Foreskin inflammation in children – balanitis

Balanitis is the inflammation of the head of the penis (glans) and often the foreskin. It is a common condition in young boys, especially those who have not yet been circumcised.

Causes

Balanitis in children can be caused by several factors:

  • Poor hygiene: Accumulation of smegma (a natural secretion) under the foreskin can lead to irritation and infection.
  • Infections: Bacterial or fungal infections are common causes.
  • Irritants: Soaps, bubble baths, or other chemicals can irritate the sensitive skin of the foreskin and glans.
  • Tight foreskin (phimosis): Difficulty retracting the foreskin can make cleaning difficult and increase the risk of inflammation.

Symptoms

Symptoms of balanitis in children may include:

  • Redness and swelling of the foreskin and head of the penis
  • Pain or discomfort, especially during urination
  • Itching or irritation
  • Discharge or foul odor from under the foreskin
  • Difficulty retracting the foreskin

Diagnosis

Diagnosis is usually based on:

  • Medical history and symptom review
  • Physical examination of the penis and foreskin
  • Laboratory tests: Swabs may be taken if infection is suspected, especially in recurrent cases

Treatment Options

Treatment for balanitis in children depends on the cause:

  • Improved hygiene: Gently cleaning under the foreskin with warm water (avoid harsh soaps)
  • Topical medications: Antifungal or antibiotic creams if an infection is present
  • Soothing baths: Warm baths can help reduce discomfort
  • Pain relief: Over-the-counter pain relievers if needed
  • Medical intervention: In rare or severe cases, circumcision may be considered

Prevention

To help prevent balanitis in children:

  • Teach gentle, regular cleaning of the penis and foreskin
  • Avoid using harsh soaps, bubble baths, or scented products on the genital area
  • Encourage children to report any discomfort or changes

Takeaway

Balanitis is a common and treatable condition in children. Good hygiene and prompt treatment of symptoms can help prevent complications and keep the genital area healthy.

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