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Foreskin bleeding may be caused by trauma, infection, allergies, balanitis, coagulation dysfunction, etc., and can be improved through local cleaning, anti-infective treatment, anti-allergic treatment, drug treatment, surgical treatment, etc. It is recommended to seek medical treatment promptly and identify the cause of the disease and then treat it accordingly.

1. Trauma

Friction or external impact on the foreskin may cause local capillaries to rupture and bleed. Commonly caused by rough sex, friction from clothing, or sports injuries. It manifests as slight bleeding and pain. Usually no special treatment is needed, just keep the area clean and dry. If bleeding continues, use sterile gauze to apply pressure to stop bleeding.

2. Infection

Bacterial or fungal infection can cause congestion and erosion of the foreskin mucosa. It is mostly related to poor hygiene, accompanied by redness, swelling and increased secretions. It is necessary to rinse with potassium permanganate solution, and use anti-infective drugs such as erythromycin ointment and clotrimazole cream as directed by the doctor. Circumcision is recommended for patients with recurrent infections.

3. Allergy

Contact dermatitis may occur from contact with allergenic substances such as detergents and condoms. It manifests as pruritic erythema with punctate bleeding. Stop using the allergen immediately, apply cold compress with normal saline, take loratadine tablets orally in severe cases, and apply hydrocortisone butyrate cream topically.

4. Balanitis

People with excessive foreskin are prone to mixed bacterial and fungal infections. Typical symptoms are ulcers on the inner plate of the foreskin and bloody discharge. The foreskin needs to be washed every day and treated with compound ketoconazole ointment combined with levofloxacin tablets. Recurrent episodes of chronic inflammation require surgical removal of the excessively long foreskin.

5. Coagulation dysfunction

Hemophilia or long-term use of anticoagulant drugs may cause spontaneous bleeding. The bleeding is large and difficult to stop, and is often accompanied by ecchymosis in other parts of the body. Emergency infusion of coagulation factors or vitamin K is required, and blood system diseases such as leukemia are also checked.

Pay attention to the cleanliness of the perineum every day and choose loose cotton underwear to avoid friction. It is forbidden to have sex during the period of bleeding and avoid spicy food. Elderly patients with circumcision should clean the coronary sulcus every day and consider elective surgery if necessary. If bleeding is accompanied by symptoms such as fever and swollen lymph nodes, you need to seek medical attention immediately to rule out malignant lesions. Postoperative patients need regular review to prevent scar contracture.