, itching or increased secretion. It needs to be washed with warm water every day and kept dry. In the acute stage, erythromycin ointment or clotrimazole cream can be used as directed by the doctor. Recurrent episodes suggest evaluation for circumcision.
2. Allergic reaction
Contact with detergents, condoms or underwear materials may trigger allergic dermatitis, which manifests as well-circumscribed erythema with a burning sensation. Immediately stop using suspicious items and rinse with water. Hydrocortisone cream can be applied locally. Severe allergies require oral loratadine tablets.
3. Fungal infection
Candida infection is common in patients with diabetes or those who have used antibiotics for a long time. A white film can be seen on the surface of the erythema. Microscopic examination is required to confirm the diagnosis, and miconazole nitrate cream or fluconazole capsules are used for treatment, while blood sugar is controlled. The patient's clothing needs to be disinfected at high temperature.
4. Sexually transmitted diseases
Syphilis chancre or genital herpes may present as painless erythema in the early stages, and the latter is often accompanied by blisters. Syphilis serology or HSV antibodies need to be tested. After diagnosis, penicillin sodium injection or acyclovir tablets are used for standard treatment. Sexual partners need to be screened simultaneously.
5. Local friction irritation
Vigorous sexual intercourse or friction with clothing may cause mechanical erythema, which is usually painless but without discharge. It is recommended to wear loose cotton underwear and suspend sexual life. If the erythema does not subside, other causes need to be ruled out.
Pay attention to the breathability of the perineum on a daily basis and avoid using irritating cleaning products such as soap. If combined with ulcers, fever, or swollen inguinal lymph nodes, you must seek medical attention immediately. During treatment, alcohol and spicy food are prohibited. Spouses with symptoms need to be treated together to prevent cross-infection. Regular re-examination will be carried out until the symptoms completely disappear. Patients with chronic and recurrent attacks need to complete blood sugar and immune function tests.
