my 3 year old sons issue

[PPLL]

I couldn’t really google an answer to his problem. Lately, he complains that his penis burns. When I take a closer look, I can easily rule out the penis head and confirm that it is probably his foreskin. I don’t know if I should call it a tight foreskin, but the only thing wrong with it is that the hole on the skin is very small. It can be stretched. It doesn’t seem wrong in any other way . Only the complaint with the size. When it burns I do not even see it swelling. Might be slightly red. And that’s all.

anyone else know anything about this?

update: Now and then I see that it bleeds a few drops at the tip. But the bleeding stops after sometime and things are normal for a few days.

[GSA1250]

My son had a similar issue around 7 or 8 years old. In his case a doctor advised on proper hygiene practices and it cleared up by itself with no recurrence. I would suggest a visit to the doctor for your son sooner rather than later for safety sake and discomfort relief.

[PPLL in reply to GSA1250]

Did you let it take its course then with the opening ( almost like a prick) on the foreskin?

[GSA1250 in reply to PPLL]

Yes. He was older so perhaps better able to retract foreskin for washing.

Is your son dry at night? If not maybe it’s a kind of nappy rash. Maybe doctor or even pharmacist may suggest a cream to help pain relief and clear up inflammation.

[PPLL in reply to GSA1250]

He doesn’t wear diapers and doesn’t wet the bed either.

Did the foreskin bleed in your son‘s case?

[Rupertthebear]

you should see a GP or take him to a @e it could be urine infection or some other infection that may be internal not external .

[PPLL in reply to Rupertthebear]

We had been to the doctor. They ruled out any infection with the help of a urine test.

[Rupertthebear in reply to PPLL]

sometimes if the pants are too tight or material is not suitable and uncomfortable that can cause irritation . Also the food and drinks if there is too much spice that can cause some irritation . If it persists take him back .

[Rupertthebear in reply to PPLL]

Also hygiene too not cleaning bum in correct direction and perhaps have a shower each time he goes to pop .

[Hidden]

Is it a constant burning or only when he pees?

[PPLL in reply to Hidden]

It comes up only when he pees

[Hidden in reply to PPLL]

it could be his foreskin starting to separate. Do you notice any ballooning when he pees?

[PPLL in reply to Hidden]

Yes

[Hidden in reply to PPLL]

I think this is normal then. My younger son had this when he was around 4. It was just some pain from the foreskin separating from the penis head. While uncomfortable for your son he should be fine. Baking soda baths seemed to help my son.

[JohnNicola]

Did your doctor also check for urinary tract infection?

[PPLL in reply to JohnNicola]

Yes

[IPNH]

what you are describing is totally normal in a child that age. You do not need to stretch or manipulate the foreskin. If you do so before it naturally separates, it can cause micro scarring and adhesions which can be painful. It can be painful to stretch it. It can take until teen years to naturally retract. If there's still an issue by 15 then worry about it. As far as pain goes, my son started a yeast infection with pain after a wet swim suit. Later his penis became swollen too. We applied clotmitrozole 1% every 3 hours in a thick layer covering the entire area for 3 days then an additional 3 days applying it 3 times per day. Baking soda baths (about 1/2c in a few inches of water helped sooth the discomfort).

Other ideas are that he could be having separation pain, he could have UTI, or he could have a bacterial infection. Did he take antibiotics recently? Is he in diapers? I'm in the US and many doctors here are extremely ignorant about intact penises, they will actually injury kids trying to force it back. Idk where you are but a doctor might help

Here's some links about the foreskin

nhs.uk/conditions/phimosis/

kidshealth.org.nz/how-care-....

[adkisojk]

If it burns, he might have an infection. The hole isn't supposed to be large. As long as he can pee, let it be. I'm hoping that no one has forcefully retracted his prepuce (foreskin) as that could lead to problems like phimosis and infection.

[PPLL in reply to adkisojk]

We’ll, the skin balloons. So the hole could probably have been a little larger.

[adkisojk in reply to PPLL]

The ballooning will happen if the senechia between the inner layer separates from the glans. The end of the prepuce acts like a one-way valve to allow urine out while keeping other things out.

There are books by Dr. Fahmy (a pediatric urologist) that talks about the prepuce.

[jaglad]

Do not force his foreskin you may do harm. When bathing him only use very mild soap and rinse well. Change his underwear as soon as possible if he wets them. Also, there is the possibility of a reaction with clothes, especially if he has some of a type not worn before or different cleaning products. Start with the easy stuff first. Meanwhile a cream such as Sudocrem will ease the discomfort.