What are the reasons for vaginal bleeding and pain after taking medication for vaginitis?

Patient's question:

What is the reason for severe vaginal bleeding after using metronidazole effervescent tablets? There is inflammation, but it hurts when the skin breaks.

Doctor's answer:

Hello, based on your main complaint and the color of the local vulvar vaginal mucosa, it appears you have vaginitis and require treatment. After medication, there may be a small amount of blood-colored discharge locally. This is due to the impact of inflammation and the reaction caused by the medication. As long as the blood volume is not significant, you can focus on medication and carefully observe. Additionally, you should clean the vulva daily with clean water.
During the treatment of gynecological diseases, in addition to medication, the patient's dietary condition and psychological state are also particularly important. The patient must avoid excessive mental tension and worry to prevent unnecessary interference in the complete recovery of the gynecological condition.

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