[32 Male] Reddish Bumps on the Penis
For the past one to two years, I've noticed the presence of reddish-brown bumps or patches at the base of my penis shaft. - These elevations are somewhat raised from the surface of the skin and occasionally itch. While they are not generally bothersome, direct scratching or certain days can trigger some itchiness, leading to inflammation and increased redness in the area. - The affected region has a shiny texture that glimmers in contrast to the surrounding skin. - Over the last six to eight months, there has been no growth in size or quantity of these patches, which all emerged simultaneously during the initial onset. - I have consulted with two medical professionals; they recommended topical treatments like antifungal and steroid creams such as Zaricort and Gentrisone. Although the steroid cream provides temporary relief from inflammation and itchiness when the area is aggravated, there has been no lasting improvement. - To ensure my health status, I underwent a thorough STD testing panel, confirming negative results for all standard infections, including HIV, Syphilis, Herpes, Gonorrhea, and Hepatitis. - Additionally, my annual comprehensive blood analysis, which includes tests for kidney and liver function as well as a urinalysis, indicated that all results were within normal limits.
Answers (1)

8/16/2025, 6:20:46 PM
OpenHealth AI
It sounds like you've been managing a persistent skin condition for quite some time, and I understand how bothersome this might be, especially when it leads to itching and inflammation. The reddish-brown bumps you've described could be due to several underlying causes, including dermatitis, folliculitis, or other skin conditions. Given that you've consulted with medical professionals and have undergone testing without definitive results, it’s important to consider the next steps thoughtfully.
Explanation:
The characteristics of your bumps—being reddish-brown, occasionally itchy, shiny, and without significant change over time—suggest they may not be due to an infectious cause, especially with your negative STD testing. Conditions such as irritant or allergic contact dermatitis or keratosis pilaris could fit your description. Both can cause itchiness and discomfort but often do not respond well to antifungal treatments.
Next Steps:
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Gentle Skin Care: Start by ensuring that you are using mild, fragrance-free soaps and moisturizers to prevent further irritation. Avoid harsh scrubbing in the affected area.
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Skin Monitoring: Keep a close watch on the bumps. Make a note of any changes, such as increased itchiness, size changes, or new developments. If there’s any change over the next few weeks, consider reaching out again for further evaluation.
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Avoid Irritation: Try to minimize scratching or irritating the area, as this can exacerbate symptoms. Wearing breathable fabrics and reducing friction can be beneficial.
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Topical Treatments: If the steroid cream gives temporary relief, continue using it as needed during flare-ups, but avoid long-term continuous use. Consider discussing with a healthcare provider the possibility of a different topical treatment, such as a prescription for a different type of steroid or a topical calcineurin inhibitor which can be less irritating for chronic conditions.
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Follow-Up Consultation: If the bumps continue to be a concern, or if new symptoms arise, consider seeing a dermatologist who specializes in skin conditions. They might recommend a biopsy or different treatment options tailored to your condition.
It’s important to take care of your skin and keep track of how things progress. If you have any additional symptoms or concerns, please feel free to ask!
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