After waking up, the circumference of the glans is swollen. What should I do?

Patient's question:

Alright, here's the translation, keeping the line breaks as they are:
I've also had this happen before, but I ignored it, and it gradually got better over three or five days. It didn't affect my urination, but it was a bit unsettling. I'm 18 and haven't had sex with anyone, so it's not an STD, right? Is it possible it just got erect at night, and I was sleeping on a cool mat, so it bumped against it?
Medical history and effectiveness of treatment: I haven't had any treatment.
What kind of help I expect: Tell me why this happened, what kind of situation it is. Basically, what should I do? If I need medication, what kind? Is it okay not to take medication? How can I avoid this in the future.

Doctor's answer:

Hello, the swelling around the glans may be caused by poor local blood circulation or infection and inflammation. Based on your condition, it is likely due to phimosis or excessive prepuce. Men with phimosis or excessive prepuce should seek medical treatment early and undergo a circumcision procedure. Apply the topical medication for three days to see if it works. If it is effective, continue using the topical medication for another week. If the topical medication is ineffective, it is best to go to a specialized hospital for a detailed examination and laboratory tests. Pay attention to hygiene in the genital area. Avoid wearing tight, non-breathable underwear and pants. Wash the area externally as appropriate. Generally, it should improve within 2-3 days. Monitor your diet, bowel movements, sleep, body temperature, etc. Rest properly, maintain a regular sleep schedule, and avoid prolonged sitting.

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