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What Do Red And Painless Bumps Near The Penile Shaft Indicate?

Posted on Wed, 19 Apr 2017

Question: Hello so i received a blowjob without a condom and had sex with a condom from a person I do not know at around 430 AM monday morning and on tuesday morning around 9ish i saw red/skin color painless bumps on the base of my penis. When you look closly you can see very small white heads. On tuesday night i felt tingling in only my arms and face (but i attributed it to drinking and being dehydrated as i had been on vaction in a hot area with a lot of drinking. They are still here on sunday. Is this folliculitis or and std? One doctor has already said that it looked like folliculitis but i would another opinion. Thanks for all the help!

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
Need more information

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar (dermatologist and venereologist). I have gone through your query and I have viewed the Images.

They do look like folliculitis although I would suggest screening for Genital Herpes and would like to rule out molluscum contagiosum

Since its been almost a week since you noticed the bumps. So I want to know are those bumps still there?Have they increased Or have they resolved? How has the response been to the treatment so far?

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Kakkar (27 minutes later)

Tomorrow morning will be day 6 of when I noticed the bumps. The first three pictures that I sent were from last night. while the pictures I am sending now are from right now I will say that I'm not to sure if they have shrunk in size but they have not grown in size. I have just started a treatment of amoxicillin tonight. So the treatment process has just started. The first opinion that I received I should note was from a doctor on this app as well which is why I wanted a second opinion. Also they are painless and do not hurt to touch. How Likely would you say that it could be herpes? Thank you for your time and help. I really do appreciate it.

Answered by Dr. Dr. Kakkar (4 hours later)

Brief Answer:
I would keep molluscum as a possibility

Detailed Answer:
Hi. Thank you.

So they have'nt changed much since you noticed. I would like to differ in my diagnosis and I would keep molluscum contagiosum as a very likely possibility. The reason for confusion with folliculitis is probably because these molluscum lesions are still very small and because molluscum is pearly white it may resemble a pus head. Molluscum contagiosum is asymptomatic.
Folliculitis does't last that long. Moreover folliculitis is painful and it should have drained by now.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Kakkar (8 hours later)

Hi i went into the doctor and they confirmed visually that it was molluscum. Just thought you would like to know thank you for all your help .

Answered by Dr. Dr. Kakkar (2 hours later)

Brief Answer:
You are welcome

Detailed Answer:
Thank you for writing to us

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (2 hours later)

Last question what would you say are the best iptions for treatment not considering surgery

Answered by Dr. Dr. Kakkar (9 hours later)

Brief Answer:
Imiquimod cream

Detailed Answer:
Hi.

Electrofulguration would give you faster results as it would ablate the lesions of molluscum in a single sitting.
Imiquimod 5% cream is an option if you dont want to go for electrofulguration. Imiquimod is available on prescription.

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar