You mention in the description that balanitis is a result of friction from damp clothing or irritation from certain chemical substances in clothing. I also shower at night, and usually go to bed damp. With your inflammation and symptoms, you definitely should see a family physician first for further evaluation. You may have an infection and ignoring it will only make it worse. As for the clothing to watch for, it can be anything that rubs against the end of the penis and causes sensitivity.
Some people react to certain fibers in fabrics.
882-7000 to make an appointment with a University of Missouri Health Sciences Center physician. It looks like a vascular rupture and the area is tender and the veins swollen even two days later. Prolonged sexual activity can cause inflammation and obstruction of venous blood drainage. We encourage you to see a urologist if your problem persists. 882-7000 to make an appointment with a University of Missouri Health Sciences Center physician.