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Coachrobmd
Coachrobmd, Internal Medicine MD
Category: Medical
Satisfied Customers: 1785
Experience:  •Fmr. Dir. Hep. C Clinic. •Fmr. Dir. Head Trauma Rehab Ctr.
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I found a small lump at the bottom of my scrotum sac in the

Customer Question

I found a small lump at the bottom of my scrotum sac in the shower last night. It was about almond size. I squeezed it maybe thinking it was pop-able. It was not. So I put clearisal on it before going to sleep. Now it is irritated and about the size of a walnut.
Submitted: 1 year ago.
Category: Medical
Expert:  Coachrobmd replied 1 year ago.
Hi, I'm Doctor Robert, a Medical Internist (MD) who deals with diseases of all organ systems. All my education has been completed in the US.

This is likely a sebaceous cyst that has formed. This is common on the scrotum.

For a whole list of things that cause this, go here:
http://menshealth.about.com/od/diseasesconditions/a/penis_spots.htm

If it feels soft and fluid filled, it is likely a cyst.

Harder is usually a pimple with a reactive process that has made it harder than usual.

What you can do is take a warm water soaked washcloth and apply it for 15 minutes four times daily and see if it bursts on it's own. Do NOT squeeze it as that will only irritate it.

Clearasil is not going to do anything as you just found out.

Warm compresses are much better. And I bet you're feeling it right now as you're reading it. That's natural to do, but please don't as it will only make it worse.

If after 7 days of compresses it has not subsided, then off to the primary care physician for a quick look. This is NOT cancer, by the way. It is a self-limited condition, but merits an evaluation if it persists.

The scrotum has lots of hair follicles and glands, and sometimes they get blocked;. Because the skin is so THIN, any accumulation of sebum or fluids feel big RIGHT away. If this were on your belly or thigh, you probably wouldn't even notice it.

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Customer: replied 1 year ago.
"Your doctor may recommend first treating the inflammation with antibiotics, steroids"

after warm compresses is it ok to put a steriod cream on the effective area?
Expert:  Coachrobmd replied 1 year ago.
Yes, warm compresses can be followed with steroids and antibiotics. But I do not see an indication for topical steroids in any manner, shape, or form here. They are not indicated at this point.

Cortisone is good for some things, but I would first try the warm compresses and then if you want to apply a cream, use Bactroban Over the Counter (OTC), not steroid creams.

That's because we don't know for sure if it is a superficial inflammation, or a duct/follicle inside the skin.

=================
Is this the answer you're looking for? If so, please click ACCEPT so I can receive compensation for my answer.

If not, could you please clarify your question so I can try further? Thank you so much. (This does not replace a physician visit.)
Customer: replied 1 year ago.
"That's because we don't know for sure if it is a superficial inflammation, or a duct/follicle inside the skin. "

Most likey I inflammed it by sqeezing it last night. I did shave a week ago with a razor that needed to be replaced at the gym's shower stall. Stupid me.

Any more help you can share is appreciated further. I think we can move to a close now of this isssue. Thanks DR Rob
Expert:  Coachrobmd replied 1 year ago.
No, I have nothing else to add. Right now, just follow the advice I've given so far.

You can always add posts to the end of this thread and I'll be notified by email.

Clicking ACCEPT would be most appreciated. It is how I can afford to stay on JA.com and help others in need (for many this is their ONLY way to get medical advice due to no insurance or other problems).

If you have ANY questions about what I wrote, please write back for clarification. I'm happy to continue working with you toward a resolution.
Coachrobmd, Internal Medicine MD
Category: Medical
Satisfied Customers: 1785
Experience: •Fmr. Dir. Hep. C Clinic. •Fmr. Dir. Head Trauma Rehab Ctr.
Coachrobmd and 6 other Medical Specialists are ready to help you
Expert:  Coachrobmd replied 1 year ago.
If you have any follow-up questions about the issue we recently discussed on JustAnswer.com, or any NEW items that may have come up as a result of my recommendations, please return to our original thread (see link below) and add a new post at the end. I'll get an email notifying me that you want more assistance. It's best to have the first line of your next post state "FOR COACHROBMD ONLY" so other experts won't become involved. If I don't hear back from you, hopefully everything turned out well. If you recall, your question related to a small bump on your scrotum.

http://www.justanswer.com/medical/6khog-found-small-lump-bottom-scrotum-sac.html?L=T&r=ems|2012-04-23|15
Customer: replied 1 year ago.
It all turned bad within several hours of a hot compress which resuled in surgey and 4 days in the hospital. 44k $$$ later and 2 weeks rcover I am back to normal.

So NO your help did not Help.

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