Patient's question:
Medical Description: Female patient, 25 years old. Yesterday, she felt some discomfort down there and occasionally itchy. Today, she noticed white discharge at the vaginal opening and some-like substance inside the vagina. She also felt some bloating in her lower abdomen and slight swelling down there.Previous Treatment and Effect: She has previously used Bajie and Nitrofurantoin, which had a somewhat effective result.
Desired Help: She wants to be completely cured. She maintains a very hygienic lifestyle and pays close attention to personal and her husband's hygiene. What should she do? She doesn't want to keep worrying about this and it's really tormenting her.
Doctor's answer:
Analysis of the condition: Based on the symptoms you described, it is a typical case of candidal vulvovaginitis. It is recommended to have a medical examination of vaginal discharge for confirmation.Suggestions: It is advisable to undergo comprehensive treatment. If you are married, it is also recommended that your partner get checked, as candidiasis is contagious. In some cases, both partners may need to be treated. Oral or intravenous fluconazole or clotrimazole can be used. Generally, medication should be continued for 7 days after symptoms subside. Local applications such as Daktarin suppositories or nystatin suppositories, along with 2-4% sodium bicarbonate or 0.1% povidone-iodine vaginal irrigation or sitz baths, followed by drying, can be used. If itching is severe, Daktarin ointment can be applied externally to relieve the itching. Additionally, it is important to maintain a balance between work and rest, enhance your immune system, and avoid alcohol, spicy, and irritating foods. Consume more fruits, vegetables, and water, and reduce (staying up late).