What is the reason for vulvar itching, difficulty urinating, and frequent pain?

Patient's question:

Vaginal itching is unbearable, frequent urge to urinate but difficulty in emptying the bladder, often accompanied by pain, especially at the end, more intense, with a significant amount of leukorrhea, thick, light yellow, odorless, sometimes with residue sticking to the underwear. It has been about a week. I used vaginal tablets and applied medication, which has stabilized it slightly but hasn't reduced the symptoms. I also noticed that the tablets don't dissolve well, and for two or three days after urination or defecation, I still encounter granular medication. I have a habit of holding in urine due to training inconvenience and have been constipated since childhood, often needing medication to compress the bowels. However, when my food intake is large, I can defecate once a day, but once it decreases, I cannot pass stool. The lower abdomen feels hard but not painful when lightly pressed. What could be the cause?

Doctor's answer:

It can be seen that you currently have vaginitis, and at the same time, it has led to a urinary tract infection. It is recommended that you drink more water, avoid spicy foods, urinate frequently, and at the same time, consider how to treat it, such as inserting something into the vagina locally? In addition to treating the itching of the vulva, it is suggested that patients pay attention to their diet in daily life and maintain a pleasant mood at all times. Participating in more outdoor activities can also help enhance physical fitness and slow down the recovery process.

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