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Scrotitis

  There are three types of scrotitis:

  1, The erythematous type is symmetrically distributed on both sides of the scrotum, about 3×4cm in size, with sharp-edged erythema, covered with thin gray or brownish scab, with a rough surface. After peeling off the scab, slightly red skin is exposed, without significant infiltration. When the lesion expands, it can fuse at the base of the penis.

  2, The papular type initially appears on one side of the scrotum with several scattered soybean-sized papules, significantly elevated above the skin, flat-shaped, covered with thin brownish scab, which later increase in number and size, densely and symmetrically distributed on both sides of the scrotum seam, about 3×4cm, merging into patches, often fusing at the base of the scrotum when numerous.

  3, White papule psoriasis type This type is rare but very typical, a large area in front of the scrotum is fused into flat papules the size of melon seeds, with a silvery color, and silver scales fall off when scratched.

Table of contents

1. What are the causes of scrotitis?
2. What complications are easily caused by scrotitis?
3. What are the typical symptoms of scrotitis?
4. How to prevent scrotitis?
5. What laboratory tests are needed for scrotitis?
6. Diet taboos for patients with scrotitis
7. Conventional methods of Western medicine for the treatment of scrotitis

1. What are the causes of scrotitis?

  People who do too much physical labor may experience moistness in the genital area, the scrotum skin being attacked by sweat stains, and friction from underwear; white-collar workers who often sit at work should also pay attention to ventilation and permeability in the scrotum area, not wearing too tight jeans or nylon pants with poor breathability. Scrotal injury, urinary extravasation, diabetes, and other pathological factors can all cause it. Among them, the moistness of the scrotum mainly causes various pathogens, and most patients with scrotal inflammation also have the symptom of scrotal moistness.

2. What complications are easily caused by scrotitis?

  1, Cause a decrease in male sexual function, even complete loss of sexual function.
  2, Long-term treatment of testicular diseases without improvement can lead to kidney deficiency, consumption of vital energy, severe cold limbs, sore back and waist, and premature aging.
  3, Cause serious diseases such as varicocele, epididymitis, prostatitis, endocrine diseases, kidney diseases such as nephritis, urinary tract infectious diseases, malignant tumors, and so on.
  4, Cause acute parotitis orchitis, acute nonspecific orchitis, and chronic nonspecific orchitis.
  5, Cause sterility, azoospermia, loss of fertility, and spread inflammatory disease bacteria to the spouse, leading to gynecological diseases.

3. What are the typical symptoms of scrotitis?

  1, Scrotal dermatitis:The cause may be related to a lack of B vitamins in the diet. The symptoms include redness of the skin, secretion, desquamation, and even blisters, causing both pain and itching.

  2, Scrotal eczema:It is mainly caused by sweat and dirt stimulation. Its manifestations are redness and swelling of the skin, blisters, secretion, scab formation, and even thickening and roughening, causing severe itching that is hard to bear.

  3, Scrotal ringworm:It is a skin disease caused by fungal infection, often associated with other skin ringworms in patients. The skin of the affected scrotum becomes red, with papules or blisters, followed by desquamation, and the lesion site often presents with annular damage, causing severe itching.

  4, Scrotal deficiency of riboflavin scrotitis:It is more common in men who have been eating refined rice and flour for a long time, or who have chronic diarrhea, constipation, anorexia, or selective eating, and its main manifestations are: initially, the scrotum becomes slightly red and shiny, followed by pale red patches on both sides of the scrotum, covered with scales, and soon multiple flat papules the size of soybeans appear, with varying degrees of itching, often accompanied by angular cheilitis and glossitis.

  5, Scrotal psoriasis simplex:It is a neurodermatitis in the scrotum area. Its characteristics are itching, thickening and roughening of the skin, but no secretion, with a long course of disease often difficult to heal.

4. How to prevent scrotal inflammation

  1. Developing good living habits plays an important role in the prevention and treatment of diseases. Underwear should be loose, and it should be chosen from strong moisture-absorbing cotton fabric. Do not wear tight underwear and jeans made of synthetic fiber materials.

  2. Improve the working environment, do a good job of ventilation and cooling. Drivers of long-distance trucks should change drivers on time.

  3. During treatment, hot water scalding is prohibited, and cleaning agents containing fragrant soap should not be used to avoid allergic contact dermatitis.

  4. Do not apply irritant drugs containing 'suo' type hormone drugs to avoid the proliferation of pathogenic bacteria and make the skin lesions worse.

  5. Frequent cold wet compresses can relieve itching and inflammation, reduce exudation. The specific method is to soak a towel in clean water, squeeze it half dry, fold it into 4 layers, and tightly apply it to the scrotum. Wash it once every 3 minutes, and do it repeatedly. After the itching and exudation stop, apply iodine tincture or iodine glycerin. If it itches again, apply it again until it is cured. It is forbidden to scratch, rub, or friction.

5. What laboratory tests are needed for scrotal inflammation

  When diagnosing scrotal inflammation, in addition to relying on its clinical manifestations, auxiliary examinations are also needed. Laboratory examination: the total white blood cell count in the blood increases, and the culture of local pus can show bacterial growth, which is helpful for the diagnosis of the disease.

6. Dietary taboos for patients with scrotal inflammation

  The diet of patients with scrotal inflammation should be light and easy to digest, with more vegetables and fruits, reasonable dietary搭配, and attention to adequate nutrition. In terms of diet, eat less spicy food and more fresh vegetables and fruits. Choose high-nutrition diet, and take vitamin B2 or a complex vitamin B.

7. Conventional methods of Western medicine for treating scrotal inflammation

  1. Medication Treatment

  (1) Compound resorcinol solution, an internal preparation of the hospital, with small irritation and rapid effect. It can be applied externally 1-2 times a day, and 10 consecutive days can achieve clinical cure.

  (2) 1% clotrimazole, Clotrimazole Ointment, 1% Econazole Cream, etc. I suggest using clotrimazole.

  The skin on the penis is thin and tender, and strong irritant drugs should not be used during treatment. If it is not cured for a long time, or the area is large and the disease is widespread, 200mg of Spitenin can be taken orally once a day for 5 consecutive days.

  2. Surgical Treatment

  After the abscess forms, it should be incised and drained. If scrotal necrosis occurs, scrotal resection should be performed.

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