Please avoid squeezing the bump, as this can push the infection deeper. Cleaning it gently with Savlon and applying Betadine is a good temporary step. However, please stop giving him the Augmentin (amoxicillin/clavulanate) and consult a doctor today. Starting antibiotics without a prescription can be unsafe, and a doctor should evaluate if the area needs proper medical drainage or a specific antibiotic course.

The bleeding you see now is often a normal part of healing as new, healthy tissue forms. Please keep the heel clean by washing it gently with mild soap and water, and protect it with a sterile bandage. Since puncture wounds can carry hidden risks, it is best to have a healthcare provider evaluate it to ensure it is healing safely from the inside and to check if your tetanus booster is up to date. Monitor for any returning warmth, redness, or pus.

Yes, it is very possible that the bumpy red rash is a reaction to the Betadine (povidone-iodine) you are applying. This is a common reaction called contact dermatitis, where the skin becomes irritated by a topical product. Please don't worry. I suggest stopping the Betadine for now and gently washing the area with mild soap and water to remove any residue. Keep the wound clean and dry. It is best to have a healthcare professional examine the wound to ensure it is healing properly and to recommend a safer, gentler alternative for you.

It is best not to apply new layers of Fusigen (fusidic acid) powder over old, dried layers. Doing so can prevent the medication from reaching your skin and may trap bacteria underneath. If Betadine (povidone-iodine) isn't removing the buildup, try gently soaking the area with warm, sterile water or saline to help soften and loosen the old powder. Once clean and gently patted dry, you can apply a fresh, thin layer. Please reach out to a healthcare provider if the wound becomes increasingly red, painful, or warm.

For daily hygiene, washing with warm water is safest. If you prefer a cleanser, use a mild, unscented, gentle soap. Please avoid using medicated products like Ketostar soap or Betadine daily; they are too harsh for this sensitive area and can cause severe irritation unless prescribed for a specific infection. For hair removal on the shaft, we strongly advise against chemical depilatory creams, as this delicate skin is highly prone to chemical burns. Safe trimming or careful shaving is much gentler. Treat this sensitive area with extra care.

Please be reassured that you have options before considering surgery. For a second opinion, I highly recommend consulting a dermatologist (skin specialist) first, as they are experts in localized skin conditions. A urologist (urinary specialist) is also an excellent option. Surgery to remove the foreskin is typically a last resort and often unnecessary once the precise cause is identified and treated. Getting a second opinion from one of these specialists is a very wise and safe step to find the right gentle treatment for you.