What is the situation when small red spots appear on the glans?

Patient's question:

Detailed medical condition and consultation purpose: There are small red spots on my glans, which are not painful or itchy. The spots are not raised, but since they appeared, I have been experiencing frequent lower back pain. Additionally, the quality of my sex life with my girlfriend has decreased. I want to know what could be causing this and whether it is serious.
Duration and course of the current illness: Half a month
Medical history: None
Previous diagnoses and treatment history and outcomes: None

Doctor's answer:

There are small red spots on the glans, which may indicate an infection. Clean the affected area with a 1:5000 potassium permanganate solution and keep it dry. Under the guidance of a doctor, take antibiotics for treatment. Pay attention to genital hygiene, maintain dryness, bathe frequently, and change underwear often. Avoid promiscuous sexual history. The basic principle of Western medicine treatment is anti-inflammatory and antibacterial. It is usually a combination of internal and external treatment. For acute superficial balanitis and annular erosive balanitis, erythromycin and tetracycline are the first-line treatments. For trichomoniasis balanitis, metronidazole is the first-line treatment. For balanitis caused by Candida albicans, griseofulvin or itraconazole is commonly used for treatment.

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