HI! Good evening. I am Dr Shareef answering your query.
Although it requires a physical examination of your abdomen along with a gynaecological examination to reach at a most appropriate diagnosis, this seems to be a UTI (
urinary tract infection) along with a pelvic inflammatory disease(PID).In addition, you might be harbouring some kind of inflammatory reaction to the skin around the genital area due to
urinary incontinence resulting in the
cyst like raised areas with intermittent purulent discharge.
If I were your doctor, I would advise you to take more care of your pesonal hygiene which I am sure you must be doing, and advise you for a urine routine/microscopic/culture sensitivity test, a gram staining and culture sensitivity of the discharge around the genital area, and some basic blood tests like a CBC, blood sugar, blood urea,
serum creatinine, HbsAg, and a
HIV test as a routine. Further selection of proper antibiotics for the detected infection if any would depend on the reports of investigations. However, if the pain in abdomen increases and persists, I would advise you to consult your gynaecologist/ER of the nearest hospital at the earliest.
I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.