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Vulvitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   I am a 55 year old woman. I have a painful, possibly infected labia minor on the lower left side. It has been hurting (burning and stinging) for about 2 weeks. I am now putting triple antibacterial ointment which eases the stinging. It is not an open wound, but is dry without the cream. It is about half an inch long, red and swollen. I have a yearly appointment w/ my gyn in 9 days.
User :   I am no longer sexually active.
User :   My last period was 6 years ago, I think.
Doctor :   Hi
User :   hello
User :   ok
Doctor :   Pls. give me few secs. to go through your query.
User :   ok
Doctor :   Ok.
Doctor :   May I know if you have nay reddish ness, any swelling, any fever or any enlarged lymph gland in the groin ?
User :   I think it is an infection
Doctor :   Ok.
User :   It is red and sore and puffy.
Doctor :   Ok.
User :   I am not sure if any gland is swollen
User :   It is painful
Doctor :   Ok, Good
User :   no fever
Doctor :   Good that no gland is swollen and you have no fever , it is not systemic yet
Doctor :   and the infection is still localised.
User :   maybe like a small abscess that isn't fully formed
User :   No white spot yet
Doctor :   Apart from the triple antibiotic cream, please do the following : User :   ok
Doctor :   1. Please use tab. tylenol 500mg thrice daily for next 3 days.
User :   ok
Doctor :   2. Please give it a warm - salt water flush over the infected surface, twice daily.
User :   ok
Doctor :   3. Then mop it dry and use the ointment that you are using now every morning.
User :   if it forms a head, should I try to break it?
Doctor :   3. In the evening, please use clindamycin ointment.
Doctor :   No, please do not.
User :   where do I find it?
User :   oh, ok
Doctor :   It is an OTC Medication and you can get it in drug store.
User :   I am planning my yearly exam for the pap test on the 29th
User :   that is good
Doctor :   Ok.
User :   I will try to buy it OTC
Doctor :   In case it does not get better in 2/3 days , you have to start on oral antibiotics for which you will be needing a prescription.
Doctor :   But i would say it would get better, after these steps of treatment.
User :   I think that I will live. It is annoying, but I can tolerate it. Maybe it will heal soon. I hope
User :   I thank you for the advice
Doctor :   May I know how you rate the pain on a scale of 1 to 10 ?
User :   Not too bad since I started using the cream about a 3, sometimes more if I move a certain way, or sit suddenly.
Doctor :   If the pain exceeds 5 , please do start on Tab.Advil 500mg twice daily.
User :   That sounds good.
Doctor :   .Do you have anything else I can help you with ?
User :   I thank you for the help.
Doctor :   Thank you for consulting me,Take care.
Doctor :   Bye for now.
User :   you also
User :   bye
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