What could be the reason for the small, painless, red bumps on my penis?

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

The history and image provided (attachment removed to protect the patient's identity) can be balanitis. Balanitis is an inflammatory condition causing the redness on the glans, penis, foreskin, or both, which may present as red spots, sometimes white scaly lesions with dryness and secretions. They may present with pain, itching, discomfort, and burning sensation while urinating and are occasionally asymptomatic. There are multiple factors causing balanitis, including fungal infections, bacterial infections, eczema, which is an allergic reaction leading to dry spots and areas with occasional secretions or oozing, psoriatic causes leading to extreme dryness, as an allergic reaction to harsh and strong chemicals, lack of hygiene, sexually transmitted infections in case one is sexually active, due to autoimmune conditions and due to lowered immunity.

I would suggest the following:

1. Undergo blood tests, including CBC (complete blood count), hemoglobin, thyroid function test, STI (sexually transmitted infections) panel tests, and routine urine tests.

2. Apply Miconazole cream (Miconazole nitrate) on the affected area twice daily for eight weeks.

3. Apply Oilatum emollient (liquid paraffin and white soft paraffin) 1 cap full (the cap present on the medicated bottle) mixed in 500 ml water and wash the affected area with the solution once daily in the morning.

4. Wash the area with lukewarm salt water at night.

5. Avoid using harsh chemicals, soaps, or shampoos to clean your private area, as they are too sensitive to handle them.

6. Capsule Omega 3 (Docosahexaenoic acid (DHA) and Eicosapentaenoic acid (EPA)) once daily to be taken after dinner for four weeks.

7. In case of secretions, swab tests for culture and sensitivity to rule out the presence of bacteria, and in case of white scaly lesions, KOH (potassium hydroxide) testing where the skin scraping is taken for microscopic testing to rule out fungal elements may be done.

8. Capsule Becosules Z (Vitamin B complex, Vitamin C, and zinc) once daily in the morning after breakfast for one month.

I hope this helps.

Thank you.