The bumps could be pearly penile papules, in which case they would be normal and nothing to worry about. They have nothing to do with cleanliness. If you google it, you can easily find pictures of them. He could look at look them if he wants to and see if that is what his bumps look like.
You are right that he might be sore from masturbating too much.
I am wondering if you mean that his veins are more visible as opposed to his nerves? If it is the veins he is seeing (blueish lines), then that is normal too.
So all of the things that you described could be very normal things and nothing to worry about, however, we can't see any of this stuff for ourselves, and even if we could it's pretty tough to diagnose over the internet. It does not sound like he needs to be too concerned, but there is never any harm in having him ask his doctor just in case.