Patient's question:
My wife has been experiencing intense itching in her vaginal area for the past two days, and it hurts when she scratches it. It is very swollen (the labia are twice the normal size) with a small amount of white discharge. What illness could this be and how should it be treated?!! Urgent help needed!Doctor's answer:
Vaginitis is clinically characterized by changes in vaginal discharge, external genital itching, burning pain, and abnormal odor. Pain during intercourse is also common. When the infection affects the urethra, symptoms such as dysuria and urinary urgency may occur. Common types of vaginitis include bacterial vaginosis, trichomoniasis, candidiasis, and atrophic vaginitis. Vaginal discharge culture tests help identify the causative pathogen, providing accurate diagnostic information for doctors. Treatment typically involves antibiotics targeting the cause, combined with topical suppositories and washes. Active treatment can eliminate predisposing factors. Maintain cleanliness and dryness of the external genitalia, and avoid scratching. Avoid spicy and irritating foods, which are very effective. Change underwear frequently and wash them with warm water, ensuring they are not mixed with other clothes to prevent cross-infection.