Patient's question:
Hello doctor, I am 18 years old. Here's the situation! Recently, I've been experiencing itching in my scrotum, a wet and itchy sensation with a sticky feeling sometimes. I've tried using Piccong Wang, Daktarin, and Clotrimazole, but none of them have worked. When applying the medication, it feels fine, but the itching returns immediately after stopping the treatment! There are no abnormalities in my urination, but I've noticed that my glans is purple, not red as it should be. When I open the urethral meatus of the glans, the urethra appears purple, like a mass of purple blood clots. I'm not sure if this is normal, but I wanted to ask the doctor. The main symptoms I'm experiencing are itching and stickiness in the scrotum. Could it be a fungal infection or something else? Thank you for your help, and please help diagnose the issue!Doctor's answer:
In your case, it might be balanitis, which refers to the inflammation of the glans mucosa. This condition can be caused by various pathogens, local irritation, and other factors. Balanoposthitis refers to the inflammation of the inner foreskin and the glans penis. In traditional Chinese medicine, it is related to damp-heat accumulation in the lower body and liver channel damp-heat. It can be treated with Longdan Xiegan Decoction or by washing with a decoction of Sophora flavescens. I believe most people know that urinary tract infections can cause significant harm to men, so it is important to seek treatment as soon as possible. In daily life, pay attention to dietary issues—maintain a light diet and avoid irritating foods. Additionally, regular follow-up visits may be necessary when needed.