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Location: San Diego, CA
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|Pain, Swelling & Redness
Pain, swelling & redness can also go along with the ballooning or it can be seen without it. If either case 9 times out of 10 the pain and redness will resolve within 24-48 hours. If anything lasts longer than that the odds are higher that there is a infection present. Either yeast or bacterial generally. The treatment for these is not at all difficult. Depending which is present treatment will either be anti fungal, OTC yeast medications like Monistate 7 day treatment for yeast and for bacterial infections OTC Bacatracin (a safer less reactive cream than Neosporin) can be used. Sometimes a prescription of oral antibiotics is required as well. If you do go the antibiotic route make sure to finish the whole prescription even if you son's penis looks healed in just a few days. Neosporin is not recommended since some people react badly to it. It is important to figure out if you are dealing with yeast or bacterial since the treatment for bacterial infection can make yeast worse. What I did was try anti-fungal first and when I saw no improvement I knew it wasn't likely to be yeast so went with the treatment for bacterial.
If you do take your child to the Dr. make sure that his foreskin is not pushed back on at all. If there is infection present this will make it easier to spread and cause more pain and trauma. To check to see exactly what pathogen is present a swab culture should be done. This is done with the long q-tip and a gentle rub of the very tip of the foreskin will pick anything up that is present without pushing on the foreskin at all.
Some things you can do to help if your son is in pain is letting him urinate in a cup of water or the bath tub this will dilute the urine so that wont sting. If your son is old enough you can tell him to retract just enough that the urinary opening is exposed so the urine doesn't go back under the foreskin. Long soaks in the bath with baking soda or a very small amount of Tea Tree Oil can also help sooth the pain.
The things to watch for that would indicate more than separation injury is going on are: severe swelling that keeps getting worse, fever, discharge with a foul smell or dark green in color, redness accompanied by any of the things mentioned above. If your son is having trouble urinating he needs immediate medical help. The reason the foreskin reacts so strongly sometimes when separation is happening is because it is a very vascular organ and much like the lips even a small bump can cause swelling and pain.
You may also notice that when your son starts to retract that the inner foreskin and glans is a deep purple/red color, this is normal. Just like the inner vagina is red and very vascular the inner foreskin and glans are the same way. It can be shocking to see how red it can be to those of us who are used to seeing the keratinized and dried out glans of a circumcised man.
You can also post this over in The Case Against Circ lots of knowledge there on the intact penis. It is very common for this to happen after a trip for some reason. We have had I dont know how many posts with this happening after a vactaion.
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