Pediatric surgery, the little chicken has a little prepuce, sometimes there are small red spots, what is this

Patient's question:

Doctor, hello, a three-year-old boy, the foreskin is a bit tight, sometimes with small red spots, itchy and difficult to sleep, crying and fussing. What is the problem? Some doctors say it's a urinary tract infection, others say it's eczema. The medication and washing do not work well and recur. How can it be confirmed? How to treat it? Thank you

Doctor's answer:

There are several possible causes for small red spots on the glans: If they are solid red dots, it could be due to balanitis caused by inflammation of the coronal sulcus. Generally, it is considered that the balanitis may be caused by excessive foreskin. If the excessive foreskin repeatedly causes balanitis, it is best to recommend surgical removal of the foreskin.