There is a swelling on the left side of the genitals

Many people will find many small bumps on their vulva after observing it, and they don’t know what causes it. In fact, if there are just some small white spots, you don’t need to worry too much, because they may be hair follicles. However, if you find bumps, redness, swelling and itching, it should be a manifestation of folliculitis and must be treated in time to avoid infection. So, what is the reason for the swelling and lump on the right side of the genitals?

1. Clinical manifestations

At the beginning, there is pain at the opening of the hair follicle and its surrounding area, the skin is slightly red, and gradually red blisters appear and are tender.

There is a hair sticking out from the top of the red blister. If there is pus, a small white dot may appear on the top of the red blister. The pus head gradually increases in size and becomes cone-shaped. After a few days, the central tissue of the nodule becomes necrotic and softens, and a small yellow pus plug appears. After a few more days, the pus plug falls off, and pus is discharged. The inflammation gradually subsides, but it often recurs. There can be one or more hair follicles infected. If the inflammation gets worse, a boil may form.

2. Diagnostic examination

Diagnosis: The diagnosis can be made based on clinical manifestations, signs and the relationship between the lesions and hair follicles. That is, superficial pustules centered on the pubic hair, with mild inflammation and shallow infiltration. Those who have recurrent symptoms should be careful to check whether they also have diabetes.

Laboratory examination: Routine blood examination may show elevated white blood cells and neutrophils. Hair follicle secretions are subjected to bacterial culture and drug sensitivity tests to facilitate the selection of antibiotics.

Other auxiliary examinations: no abnormal findings.

3. Treatment options

The treatment of vulvar folliculitis is not difficult. First of all, the vulva should be kept clean and dry. You can use 1:5000 potassium permanganate solution or Chinese medicine for clearing heat and detoxification for sitz bath, and then apply antibiotic ointment or Sihuang ointment or Jinhuang ointment. If there are many infected hair follicles and the pain is obvious, you should rest properly. If folliculitis recurs, you should check for systemic diseases.

1. Eliminate the cause and keep the vulva clean and dry as much as possible. Avoid irritation and squeezing.

2. In the early stage of the disease, 0.02% potassium permanganate warm water sitz bath can be used twice a day.

3. If multiple small pustules are formed or merge into large pustules, systemic antibiotics can be used for treatment.

4. For mature pustules, puncture and drain to remove pus, rinse with normal saline or other external disinfectant, and then apply antibiotic ointment, sulfonamide ointment, or 2% iodine tincture on the periphery.

5. If the pustules have not dried and scabbed 3 days after treatment, the cause should be investigated to determine whether there is concurrent Candida infection so that further treatment measures can be taken.

6. Special treatment for pubic folliculitis: Pubic folliculitis can be treated with Fulikang, which is usually widespread and severe. Moisture in the genitals makes it easier for bacteria to grow and spread. When using Fulikang, take an appropriate amount and apply evenly to the symptom area and surrounding radiated areas, and gently rub for 3-5 minutes until it is completely absorbed. Take "roxithromycin" orally 2-3 times a day during the treatment. Patients with vulvar folliculitis should pay special attention to daily cleanliness and hygiene, eat more vegetables and fruits, and foods rich in vitamins to improve the skin's own resistance.