Blood blisters on scrotum can be painful and irritating. They may appear as small or large red bumps. What therefore are the causes of Angiokeratoma? How do they look like and what are the treatment option of getting rid of them? This article will provide you with the answers to all this questions, please read through.
Blood blister on scrotum also known as Angiokeratoma can be embarrassing for most people. The condition is harmless but there is high chances of you contracting a sexually transmitted infection if you engage in careless sex practice. The blisters may appear as red or dark vascular lesions that can be diffuse (angiokeratoma corporis) or localized (angiokeratoma circumscriptum).
Although blood blister are common on the scrotum, it is possible for them to be observed on the penile shaft. They are common in adolescent and become more frequent with increase in age. They usual start as small, smooth or purple vascular bumps but latter grows into large, darker and numerous in number all through the scrotal skin.
What causes blood blisters on your scrotum skin
What are the causes of blood blister on scrotum? Find below a number of possible causes addressed in this page including scrotal angiokeratoma, hernia, herpes among others.
1. Genital Herpes
A report by the Center for Disease Control CDC, indicates genital herpes among the most common sexually transmitted infection. Though it may fail to show symptoms in some people, the infection can still be spread to sexual partners during sex. Genital herpes is thus an STD caused by two virus, herpes simplex type 1 (HSV 1) and herpes simplex type 2 (HSV 2). The condition is common in the United States with every 0ne out of six people aged 14-49 age being at the risk of the virus.
The condition is contagious and can be spread through, oral, vaginal or anal sex. In most people with the virus only mild symptoms can be seen. If the symptoms appear then it is possible to observer numerous blood blister on scrotum and around the genital are, penile shaft. The blisters may break and leave painful sores that take long to heal.
Please visit your doctor to confirm the virus. Unfortunately there is no cure for the virus yet. However, there exist medicine that can prevent or reduce the chance of an outbreak. The medicine should be taken daily, avoid multiple sex partners and steak to a balance diet.
2. Venous hypertension
This is a condition where the veins in your legs experience high blood pressure. The condition is as a result of venous insufficiency, a condition where blood leaks downwards due to the effect of gravity.
Some doctors and researchers have maintain there is a high likelihood that blood blisters could be as a result of this condition. This is a chronic condition and you need to see your doctor as soon possible. Worst case scenario could be a cardiac arrest or a heart attack
The condition is not benign. Treatment aims at reducing the symptoms and correcting the underlying abnormality. Superficial system disease can be treated by ablating the refluxing vessels. This vessels can safely be removed with sequela.
3. Benign prostatic enlargement
Also referred to as benign prostatic hyperplasia is a common condition in men of above 50 years in age. It refers to the increase in size of the prostate gland without necessarily being cancerous. The condition is likely to be as a result of failure of apoptosis which is the natural death of old cells in the body. The condition is hormonal based, that is way castrated males are unlikely to get the condition.
If in addition to blood blister on scrotum, your doctor notices a swollen prostate, then addition taste will be carried out to establish if the swelling is due to this disorder. The condition is not life threating but having your prostate swollen can be painful and embarrassing. This can be demeaning and lower your sex drive and performance.
Treatment for the condition will be determined by how severe the symptoms are. For mild enlargements immediate medical attention may be forfeited, your doctor is likely to ask you to stop taking alcohol, have a lifestyle change and maybe do regular exercises to see if the condition improves. If that is not the case, alpha blockers may be prescribed to help relax the bladder and make urinating less painful. Finally for severe enlargement, the doctor may prescribe surgery.
4. Inguinal hernia
Inguinal hernia is a common type of hernia (a condition where an organ is displaced and protrudes through the walls of a cavity). It commonly appears as a swelling or a painful lump in your groin. It occurs when fatty tissues pokes through into your groin at the top of your inner thigh. When this happens it could be a possible cause of blood blister on scrotum.
Inguinal hernias ca be repaired by surgery. It is possible to push back the bulge and strengthen the weak walls in the abdominal walls. Your doctor will only prescribe such procedures if the hernia becomes too painful, severe or the symptoms persist for long and other worse condition start to develop.
Varicocele is the enlargement and swelling of the veins inside the scrotum. According to the American Urological association, about ten to fifteen of every 100 males have a varicocele. The veins i the scrotum are known as pampiniform plexus. The result of this is, decreases sperm production in terms of both quality and quantity, shrinking testicles and at times lead to infertility.
The common observed symptoms for people with varicocele might include;
- One of the testicle might develop a lump
- Scrotal swelling
- A recurring pain in the scrotum
- Twisted vein in your scrotum
After your doctor runs a physical exam on you, and varicocele is detected, this can be done by a scrotal ultrasound. After this the condition will be classified and treatment option will be discussed to you. It it not common for you to treat the swelling, however you will need to weigh you option to come up with the best possible option.
Varicocelectomy and varicocele Embolization are common surgery that may be carried out
Folliculitis is the inflammation of the hair follicles. It is caused by an infection of the hair follicles, this is by a bacteria Staphylococcus aureus. The other cause of this condition is a virus, fungus infection or at time ingrown hair on skin surface.
Depending on how many hair follicles are involve, the condition can be categorized as either superficial or deep. Deep folliculitis is severe, painful and dangerous, given that damaged follicles are a risk of infection. The other possible causes for the damage can be;
- Too much heat
- Excessive sweeting
- Skin condition such as contact dermatitis and acne
- Friction during shaving
- Friction from wearing too tight clothes
In cases of mild folliculitis, the condition usually heal on itself, for a period of less than 2 weeks, Otherwise you could use a warm compress to ease the pain and irritation caused. If the inflammation and itching fails to go away, then a laser hair removal maybe prescribed. This procedure destroys the hair follicles, so that they cannot get inflamed.
7. Chicken pox
Chicken pox is an infectious disease causing a mild fever and itchy rashes on the skin it is caused by a virus varicella-zoster. The condition is common in children but even adult who have never had the infection before are at risk of getting infected. Once infected, your body will develop antibodies which will, make you immune to future infection.
The common symptoms associated with chicken pox include;
- General feeling of unwell
- Loos of appetite
- Painful Rashes all over the body
- Blood blisters on scrotum and other parts of the body.
Treatment option for chicken pox include soothing creams (emollient) to help reduce the itching and the urge to scratch the rash. A sedating antihistamine these are relaxing pills and tablet that will help you sleep and reduce the severe pain. Paracetamols can be used to lower the general body temperature. It is important to know that there exist a vaccine that can be used to prevent the attack for those who have never had the infection before.
Shingles is a skin disorder caused by the same virus that causes chicken pox- varicella-zoster. Once you are infected with the virus and you have chicken pox, when the rash heal and your skin becomes normal again the virus does not go away, it remain in a dormant state in the body.
It is thus very possible for people who had chicken pox to develop shingles in the future.
The symptoms are the same top those of chicken pox, the possible clear extinction is that, the shingles can recur but chicken pox cannot. Once infected with chicken pox you cannot get it again in your life time. The symptoms will include;
- Painful rashes,
- Persistent headache
- Swollen lymph nodes
- Skin may become itchy
- Blood blister on scrotum and other body parts
Shingles can heal on their own, but antiviral medicine (famciclovir, acyclovir and valacyclovir) are helpful in getting rid of the pain. Over-the –counter drugs such as acetaminophens and ibuprofen can be helpful during a shingle attacks.
Antiviral medicines, such as acyclovir, famciclovir, or valacyclovir, to reduce the pain and the duration of shingles. Over-the-counter pain medicines, such as acetaminophen or ibuprofen, to help reduce pain during an attack of shingles.
9. Angiokeratoma scrotum
Angiokeratoma can be described as small either red or purple raised spots on the scrotum or testicles. They can also have a fairly rough surface composed of blood vessels. This condition can be associated with blood blisters on the scrotum. They are usually not visible but may become crusty and bleed if you accidentally scratch or damage them. They form a clot appearing as blood blister changing color from dark purple or black overnight.
The cause of angiokeratomas is unknown. The blisters on the scrotum due to this condition are usually harmless and can be left alone. Your doctor may carry out a skin biopsy to rule out malignancy. Treatment is usually done for cosmetic purpose or when bleeding becomes a concern. Surgical options include:
- laser therapy
Blood blister on scrotum pictures
Below, we provide you with images you can use to make comparison to help diagnose and establish the cause of the blood blisters on scrotum. The images in the post are for illustrative purpose to provide you visual aid to identify the cause of your symptoms.
Painful blood blister rash on scrotum sac
In many case, a rash is a normal disorder of the skin and will fade away on its own with or without any medical attention given. The rash may be painful and embarrassing in public due to the urgent urge to scratch. The cause of the rash will range from a fungal infection, damaged hair follicles to something as common as an allergic reaction to body cream, soap or shaving creams.
If a blood blister start as a rash, then starts to swell forming a reddish lump on the scrotum, you need to see your health care provider as soon as possible. They is a high likelihood that this may be associated with meningitis and a possible blood infection (septicemia)
It seizes to be a normal condition once you start experiencing symptoms such as general feeling of unwell, the rash remains itchy and does not go away, and the blood blister may rupture pop blood and other fluids.
Tiny blood blister on scrotum won’t stop bleeding
Tiny blood blisters on scrotum are normal. They stop to be when you cannot identify what the cause of the blisters are, or they fail to heal and go away on their own within a week or two. A blood blister is formed when the underlying skin is damage or rupture from inside. The upper layer if the skin is filled with lymph fluid, blood and other fluids and dead tissues to form a dark lump-a blood blister.
The blister will give continues urge to scratch and once you pop the blister it becomes painful and irritating. You should avoid this in any way possible. Otherwise if you have already ruptured the blister you could apply Aloe Vera gel on it to speed clotting and avoid infection. Aloe Vera is rich in antibacterial properties that will help in that.
When the ruptured blisters are an able to stop bleeding, it means you generally have a problem in clotting, this is the process where the blood forms a gel that cover the surface of the raptured skin part to initiate healing and stop the bleeding. You need to have you doctor check on your platelet count, if found deficient a condition known as Thrombocytopenia, it can be dangerous and has been found to cause heart attacks.
A bleeding blister on scrotum that does not stop or clot, should not be taken lightly, please see a doctor. Do not self-medicate or try to cover the blister with a rag.
Itchy large blood blister on scrotum
The appearance of the blister vary from person to person and is dependent on what is causing the blood blisters on scrotum. They may appear large on some people and small on the others. The shape maybe round or oval in other people. It is also possible for the blisters to bleed spontaneously in some people especially those with low platelets count a condition known as (Thrombocytopenia).
In some people the blisters maybe itchy and irritating. You should not in any way pop the blisters to drain the fluids out. A simple warm compress or applying powder on the scrotum can be helpful in soothing the skin to relieve the itching.
The itching is normal, and the blisters will heal on their own without any medical intervention required. This should take a maximum of 2 weeks without which you need to seek the attention of a doctor.
Small red blood blisters on my scrotum
Small red blood blisters on scrotum are a common symptom in chicken pox and shingles infection in the groin area. If you have never contacted the chicken pox virus before, then there exist a high likelihood that the red blood blisters could be as a result of the infection. However, if you have had chicken pox before, then the blisters cannot in any way be associated with the virus. This is a possible distinction between the two infections, since most of their symptoms appear the same.
The other possible cause of small red blood blister could be cold injury. When your body is exposed to environmental temperature below the normal one for long, then it becomes possible for your skin to develop blood blister. You can have your doctor check out on this. Also having warm clothing is helpful in maintain your normal temperature in such extreme condition.
How to treat, remove blood blister on scrotum
The treatment option for blood blisters on scrotum vary. The best way to treat them is to treat the underlying cause of the blisters. This will make sure they heal completely and avoid future recurring. The treatment of the blisters not only aims at getting rid of the symptoms but also preventing infection and making sure it is not transmitted from person to person.
As stated early, Angiokeratoma is a harmless condition, however, if the sores, pain and bleeding becomes unbearable, you could try the following treatment options;
- Carbamazepine, pregabalin or gabapentin for relieving the pain
- Cryotherapy, where liquid nitrogen is used to treat the blisters
- Local excision, where the blisters are opened up with a scalpel to get rid of the contents.
How to get rid of blood blister on scrotum
Blood blister on scrotum will eventually heal and go away on its own. Since they are harmless and pose no health risk, you can get rid of them at home with simple home remedies. You can do the following;
- Clean your scrotal area, and compress with warm water to sooth the blisters
- With clean hands and sterilized needle pop the blister, make sure the blister is larger and tender, be warned this will be painful
- Squeeze (using your fingers) to get rid of all the fluid, dead cells and blood from the blisters
- Apply the gel of a fresh pluck aloe Vera plant
- You can also apply powder on the ruptured blisters
- Do not wrap the sores or wear to tight clothes till they heal completely
- Ensure free flow of air around the scrotum
- Give time to the sore to heal and avoid scratching them.
Sources and references
- Angiokeratomas: https://www.dermnetnz.org/topics/angiokeratomas