Swollen penis? - Page 2

[katiesmom]

His foreskin is tight like a band around his head, which is sticking out. And there is yellow discharge in his underwear.
Now he won't pee b/c he says it hurts.
I am trying not to panic, but it's hard.

[MCatLvrMom2A&X]

OK this is a problem. I dont mean to panic you but it sounds like his foreskin is behind the glans and that is paraphimosis and an emergency situation.

Paraphimosis (not common but good information to have)
Be sure to instruct your son to replace the foreskin over the glans so that it doesn't become trapped behind the glans. If this happens it is known as paraphimosis and it is a emergency situation that needs immediate attention. There are a few simple things that work most of the time to get it back in the proper position.

(Warning!: Actual medical pictures of reduction, genitals shown)
Here are two great article on reducing paraphimosis:
http://www.cirp.org/library/treatmen...osis/reynard1/
http://www.circumstitions.com/Paraphim.html (Drawings of reduction)

try those things if you cant then get him to the ER.

He does NOT need circed but they may have to cut a slit in his foreskin to put it back over the glans.

I am sorry that sounds so alarming but his condition right now is critical and needs fixed before tissue damage can happen.

I am so sorry that both of you are going through this. Please mama I cannot stress enough dont let them circ him but get him seen now.

Nothing you did or didnt do has caused this the swelling from what was going on before has caused him to totally retract before he was ready.

[katiesmom]

Right now, I can't tell if his head is out or not. It could be that his foreskin is very swollen. He's so little, and I've never seen his head.
I can't post a pic, can I? Could I pm you a pic and maybe you could tell if it's phimosis? Those pics are of men, and look much more severe than my ds.

[Fellow Traveler]

Yes if the foreskin is retracted and he is swelled like his he needs attention right away.

[MCatLvrMom2A&X]

I wouldnt post pictures here since it is public but I you can pm them to me and I will see if I can help. Or email them to me it will be easy to attach them that way and I will delete them as soon as I look them over. I am pming you with my email addy right now.

Sorry took me so long to respond I had to pick the kids up from school then run to the store.

[Night_Nurse]

How is the little boy now?

[Fellow Traveler]

Originally Posted by Night_Nurse

How is the little boy now?

Ya, how is he doing?

[tutucrazy]

My guess is that the swelling from the infection has caused the opening of the foreskin to narrow and now there is a back pressure when he urinates which is why it is hurting when he pees. The back pressure of the urine is probably releasing some of the natural adhesions. The freshly separated areas of the glans will sting very badly until they smooth over in a couple days. A steroidal cream can be used just temporarily to relieve the swelling at the opening (only apply to the very tip) Desonide is one brand but you will need a prescription. You should continue the ABX and follow with a round of diflucan and lots of probiotics.

He will probably balloon after this so don't be surprised if this happens. Ballooning during urination is normal and nothing to worry about.

[katiesmom]

After I read the phimosis post, I rushed him to the ER. They admitted him, and said we would see a pedi urologist shortly. He NEVER came. I'm so angry about that, I can't even put into words. The nurses were wonderful, as was the doc on call. They called this jerk over and over, as my ds hadn't been able to eat in case he needed the distal cut. The jerk called me at 1030pm and said that it could be infection, it could be from trauma. He was on IV antibiotics for 24 hours (we spent the night), and sent home with the steroid cream and abx last evening.

I HATE antibiotics. I hate what they do to the body, especially when not necessary. After rethinking what happened, how he was roughhousing with other boys, immediately said his peepee hurt, then an hour later it was swollen, and the next day, in his morning diaper was a lot of brown stuff. The doc said it was probably blood. So, now I'm thinking it had to be trauma?
I am going to wait a couple days and see if he keeps improving (he's much, much better. it's still swollen, but it's not all red and purple anymore, and doesn't hurt but when he pees), I will hold off on the oral abx.

They also did a culture on a bit of discharge that came out, and at first glance, there was no infection. They will let me know in a few days if it grows anything.

Thank you so much so walking me through this very scary experience.

[katiesmom]

Oh, I forgot to add that all the doctors and nurses in the hospital told me that I'm supposed to be slowly trying to retract it little by little when he bathes (and implied that me not doing that is why he was there).
That goes against everything I have read, and I told them that, but they insisted. Of course I didn't let them retract him, but that isn't true, is it?
I have a call into my sis in the UK who's FIL is a dr. I'm waiting to hear what he says, but wanted to know what you guys thought about that.

[MCatLvrMom2A&X]

No it isnt true. That is the old school way of thinking. Nothing you did caused this and I am thinking your are onto something about the trauma anything like that could start the ball rolling on the retraction process.

Retraction before he is ready will only lead to problems worst case infection after infection which is why there are so many stories out there of why when my uncle, dad, cousin, brother ended up being circed as a child due to infection because they where taught to forcibly retract and clean from birth. Less worst case is that it causes scar tissue which means that he will have less sensitivity when he is an adult.

I am so glad he is on the mend and hope that you never have to go through anything like this again Odds are high you wont thank goodness. Just keep doing what you have been doing and swish it in the tub and let nature do the rest.

I also thought it wise to mention that he may look different now I know ds's appearance changed after his infection. Not in a major way but enough I could see it. The tip looked looser for a better word and he had more episodes of redness at the tip but it wasnt sore just more red. One thing though after all that he got way more into messing with it because I let him just be nekked.

[eepster]

Don't use the steroid cream. Steroid cream is for treating post puberty adolescents and adults with phimosis (typically when it's been caused by repeat early retraction.) It is used in conjunction with stretching exercises that are completely inappropriate for young children.

You are right not to try to retract him. It can build up scar tissue causing phimosis over time, and there is always the danger of causing paraphimosis (the condition PPs were worried enough about to send you to the ER over.)

With this info, it does sound like trauma. Possibly accidental forcible retraction, which could have possibly resulted in paraphimosis. Or just a huge cut inside his foreskin. It is unfortunate that in the US it is so hard to get a simple injury such as this properly treated by medical proffesionals.

[eepster]

Mcat types faster than I do.

Originally Posted by MCatLvrMom2A&X

I also thought it wise to mention that he may look different now I know ds's appearance changed after his infection. Not in a major way but enough I could see it. The tip looked looser for a better word and he had more episodes of redness at the tip but it wasnt sore just more red. One thing though after all that he got way more into messing with it because I let him just be nekked.

DS whose separation was a very minor event (a few spots of what was probably smegme in his under wear, and suddenly he discovered he could stick thing in there ) had a looser appearance after separation too. It also hangs down further than it did before.

[katiesmom]

Well, that makes me really sad that they are spreading that kind of misinformation to parents.
And that even my anticirc doc had no idea what to do b/c she just doesn't have the experience with intact boys. We're in the Midwest where the circ rate is high.
Thanks for the advice, I will never retract my little guy.
I'm nervous that he obviously had some accidental retraction, but hopefully it just heals.
Next times he in in that bouncy thing they were playing in, I'm getting him a cup.

[MCatLvrMom2A&X]

That is the great thing about kids they heal fast and bounce back before you know it while giving us gray hairs and ulcers in the process

[Night_Nurse]

Originally Posted by katiesmom

Oh, I forgot to add that all the doctors and nurses in the hospital told me that I'm supposed to be slowly trying to retract it little by little when he bathes (and implied that me not doing that is why he was there).

Absolutely not! You're not supposed to retract it and it certainly was not your fault that he had this issue. These medical professionals are misinformed. When your son is all better, please consider contacting DOC and asking them to send some info to both the doctor who told you this and to the nursing manager of the floor on which your son was a patient. They are giving out info that could hurt boys even more.

I'm glad your son is doing better now.

[Fellow Traveler]

Originally Posted by katiesmom

After I read the phimosis post, I rushed him to the ER. They admitted him, and said we would see a pedi urologist shortly. He NEVER came. I'm so angry about that, I can't even put into words. The nurses were wonderful, as was the doc on call. They called this jerk over and over, as my ds hadn't been able to eat in case he needed the distal cut. The jerk called me at 1030pm and said that it could be infection, it could be from trauma. He was on IV antibiotics for 24 hours (we spent the night), and sent home with the steroid cream and abx last evening.

I HATE antibiotics. I hate what they do to the body, especially when not necessary. After rethinking what happened, how he was roughhousing with other boys, immediately said his peepee hurt, then an hour later it was swollen, and the next day, in his morning diaper was a lot of brown stuff. The doc said it was probably blood. So, now I'm thinking it had to be trauma?

What a mixed bag of events Pretty good staff and a Pedi-Urologist who doesn't show up. I am still wondering what exactly happened. I mean I suppose it could have been from rough play but I have a difficult time really picturing that possibility, KWIM? To roughhouse that much just seems, i don't know; impossible but yet it may have happened. *shrug*

Originally Posted by katiesmom

I am going to wait a couple days and see if he keeps improving (he's much, much better. it's still swollen, but it's not all red and purple anymore, and doesn't hurt but when he pees), I will hold off on the oral abx.

They also did a culture on a bit of discharge that came out, and at first glance, there was no infection. They will let me know in a few days if it grows anything.

Thank you so much so walking me through this very scary experience.

I am glad he is feeling much better and I hope your husband realizes this is just one of those freak events.

[katiesmom]

Originally Posted by Fellow Traveler

What a mixed bag of events Pretty good staff and a Pedi-Urologist who doesn't show up. I am still wondering what exactly happened. I mean I suppose it could have been from rough play but I have a difficult time really picturing that possibility, KWIM? To roughhouse that much just seems, i don't know; impossible but yet it may have happened. *shrug*



I am glad he is feeling much better and I hope your husband realizes this is just one of those freak events.

I understand. I've never heard of someone hurting their penis like that.
My ds and his 2 boy cousins were in one of those bouncy get at Walmart.
Here it is, so you are warned. http://www.walmart.com/ip/Jump-O-Len...ounce/10727425

They were jumping like crazy and knocking it over every which way, and falling on each other. I think that must be when it happened. We stopped them, but obviously too late.

And I will be getting info to my doc, but that is a good idea to get info to the nurses and docs at the hospital.

[tutucrazy]

Originally Posted by katiesmom

I understand. I've never heard of someone hurting their penis like that.
My ds and his 2 boy cousins were in one of those bouncy get at Walmart.
Here it is, so you are warned. http://www.walmart.com/ip/Jump-O-Len...ounce/10727425

They were jumping like crazy and knocking it over every which way, and falling on each other. I think that must be when it happened. We stopped them, but obviously too late.

And I will be getting info to my doc, but that is a good idea to get info to the nurses and docs at the hospital.

Usually the only way a foreskin can become infected is if there is a trauma and wound to the penis. Sounds like your son probably hurt it a little (possibly tore some of the natural adhesions) and then an infection potentially developed from there. When do you get the culture results? Get him on probiotics NOW so that if you need to do the oral ABX he doesn't suffer a secondary yeast infection from the ABX.