little red dots

This may be totally out of subject, but im really quite worried.
In the past day or two, on the front on my vagina, little red dots have appeared. They are little lumps speading across the surface. They were itchy at first, but now they just hurt. Im not sure if its just a rash or something more serious. They have no puss, or white tips. Im worried, and need some infomation on maybe what it is, and how i can treat them. Thank you :)

[Bhupinder Kaur, MD]

Hello,
It looks like herpes zoster rash. The first sign is usually a tingling feeling, itchiness, or stabbing pain on the skin. After a few days, a rash appears as a band or patch of raised dots on the side of the trunk or face. The rash develops into small, fluid-filled blisters which begin to dry out and crust over within several days. When the rash is at its peak, symptoms can range from mild itching to extreme and intense pain.

Treatment of shingles includes antiviral drugs, steroids, analgesics and anti viral eye drops.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[Bhupinder Kaur, MD]

Hello,
It looks like herpes zoster rash. The first sign is usually a tingling feeling, itchiness, or stabbing pain on the skin. After a few days, a rash appears as a band or patch of raised dots on the side of the trunk or face. The rash develops into small, fluid-filled blisters which begin to dry out and crust over within several days. When the rash is at its peak, symptoms can range from mild itching to extreme and intense pain.

Treatment of shingles includes antiviral drugs, steroids, analgesics and anti viral eye drops.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[Bhupinder Kaur, MD]

Hello,
Sorry replied to an earlier question first. Without examination, confirmation of a diagnosis is tough but it can be folliculitis, cysts ,molluscum contagiosum(multiple, small, dome-shaped papules, often with a central depression or plug) or genital warts(caused by HPV infection).

Apply warm compresses, Neosporin ointment and calamine lotion and avoid messing with it. You can take anti-inflammatory pain killers like ibuprofen or acetaminophen. If the lumps persist then it will be best to get it evaluated from a dermatologist.

I hope it helps. Take care and regards.