Patient's question:
[Previously, I felt a slight itch down there, but now it's much worse. About past treatment and effectiveness: Hello, doctor, for the past few months, I've been feeling a bit itchy, but it wasn't too severe. I went to the hospital, where they prescribed me Bajie wash liquid, fluconazole, as well as suppositories and red pills. During the medication period, I felt fine and had no itching symptoms. The doctor then prescribed a five-day course of medication. After finishing it, the itching returned immediately and was even worse than before. I went back to the hospital, and this time the doctor prescribed three bottles of Bajie wash liquid, three boxes of oral nifurtimox tablets, and nifurtimox suppositories. They also did a bacterial culture test, which I don't quite understand. After going home, my period started, and I continued taking the oral medication, but I didn't use the topical treatment. During my period, the itching was persistent and uncomfortable. In the last two days after my period ended, I feel...]Doctor's answer:
[Condition Analysis: Vaginitis is an inflammation of the vaginal mucosa and submucosal connective tissue, a common disease in gynecological clinics. Opinion and Suggestions: 1. General Treatment: Active treatment can eliminate predisposing factors. Maintain external genital hygiene and dryness, and avoid scratching. Abstain from sexual activity during treatment. Avoid spicy and irritating foods. 2. Changing the vaginal pH: The optimal pH for the growth of Candida is 5.5. Therefore, using alkaline solutions to rinse the external genitalia and vagina to alter the vaginal pH can inhibit the growth and reproduction of Candida. A 2%-4% baking soda solution can be used to rinse the vagina 1-2 times daily, with a 2-week course. After rinsing, dry the external genitalia to maintain dryness and inhibit the growth of Candida. I suggest you get checked to determine the type of vaginitis for targeted treatment! Wishing you good health!]