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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 : 3628 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.
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