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Pain in the lower abdomen, frequent urge for urination, foul smell from vagina. What could be wrong?

Hi, was wondering if someone could help me, for the last year and a half i have needed to go to the toilet (pasing urine) more often but when passing urine i still feel like i need to go. I also am having very dull pains in my lower abdomen where you usually get period pains but they are becoming persistant. I also get the sensation of an aching pain all around the vaginal area and feel as if i want to hold it to stop it from aching. i bath or shower every day and use feminine products without perfumes to wash with but it still seems to leave a slight fishy odour. what could this be becuase im worry my self now ?
Asked On : Thu, 11 Apr 2013
Answers:  1 Views:  73
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General & Family Physician 's  Response
HI, thanks for using healthcare magic

Fishy vaginal odor or fishy vaginal discharge is commonly seen in bacterial vaginosis. It is diagnosed by history , examination of the pelvis and taking a swab of any discharge present. It is easily treated with medication either topical or oral.

In terms of the urinary frequency and lower abdominal pain, it may be occurring as a result of cystitis which is inflammation of the bladder.
Cystitis can be caused by (1) infection- this is the most common cause
(2) traumatic cystitis , this is bruising of the bladder
(3) secondary to medication or radiation therapy
(4) eosinophilic cystitis
(5)interstitial cystitis - the exact cause is unknown , it is a diagnosis of exclusion meaning other conditions are ruled out first

You may want to consider visiting your doctor for an evaluation. In addition to physical examination, you would need to have a urine culture to rule out infection.
Further tests would be done based on the findings

I hope this helps

Answered: Thu, 11 Apr 2013
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