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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Yellowish Discharge That Smells Like Ammonia

I was having some yellowish like discharge and smelled like ammonia, then afterwards the smell changed to mashed potatoes. I went to the ER since I am 20 weeks pregnant and was worried of a possible infection. Dr saw milky white discharge and said it was BV. I asked if he could do a swab test to confirm this but he said it was pointless?!! I wanted to be sure since I did not want to take fragyl because of the baby but somehow just by looking at the white discharge he said it was BV. Should I go get a swab test before starting on the antibiotics? why would he say the swab test was useless? Could it be BV? no itching or soreness, just milky white watery discharge, mashed potato smell sometimes ammonia like and discharge sometimes appear as light yellowish on pantyliner. Please help! I want to be sure since I don t want to take flagyl if not needed!
Wed, 4 May 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern.
I think you have recurrent bacterial vaginosis.
Yes you should consult the gynecologist and do necessary test for it like
Cell culture and microscopy by swab test
Vaginal PH
Pelvic examination
STD screening: Gram stain, ELISA, PCR, NAAT


You take following advice:
Tablet azithromycin
Clindamycin ointment
Tablet tinidazole
Lacto bacilli vaginally
Hydrocortisone ointment
Shower with salted warm water
Wear pure cotton loose inner wear
Apply aplple cider vinegar
Wipe pelvic area after urination and sex
Avoid sex till you get better

Hope this may help you
Best regards
Dr. Sagar


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Suggest Treatment For Yellowish Discharge That Smells Like Ammonia

Hello dear Understand your concern. I think you have recurrent bacterial vaginosis. Yes you should consult the gynecologist and do necessary test for it like Cell culture and microscopy by swab test Vaginal PH Pelvic examination STD screening: Gram stain, ELISA, PCR, NAAT You take following advice: Tablet azithromycin Clindamycin ointment Tablet tinidazole Lacto bacilli vaginally Hydrocortisone ointment Shower with salted warm water Wear pure cotton loose inner wear Apply aplple cider vinegar Wipe pelvic area after urination and sex Avoid sex till you get better Hope this may help you Best regards Dr. Sagar