Patient's question:
30 Male I have balanitis, what should I do for treatment? What should I pay attention to? Thank you!Doctor's answer:
Hello: Scrotal eczema is the most common skin disease of the scrotum and is classified as an allergic reaction. Some also believe that the occurrence of this condition may be related to genetic factors, hot water washing, irritable temperament, and other factors.This condition occurs symmetrically, often affects the entire scrotum, and the affected area is intensely itchy. The course of the disease is prolonged, with recurrent episodes and poor response to treatment. In the acute phase, various changes such as papules, small blisters, pustules, erosion, exudation, and crusting may appear. In the chronic phase, it is characterized by deepening skin furrows, thickened skin, and rough scrotal skin, which is commonly referred to as "embroidered ball wind" in folk terms. If left untreated or treated improperly, acute and chronic phases may alternate, persisting for many years.
It is important to note that if symptoms such as intense itching, exudation, crusting, and thickening of the scrotum appear and do not improve with treatment, this condition should be considered.
Since this condition is not a fungal infection, it should not be treated as such. The most taboo actions for this condition are scratching, rubbing, friction, and hot water washing. Hot water, soap, saltwater, and alkaline solutions should not be used, nor should irritating substances like iodine, antifungal lotions, or garlic be applied externally. As long as itching is avoided and the skin is not further irritated, many patients can improve rapidly. This condition is related to emotions, so maintaining a calm mood, getting adequate rest, and having confidence in recovery are also key factors. In terms of diet, it is advisable to avoid spicy and irritating foods such as onions, ginger, and garlic.
For medication, cold compresses are the primary treatment during the acute phase. About 3,000 milliliters of clean water can be used, without any medication, or with 3 grams of alum added. Alternatively, a 10% berberine solution or a decoction of 30 grams of dandelion and 15 grams of wild chrysanthemum can be prepared, cooled, and used for wet compresses. If infection is present, 1 gram of [medication] should be added.