What should I do if my foreskin is always inflamed? What medicine should I use?

Recurrent inflammation of the foreskin can be treated through daily cleaning and care, topical antibacterial ointments, oral antibiotics, circumcision surgery, etc. It is usually related to factors such as poor hygiene, bacterial infection, and excessive foreskin.

1. Daily cleaning and care:

Wash the foreskin and glans with warm water every day, and gently turn the foreskin to completely remove smegma. Keep the area dry after washing and avoid wearing tight underwear. Cleaning before and after sex is required to reduce irritation from secretions. People with diabetes need to control their blood sugar, as a high blood sugar environment can easily induce infection.

2. External antibacterial ointment:

Topical application of broad-spectrum antibacterial drugs such as erythromycin ointment and mupirocin ointment can inhibit common pathogenic bacteria such as Staphylococcus aureus and Escherichia coli. Clean the affected area before use and apply thinly to red and swollen areas. Fungal periposthitis requires antifungal drugs such as ketoconazole cream.

3. Oral antibiotics:

For acute purulent inflammation, antibiotics such as cefaclor and amoxicillin-clavulanate potassium can be taken orally. It is necessary to complete the prescribed course of treatment to avoid drug resistance, and alcohol is prohibited during medication. For those with repeated infections, it is recommended to do a bacterial culture susceptibility test and select sensitive antibiotics accordingly.

4. Circumcision surgery:

Patients with excessive foreskin or phimosis are recommended to undergo circumcision to completely solve the health risks of the foreskin cavity. After surgery, you need to change dressings as directed by your doctor and avoid strenuous exercise. This surgery can reduce the risk of penile cancer and gynecological infections in sexual partners, and is suitable for patients with recurrent inflammation who are ineffective in conservative treatment.

5. Immune regulatory intervention:

Long-term repeated inflammation may be related to low immunity, so vitamin C, zinc and other nutrients can be supplemented. Avoid excessive fatigue and ensure 7 hours of sleep. Traditional Chinese medicine believes that dampness and heat can easily cause inflammation, and heat-clearing and dampness-clearing prescriptions such as Longdan Xiegan Decoction can be used based on syndrome differentiation.

Patients with dermatitis should choose pure cotton breathable underwear to avoid sitting in a humid environment for a long time. Reduce spicy foods and increase yogurt and other probiotic-containing foods in your diet. Uncircumcised men are advised to check the condition of their foreskin during annual physical examinations, and teenagers need to focus on preventing the accumulation of smegma. Sexual intercourse is prohibited during the acute phase, and spouses need to be checked simultaneously to prevent cross-infection. If systemic symptoms such as fever and lymphadenopathy occur, you need to seek medical attention immediately to rule out serious complications such as necrotizing fasciitis.