What happens if dermatitis recurs? What should I do?

Recurrent episodes of foreshitis may be related to factors such as poor hygiene habits, bacterial infection, excessive foreskin, immune abnormalities, diabetes, etc. It can be treated through drug treatment, surgical treatment, improvement of hygiene habits, control of basic diseases, daily care, etc.

1. Poor hygiene habits

Incomplete cleansing can cause dirt buildup to irritate the skin. Routinely, the inside of the foreskin and glans should be washed with warm water every day, and avoid using irritating lotions. After washing, keep dry and wear breathable cotton underwear.

2. Bacterial infection

Candida albicans or bacterial infection is a common trigger. For fungal dermatitis, you can use miconazole nitrate cream or clotrimazole ointment as directed by your doctor. ； For bacterial infections, erythromycin ointment or mupirocin ointment can be used. Avoid sexual intercourse during treatment.

3. Foreskin is too long

Excessive foreskin can easily harbor germs and cause repeated inflammation. For adult patients with recurrent infections, surgical treatments such as circumcision or foreskin dilation can be considered, while pediatric patients need to be evaluated to determine the timing of surgery.

4. Immune abnormalities

Patients with immunodeficiency or long-term use of immunosuppressants are prone to relapse. The primary disease needs to be treated, and if necessary, immunomodulatory drugs such as transfer factor oral solution or thymosin enteric-coated tablets should be taken under the guidance of a doctor.

5. Diabetes

Poor glycemic control reduces local resistance. Diabetic patients need to monitor blood sugar, use hypoglycemic drugs such as metformin hydrochloride tablets or acarbose tablets, and coordinate with diet and exercise management.

During recurrent episodes of periposthitis, spicy foods should be avoided and loose and breathable clothing should be chosen. After treatment is completed, you still need to maintain good hygiene habits and review regularly. If symptoms persist for more than 2 weeks or suppuration, ulcers, etc. occur, you should promptly seek medical attention from a dermatology or urology department to complete fungal microscopy, blood sugar testing and other examinations. It is not recommended to use antibiotics or hormone drugs for a long time by yourself. You need to strictly follow the doctor's instructions and regulate the medication.