From the history and description, there is secretion nodule at the tip of penis. On and off there is infection. Most likely he needs a circumcucision operation. It is better to be assess by a paediatric surgeon for the condition. Best regards, Dr.K.L.Chan
Thank you for the letter. The opening at the gastrostomy site usually can close by itself at around 3 weeks. There are conditions such as distal obstruction or some stitches at the site that causes the site to persists. If the these conditions have been ruled out, a short general anaesthesia the site can be closed surgically. In the mean time, skin protective cream can be useful.