Patient's question:
Medical history: The condition has been present for about two years, with recent worsening symptoms including frequent urination, urgency, lower abdominal pain, and a discharge of yellow fluid.Past treatment and outcomes: In the past, the condition was treated as a urinary tract infection, and medications like estriol were used. Numerous hospitals were visited, but the cause was never confirmed. A recent examination confirmed the diagnosis as senile vaginitis, and a prescription for Fuzhankang was given. However, after using it for two days, the patient developed a fever of 39.5°C. Yesterday, the patient went to the hospital again, and the doctor switched to polycresol sulfonate, but the instructions indicate it is primarily for treating trichomoniasis and similar conditions, which does not align well with senile vaginitis.
Help needed: Since the condition has not improved and the medications have been incorrect, the patient is afraid of using the wrong medication again. They would like to know if polycresol sulfonate can be used.
Doctor's answer:
Common types of vaginitis include bacterial vaginosis, trichomoniasis, candidiasis, and atrophic vaginitis. Active treatment can address other diseases that may cause vaginitis and eliminate predisposing factors. Maintain cleanliness and dryness of the external genitalia, and avoid scratching. Abstain from sexual activity during treatment. Avoid spicy and irritating foods. Herbal treatment involves decocting herbs with heat-clearing, detoxifying, insecticidal, and anti-itching properties to steam and rinse the external genitalia, which can alleviate symptoms while inhibiting and eliminating Candida. Vaginal medication. Using imidazole suppositories for vaginal medication is highly effective for candidiasis. Oral medication. Since candidiasis can be transmitted between partners through sexual contact, oral medication can be used to treat both individuals. Oral medication can also suppress intestinal Candida. Wear cotton underwear and change it frequently. Keep towels and basins used for cleaning the external genitalia separate.