Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
191 Doctors are Online

Red bumps on scrotum, Folliculitis, use of antibiotic cream and antiperspirant powders - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Testicle Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3387 Questions
User :   I noticed a few red bumps on my scrotum sack and am trying to understand what they are. They are around hair follicles it seems. I shave in my genital area but am wondering what your thoughts are. There is no issue on my penis just on the scrotum sack on my right side.
Doctor :   Hi
User :   hi
Doctor :   May I know your age/
User :   45
Doctor :   Are you active sexually?
User :   yes, with the same girl
Doctor :   Since when have you noticed this redness?
User :   just noticed yesterday
Doctor :   Ok
Doctor :   Do you notice symptoms such as burning sensation, itching, pain with the redness?
User :   none of those
User :   just the red bumps
Doctor :   Do you have history of diabetes?
User :   no but my dad does
User :   my dad does
Doctor :   Ok
Doctor :   Did you use any products on the scrotum before these symptoms developed?
User :   no, i used a condom
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Based on your description,
User :   they almost look like insect bites
Doctor :   you symptoms appears to be due to folliculitis.
User :   please go on
Doctor :   It is an inflammatory condition secondary to infection of the hair follicles.
User :   how to treat it
Doctor :   The treatment of the condition is based on the type of infection that is suspected.
User :   what do you mean
Doctor :   Based on the location, it probably appears to be a bacterial or a fungal infection
Doctor :   I hence suggest you to try antibacterial creams such as neomycin creams on the affected region.
User :   ok, i do work out a lot and sweat in that area
Doctor :   Keeping the area dry and sweat free is essential.
Doctor :   Hence avoid wearing tight undergarments
User :   ok
User :   what about hot compresses?
User :   i was prescribed with an antifungal before and it worked
Doctor :   A fungal infection is another possible cause, but since you report that your symptoms is just a day old,
Doctor :   i suggested the antibacterial.
User :   like neosporin
Doctor :   Yes.
User :   what type of time frame should i expect for clearing up
Doctor :   However if you feel that your symptoms do improve with neomycin or if you develop new symptoms such as burning sensation, or increase in the size of patch,
Doctor :   i suggest you to consult your physician.
User :   ok, no burning or increase in size patch, just a few bumps in a specific spot on the scrotum
User :   i read that it can be caused by friction to while sexually active
User :   the hair follicles can become this way particularly if one shaves down there as i do
Doctor :   Folliculitis is referred to as inflammation of the hair follicles
User :   ok
Doctor :   Yes inflammation could occur due to infection
Doctor :   or due to friction too.
Doctor :   the treatment of the condition remains the same
User :   and this is treated by keeping it dry and clean using antibacterials
Doctor :   that is right.
Doctor :   I do recommend you to see your doctor, if your symptoms worsen despite these measures.
User :   since this is just the second day, when should i see improvement as it does seem to less inflamed
Doctor :   Inflammation and bacterial infection should settle down in 2-3 day time with the antibacterial medication.
Doctor :   Antifungal infection may consists to persist for a long time.
Doctor :   Hence if your symptoms are not better in 2- 3dayst time
Doctor :   see your doctor.
User :   ok....there are about 5 bumps on the scrotum some of which have the hair follicle growing out of it, and some of which, there is only a dark tiny dot which looks like where the hair follicle once was
Doctor :   Ok
User :   does this make sense
Doctor :   Since i cannot visually examine the scrotum,
Doctor :   the severity and extent of inflammation cannot be predicted appropriately.
User :   ok
Doctor :   A doctor who perform the scrotal examination will be tell you about the extent and severity of infecion.
User :   ok
User :   i guess i will wait until friday and if no improvement then go in for a visit
Doctor :   That is right.
Doctor :   Do you have any other query?
User :   let me see.....could this be a possible insect bite(s).....bed bug or something?
Doctor :   Since you report that your symptoms are around the hair follicles
Doctor :   an insect bite or a bed bug is unlikely.
User :   yes they are near the follicles
Doctor :   Do you have any other query?
User :   are you familiar with Dippropionate Cream USP?
Doctor :   Yes, they are steroid cream.
User :   my doctor prescribed this a couple years back
Doctor :   I do not advice you to use the cream on the present lesion before seeing a doctor.
User :   i work out a lot and sweat alot in this area, and this crea
Doctor :   An infection - both bacterial and fungal ones can become worse with the use of steroid cream.
Doctor :   You may use this once an infection is ruled out.
User :   i am wondering if this cream should be used
Doctor :   I would not advice you to use this cream now.
User :   ok
Doctor :   A probably once a doctor see's you and as infection is ruled out
Doctor :   you are free to use this cream.
User :   ok, but for now antibacterial seems to be the way to go for now
User :   one last questin
User :   i like to work out
User :   and was planning on it this evening
Doctor :   you can continue to work out, as long as
User :   this causes immense sweating
Doctor :   1. You keep the scrotum dry.
Doctor :   2. wear loose garments like a boxers instead of tight undergarments.
User :   what if i do sweat in that area
User :   and i do ususally wear something that supports the area such as a jock strap or tight underpants for work outs
Doctor :   You can control the sweat by use of antiperspirant powders.
User :   ok
User :   like baby powder
Doctor :   Alternatively it is a good idea to shave of the hairs at the pubic region.
Doctor :   The ones on the scrotum where it is affected
Doctor :   you may leave it alone.
User :   to shave the hairs in the pubic area and leave the inflammed hairs alone?
Doctor :   Remove those hairs too once your symptoms improve.
Doctor :   Right.
Doctor :   I suggest you to use depilatory creams while removing the hairs
Doctor :   instead of just shaving.
User :   what is depilatory cream?
User :   and when you say remove are youi talking about pulling the hairs out around the inflammed area
Doctor :   I mean hair removing creams which are easily available at a chemist.
User :   you are talking about this as an alternative to shaving?
Doctor :   Right, avoid removing the hairs on the scrotal region for now.
User :   ok
User :   thank you doctor
Doctor :   and the creams is an alternative off course to avoid cuts and bruises.
Doctor :   Hope i have answered your query.
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Question is related to
Medical Procedures
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor