How to determine if it is fungal vulvitis

Patient's question:

Last year, I had an episode of it. At that time, after checking at the hospital, I was prescribed medication, which included both topical and oral treatments, and the condition was quickly controlled. However, recently, I've started experiencing discomfort in my private area again, along with abnormal discharge and a particularly strong odor. Please ask: How can I determine if it's fungal vulvitis?

Doctor's answer:

Vaginal candidiasis can be treated with miconazole cream applied to the vulva or 3% clotrimazole ointment, while oral ketoconazole or nystatin can be taken to eliminate intestinal candidiasis. It is recommended that you use a 2% to 4% baking soda solution to rinse the vagina and vulva 1 to 2 times daily. When experiencing vulvar itching, avoid using hot water to wash, as this may cause skin and mucosal corrosion, leading to secondary infections. Change underwear frequently, avoid wearing tight-fitting underwear, and always maintain ventilation and dryness. Used underwear, towels, and footpots must be boiled. Additionally, for gynecological patients during treatment, their dietary condition and care are also crucial. Patients must pay close attention to their diet and consume more light foods to avoid unnecessary harm. Thank you.

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