What should I do if my glans has been bleeding for two days?

Pus discharge from the glans for two days may be caused by gonococcal urethritis, non-gonococcal urethritis, balanitis, genital herpes, trauma infection, etc. It can be intervened through drug treatment, local cleaning, lifestyle adjustment, etc. It is recommended to go to the urology department or dermatology and venereology department in time to avoid delaying the condition.

1. Gonococcal urethritis

Gonococcal infection may cause pus from the urethra and burning during urination. The pus is often yellow-green in color. Confirmation requires secretion smear microscopy or nucleic acid amplification testing. For treatment, ceftriaxone sodium for injection, levofloxacin hydrochloride tablets, azithromycin dispersible tablets and other drugs can be used as directed by the doctor. Sexual intercourse is prohibited during treatment, and sexual partners need to be checked simultaneously.

2. Nongonococcal urethritis

Chlamydia or mycoplasma infection can cause a white, thin, purulent discharge that may be accompanied by frequent urination and urgency. Laboratory tests can detect pathogen DNA. Commonly used drugs include doxycycline hydrochloride tablets, azithromycin capsules, roxithromycin capsules, etc. It should be noted that some strains may be resistant and need to be reviewed after treatment.

3. Balanitis

Poor local hygiene or allergic reactions may cause redness and swelling of the glans with purulent exudation. Mupirocin ointment or compound ketoconazole cream can be applied externally after rinsing with normal saline. It is recommended to consider circumcision after the inflammation is controlled in patients with excessive foreskin. It is necessary to keep the perineum dry and clean on a daily basis and avoid using irritating lotions.

4. Genital herpes

HSV virus infection may cause purulent discharge after blister rupture, accompanied by pain or fever. Antiviral drugs such as acyclovir tablets and famciclovir capsules can be taken orally, and penciclovir cream can be applied topically. During relapse, you should avoid scratching and wear loose cotton underwear to reduce friction.

5. Traumatic infection

Sexual injury or mechanical friction may lead to localized damage and subsequent infection. Fusidic acid cream needs to be used after debridement and disinfection, and in severe cases, cefuroxime axetil tablets should be taken orally. Avoid contact with water until the wound heals, and observe whether systemic symptoms such as fever occur.

Daily care should be taken to clean the external genitalia with warm water every day and avoid using alkaline soap. Choose breathable cotton underwear and change it daily. Drinking alcohol and spicy food are prohibited during treatment. It is necessary to clean hands before using any topical medicine, and wait for the ointment to be absorbed before putting on clothes. If the symptoms are not relieved within 72 hours or if fever, testicular swelling and pain, etc. occur, you need to follow up immediately. Patients with sexually transmitted diseases should keep a complete record of their medication history for the doctor’s reference. After treatment, they should be reviewed to confirm that the pathogen has been eliminated.