Swedish Kids Symptom Checker
1. Does this describe your child's symptoms?
- Recent circumcision, questions or concerns about
- Mainly addresses circumcision of newborns
Normal Circumcision Healing
- A circumcision is the removal of most of the male foreskin.
- The incision is initially red and tender; the tenderness should be minimal by the third day.
- The scab at the incision line comes off in 7 to 10 days.
- If a Plastibell (plastic ring) was used, it should fall off by 14 days (10 days on the average). While it cannot fall off too early, pulling it off can cause bleeding.
- Complications: Wound infections occur in less than 1 out of 200 circumcised boys.
2. When to Call Your Doctor
Call Your Doctor Now (night or day) If
- Your child looks or acts very sick
- Age under 1 month old and looks or acts abnormal in any way (e.g., poor suck, poor color)
- Bleeding is more than a few drops
- Head of penis is dark blue or black
- Severe swelling of penis
- Can't pass urine or only can pass a few drops
- No urine for over 8 hours
- Crying and your child can't be comforted after trying this advice for over 2 hours
- Age under 12 weeks with fever above 100.4° F (38.0° C) rectally (Caution: Do NOT give your baby any fever medicine before being seen)
- Circumcision looks infected (shaft of the penis become red)
- Tiny water blisters occur on skin
- Plastibell has moved onto shaft of penis
- You think your child needs to be seen urgently
Call 911 Now (your child may need an ambulance) If
- Large blood loss and baby is pale or cold
- Not moving or very weak
Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If
- You think your child needs to be seen, but not urgently
- Bleeding is few drops BUT occurs 3 or more times
Call Your Doctor During Weekday Office Hours If
- You have other questions or concerns
- Plastibell present over 14 days
- Penis looks abnormal (e.g., looks strange or has an extra tag of tissue)
Parent Care at Home If
- Normal circumcision and you don't think your child needs to be seen
3. HOME CARE ADVICE FOR CIRCUMCISION PROBLEMS
- The tip (head) of the penis is normally very red after the foreskin is removed.
- The shaft of the penis should not be red.
- Most circumcisions heal easily.
- Infections are rare.
- Plastibell Ring: Gently cleanse the area with warm water twice a day and whenever it becomes soiled with poop.
- Incision (No Plastic Ring is Present):
- Remove the dressing (which is usually gauze with petroleum jelly) with a warm wet washcloth 24 hours after the circumcision was done. Often, the gauze has already fallen off on its own.
- Gently cleanse the area with warm water twice a day and whenever it becomes soiled with poop.
- Ointment for Pain:
- Apply a layer of ointment to the incision line. This should reduce any pain and crying.
- To prevent pain, also apply petroleum jelly or an antibiotic ointment (no prescription needed) to the incision line and head of the penis after each cleansing for the first 4 days.
- Reason: to keep it soft and prevent the diaper from sticking during healing.
- The circumcision wound can normally bleed a few drops.
- Cause: usually friction from a diaper
- Will stop on its own or with a few minutes of direct pressure
- Can prevent by keeping the area soft with an ointment
- Expected Course For Plastibell Ring:
- The plastic ring will normally fall off between 7 and 14 days (average 10).
- It often hangs by a small piece of tissue for a few days.
- It will come off on its own.
- Pulling it off can cause bleeding.
- It can't fall off too early.
- Prevention of Infections: Fasten the diaper loosely to prevent friction against the penis.
- Call Your Doctor If:
- Looks infected
- Large bleeding occurs
- Minor bleeding recurs 3 or more times
- Plastibell ring moves onto shaft of penis
- Plastibell ring does not fall off by day 14
- And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.
- This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.
- Author and Senior Reviewer: Barton D. Schmitt, M.D.
- Last Reviewed: 11/1/2011 5:36:37 PM
- Last Revised: 11/1/2011 5:36:37 PM
- Content Set: Pediatric HouseCalls Symptom Checker
- Copyright 1994-2012 Barton D. Schmitt, M.D.
Swedish Kids Symptom Checker is designed especially for these times. The interactive iPhone application can help you make appropriate decisions on what level of care, if any, is needed and how to provide symptom relief for minor illnesses and injuries you can manage on your own.