Patient's question:
Detailed medical condition and consultation purpose: Yellow thick liquid in the vagina, tofu-like texture, white substances present. What disease is this? How should it be treated? What medication should be taken?Duration and onset of the current illness: For several months
Doctor's answer:
Hello, you may have candidiasis. Treatment for candidiasis can be done using pure Western medicine or a combination of Chinese and Western medicine.(1) General treatment: Actively treat other diseases that can cause candidiasis and eliminate susceptible factors. Keep the external genital area clean and dry, and avoid scratching. Abstain from sexual activity during treatment. Avoid spicy and irritating foods.
(2) Changing the vaginal pH: The optimal pH value for Candida growth is 5.5. Therefore, using alkaline solutions to rinse the external genital area and vagina can alter the vaginal pH, inhibiting the growth and reproduction of Candida. You can use a 2%–4% baking soda solution to rinse the vagina once or twice daily, with 2 weeks constituting one course of treatment. After rinsing, dry the external genital area to maintain dryness and inhibit the growth of Candida.
(3) Vaginal medication: Using imidazole ointments for vaginal medication is very effective for candidiasis. Clotrimazole ointment: Insert one suppository into the vagina each night after rinsing, with 10–14 days constituting one course of treatment. Alternatively, Daktarin ointment: Insert one suppository into the vagina each night after rinsing, with 7 days constituting one course of treatment.
(4) External ointments: Applying clotrimazole cream or Daktarin cream externally can treat vulvitis caused by Candida infection and alleviate symptoms such as vulvar itching and pain. Apply externally several times daily for 2 weeks. Efuqing cream, which contains econazole as the main ingredient and a small amount of topical steroid treatment agent, has a good anti-itch effect and is more suitable for those with severe vulvar itching and pain due to Candida vulvitis or vaginal candidiasis. Apply externally twice daily.
(5) Oral medication: