Patient's question:
Main symptoms: Vulvar ulcers, redness and swelling, very painful, occurring around the clitoris Duration of onset: 2 days Test results:Doctor's answer:
Analysis of the Condition: Simple vulvitis refers to the inflammation of the skin or mucosa of the vulva. It is divided into acute and chronic types. Since the vulva is adjacent to the urethra and anus, and is subject to friction between the legs during movement, inflammation in these areas can spread to the vulva.2. Transmission: The main cause is neglecting vulvar hygiene, leading to irritation from the following factors:
[1] Vaginal discharge irritation: Increased vaginal discharge or menstrual blood, menstrual pads, especially during cervicitis and various vaginitis, can cause varying degrees of vulvitis.
[2] Other irritants: such as ① diabetic urine directly stimulating the skin; ② urinary fistula patients being exposed to urine for a long time; ③ fecal fistula patients being irritated by feces during diarrhea or loose stools; ④ intestinal pinworms.
[3] Mixed infection: Due to multiple irritants, mixed infection often occurs, with common pathogens being Staphylococcus aureus, Streptococcus, and Escherichia coli.
3. Clinical manifestations: In the acute phase, the vulva may appear swollen, congested, eroded, sometimes forming ulcers or extensive eczema. Patients may experience burning, itching, or pain in the vulvar area, especially during urination. Severe cases may involve swollen and tender inguinal lymph nodes, slightly elevated body temperature, and increased white blood cells. In diabetic vulvitis, the vulvar skin becomes red, thickened, and often brownish, with scratch marks. Due to the presence of glucose in urine, which promotes fungal growth, it often leads to concurrent Candida albicans infection. In chronic inflammation, the vulva may present with persistent itching and lichenification.
Advice: It is recommended to seek medical examination promptly to confirm the diagnosis and receive targeted treatment.
Lifestyle care:
1. Maintain vulvar cleanliness and hygiene.
2. Avoid spicy and irritating foods.
3. Enhance immune function.