Why are there red spots on the glans and itchy?

Red spots and itching on the glans may be related to balanitis, contact dermatitis, allergic reactions, fungal infections, eczema and other factors. It is recommended to seek medical treatment promptly to clarify the cause of the disease and carry out targeted treatment under the guidance of a doctor.

1. Balanitis

Balanitis is usually caused by a bacterial or fungal infection and manifests as redness, swelling, red spots, itching, or increased discharge on the glans. It may be related to excessive foreskin and poor local hygiene. You can use clotrimazole cream, erythromycin ointment or compound ketoconazole ointment as directed by your doctor. During treatment, keep the perineum clean and dry and avoid scratching.

2. Contact dermatitis

Contact dermatitis is often caused by irritation from underwear material, detergent residue or condom allergy, causing erythema, papules and itching on the glans skin. Suspected allergenic items need to be stopped immediately, washed with warm water and then applied with hydrocortisone cream or calamine lotion. You should choose pure cotton breathable underwear for daily use and avoid using fragrance-containing cleaning products.

3. Allergic reaction

Food or drug allergies may cause local angioedema on the glans penis, causing scattered red spots and severe itching. Common allergens include seafood, antibiotics, etc. Oral loratadine tablets or topical hydrocortisone butyrate cream can be used to relieve symptoms. Severe allergies require prompt medical treatment.

4. Fungal infection

Candida infection is common in patients with diabetes or those who take antibiotics for a long time. Ring-shaped erythema, white discharge and itching appear on the glans penis. Diagnosis requires fungal microscopy, and miconazole nitrate cream or itraconazole capsules can be used for treatment. Spouses need to be treated simultaneously to prevent cross-infection.

5. Eczema

Eczema on the glans is mostly a chronic inflammatory reaction, manifesting as symmetrical erythema, papules and exudation tendencies. Related to mental stress and immune dysfunction. Mometasone furoate cream can be used short-term, combined with oral ebastine tablets. Avoid hot water and apply moisturizing cream promptly after bathing.

Daily care should be taken to wash the perineum with warm water every day and avoid using alkaline soap. Wear loose, breathable cotton underwear and change them daily. During the treatment period, sexual intercourse is prohibited and spicy food is prohibited. If symptoms continue to worsen or ulcers, pus, etc. appear, you need to go to a dermatology or urology department immediately and conduct secretion culture and other examinations if necessary. Do not use hormonal ointments on your own for a long time to avoid skin atrophy.