What is the cause of itchy glans?

The glans of men is a very sensitive part. If this part is stimulated to a certain extent, it is likely to become inflamed. In addition, men should try to choose pure cotton underwear, because the material of pure cotton underwear has the least stimulation to the skin. If men feel itchy glans, it is very easy to cause balanitis. So what is the reason for the itchy glans?

The glans of the penis is itchy and a little red on the surface. This is balanoposthitis (glansitis). In fact, balanoposthitis is a common disease. Balanoposthitis is divided into balanoposthitis and glansitis. Because they often appear at the same time, they are called penile balanoposthitis. This inflammation can be infectious or non-infectious. Infectious balanoposthitis is more common in clinical practice. Infectious ones are often caused by unclean sexual intercourse, infection with Candida albicans, Trichomonas, Chlamydia, Mycoplasma, Gonorrhea or other bacteria; non-infectious factors are mostly due to excessive foreskin and insufficient cleaning. The unclean things between the foreskin and the glans, that is, smegma, will accumulate and stimulate the local foreskin and mucous membrane to cause inflammation.

Common clinical types of balanitis include the following, and their symptoms are:

(1) Acute superficial balanoposthitis is characterized by local redness at the onset, redness and swelling of the penis skin, and a burning and itching sensation at the glans. When the foreskin is turned back, the inner surface of the foreskin and the glans can be seen to be congested and eroded, with exudate and even bleeding. After secondary infection, small ulcers can be seen, with foul-smelling milky white purulent secretions. If rubbed against underwear, it will be painful, and the patient often has difficulty in moving. It may be accompanied by enlargement and tenderness of the inguinal lymph nodes.

(2) Annular ulcerated balanoposthitis: Red spots can be seen on the glans and foreskin. They gradually expand and become ring-shaped, and may form superficial ulcers.

(3) Candida albicans balanoposthitis: Erythema can be seen on the foreskin and glans, with a smooth surface and small blisters. The edges of the erythema are clear, and there are erosions and exudates during acute attacks.

(4) Trichomonas phimosis: papules and erythema appear on the glans, which gradually expand and have clear edges. Small blisters the size of a needle can be seen on the erythema, and finally an erosive surface is formed.

The basic principle of western medicine treatment is anti-inflammatory and sterilization. Generally, both internal and external treatments are used. Erythromycin and tetracycline are the first choice for the treatment of acute superficial balanitis and annular effusive balanitis, generally 0.5g per dose, 4 times a day. The first choice for the treatment of trichomonal balanitis is metronidazole, 0.2g per dose, 3 times a day, for 10 consecutive days. For the treatment of balanitis caused by Candida albicans, trichostatin or itraconazole is often used for treatment. Trichostatin 100,000 to 200,000 units, twice a day, itraconazole 100mg per dose, twice a day, for 7 consecutive days.

Traditional Chinese medicine often divides this disease into three types, namely, stagnation of toxic fire, damp-heat and insect-producing, and liver-kidney yin deficiency. Different treatments are given according to different clinical manifestations.

(1) Toxic fire stagnation type: the foreskin and glans penis are red and swollen, with erythema, papules, blisters or ulcers, spontaneous pain, difficulty urinating, and oral

Tongue sores, irritability and anger. This is due to the stagnation of toxic fire, which cannot be vented. Treatment should be to clear away heat, purge fire and detoxify. Commonly used prescriptions are Dao Chi

Danjiajian: Coptis chinensis 10g, Scutellaria baicalensis 10g, Fructus sanguinea 10g, Akebia 10g, Radix Rehmanniae 10g, Lophatherum gracile 10g, Rhizoma Zhexie 10g, Rhubarb 6g, Raw Licorice

10g decocted in water, 1 dose per day.