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Suggest Treatment For IBS And Abnormal Bowel Movements?
Question: I have used Diltiazerm cream and Clobetasol on reddened areas on the vulva and clitoris area that continues to burn with little itch and no discharge. I have a long history of difficult to treat Candida and had a cystocele repair with mesh sling in 2006. Diagnosed with rectocele and fecal incontinence in the last year. Long history of IBS and abnormal bowel movements.. If no improvement to the area, could this be Vulva Cancer that could invade the bladder and bowel? Vulva Biopsy is scheduled for Nov. 13.
Information that I should have submitted: Recent Labs, CTs with and without contrast were normal. Ultrasounds, Colonoscopy and endoscopy and Pelvic MRI one year ago. Recently treated for antibiotic associated C.Diff with Flagyl which was discontinued after 8 days because of severe thrush. Numerous stool tests. No blood in stool. Have rectal discomfort. Because of Pelvic Organ Prolapse and the rectocele, I have tried Pelvic Physical Therapy. There is no mesh erosion into nearby organs.
Information that I should have submitted: Recent Labs, CTs with and without contrast were normal. Ultrasounds, Colonoscopy and endoscopy and Pelvic MRI one year ago. Recently treated for antibiotic associated C.Diff with Flagyl which was discontinued after 8 days because of severe thrush. Numerous stool tests. No blood in stool. Have rectal discomfort. Because of Pelvic Organ Prolapse and the rectocele, I have tried Pelvic Physical Therapy. There is no mesh erosion into nearby organs.
Brief Answer:
CANCER LESS LIKELY
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Can you please upload pictures of the area of the vulva involved ?
Where did you have the skin cancer that you have mentioned in your medical history ?
With negative colonoscopy and imaging, invasion intot he bowel and bladder is not likely.
At the most , it would be a locally contained vulval malignancy, and even that is not very probable.
It could be just atrophic vulvitis, which is common at this age, due to hormonal deficiencies and possibly a difficult fungal infection.
Only the biopsy would tell for sure.
All the best
Please feel free to discuss further.
CANCER LESS LIKELY
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Can you please upload pictures of the area of the vulva involved ?
Where did you have the skin cancer that you have mentioned in your medical history ?
With negative colonoscopy and imaging, invasion intot he bowel and bladder is not likely.
At the most , it would be a locally contained vulval malignancy, and even that is not very probable.
It could be just atrophic vulvitis, which is common at this age, due to hormonal deficiencies and possibly a difficult fungal infection.
Only the biopsy would tell for sure.
All the best
Please feel free to discuss further.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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