Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
120 Doctors are Online
Ask a Urologist   »  

Burning sensation behind pubic bone and urethral opening, vaginal wall sore, urge to urinate frequently. Resistant yeast?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2008
Answered : 2608 Questions
Question
I have a burning almost warm fever like sensation behind pubic bone and sometimes the opening of the urethra and surrounding skin starts burning. The urethra felt through the vaginal wall is sore to touch sometimes. I feel like I have to pee constantly, somedays are worse than other. The labia majora is almost always red and hot to the touch. This all started after using quite a bit of monistat and vaginal moisturizer for cracking of the skin that kept coming back each month and was told it was probably due to yeast. So I kept treating for yeast. I have been checked for std bacteria yeast urine I've seen numerous doctors even had a cyscostopy and the biospy was consistant with ic. But I've been taking elmiron for weeks and still burning and hurting. Is it possible that I could have resistant yeast that's just not showing on test? Have I burned my insides and the skin just wont heal? I need some answers I'm going crazy I'm having major anxiety over all this been to specialist and dermatologists I'm hurting something awful sometimes the burning is on the mons pubis. I'm miserable I need some help please. I do not use soap anymore I use all free detergent I take thyroid medicine. Please help me I'm about to lose my job cause I'm always missing and running back and forth to bathroom I need a good doctor that wants to help me and really investigate this!!!I forgot to mention I also have a uneasy feeling of the clitorious as well.
Email: YYYY@YYYY
Posted Sun, 9 Sep 2012 in Urinary and Bladder Problems
 
 
Answered by Dr. Harish Naik 4 hours later
Hi,
Welcome to XXXXXXX
Based on the symptom i think you might be suffering from recurrent urinary tract infection.
I advice you to go for urine culture and sensitivity test.
A urine culture may be ordered when symptoms indicate the possibility of a urinary tract infection, such as pain and burning when urinating and frequent urge to urinate. Antibiotic therapy may be prescribed without requiring a urine culture for symptomatic young women who have an uncomplicated lower urinary tract infection. If there is suspicion of a complicated infection or symptoms do not respond to initial therapy, as in case of you, then a culture of the urine is recommended. It may be ordered with a urinalysis or as follow up to abnormal results on a urinalysis.
If you have recurrent urinary tract infections, culture and susceptibility testing may be performed with each episode. For patients who have frequent UTIs, their bacteria may become resistant to antibiotics over time, making careful selection of antibiotic and the full course of treatment essential.
I advice you to go for urine culture ans XXXXXXX the physician with the report, he will prescribe you the most effective antibiotic.
Hope I have provided the information you needed.
Wish you good health. Take care.
Above answer was peer-reviewed by
 
Follow-up: Burning sensation behind pubic bone and urethral opening, vaginal wall sore, urge to urinate frequently. Resistant yeast? 15 minutes later
It does not burn when I urinate I have had a lot of urinary tract infections this is a totally different sensation my urine has been cultured numerous times nothing grew. Sometimes it feels like its vaginal. At one point i could not even wear tampons as the burning was so bad. Could the use of tampons cause a form of staph right at the opening into the vagina that is just not being picked up by vaginal swabs because it's further down and this making me feel like i have to pee constantly? I am becoming VERY depressed by this Iv never been in so much pain in my life. Could I have burnt my skin from all the monistat and this be causing so much discomfort it makes me feel like I have to pee? I know it's not a uti I know exactly how those feel and I'm 100 percent positive thats not the case.Oh and you didn't answer my questions about yeast, I mean could it be a form of resistant yeast? Is there any home remedies for resistant yeast. I even stay dry constantly only thing that has helped with that is a probiotic called pro b by rephresh. Is this a skin problem within the vagina? Sorry to bombard you but all due respect I know it's not uti.
 
 
Answered by Dr. Harish Naik 2 hours later
Hello
Good to hear from you.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.
It might be Contact dermatitis of the vulva is a skin condition that is caused by exposure to allergens and irritants that produce vulvar and/or vaginal itching and burning when there is no infection.
Symptoms include A raw feeling due to irritation, Mild to severe itching and/or burning of the vulva.
Remove the irritant and avoid future contact. in your case it might be tampons. Soak in a lukewarm bath with 4-5 tablespoons of baking soda to help soothe vulvar itching and burning. Soak 2-3 times a day for 10-15 minutes. If unable to soak, splash down with cool water after using the bathroom. Vaseline or Crisco may be applied liberally between applications of steroid ointment. Steroid can be used, steroid ointments should be used only as prescribed by your physician because misuse may make your problem worse.
For diagnosing yeast infection, sample of your is collected and examined under a microscope to correctly diagnose a yeast infection. Sometimes a culture is needed to make the diagnosis. Yeast infection should be excluded before using steroid as it might increase the yeast infection.
I advice you to see dermatologist as it might be some skin infection of the area. I know you have gone through lot, it is difficult to exactly diagnose without examining you. I also advice you not to use any ointment on your own without consulting as it may have adverse effect on the condition.
You can write in for any further queries i will try my best to clear them.
Hope i have cleared your queries. If you do not have any clarifications, you can close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by
 
Follow-up: Burning sensation behind pubic bone and urethral opening, vaginal wall sore, urge to urinate frequently. Resistant yeast? 9 hours later
I've already tried all this? I don't know what else to do? Could tampons have cause a bacteria that the tests are just not picking up?
 
 
Answered by Dr. Harish Naik 2 hours later
Hello
Good to hear from you.

It is unlikely that the culture will miss the bacteria. Apart from all this i think you may be allergic to tampons, so i advice you to avoid them and see is there any improvement.

Hope i have cleared your queries. If you do not have any clarifications, you can close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by
 
Follow-up: Burning sensation behind pubic bone and urethral opening, vaginal wall sore, urge to urinate frequently. Resistant yeast? 1 hour later
So yeast and bacteria can't be missed by cultures? Can inter cystical cystitis cause all these issues? My biospy was consistant for IC?
I mean even if it was a resistant strain of yeast or resistant strain of bacteria wouldn't that take a special test or a normal culture would pick it up?
Oh and can't baking soda mess up a woman's ph?
 
 
Answered by Dr. Harish Naik 7 hours later
Hello
Good to hear from you.
Resistant microbes are those which will not respond to the particular antibiotic but usually culture will not miss them.
Contact dermatitis of the vulva, lukewarm bath with 4-5 tablespoons of baking soda to help soothe vulvar itching and burning. I advice you to see dermatologist to rule out any possible allergen that might be responsible, as you have done lots of investigation without any help, it might be due to allergens.
Hope i have cleared your queries. If you do not have any clarifications, you can close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Urologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor