Normal vaginal secretions are usually thin, and clear to white with a variable amount. Vaginal discharge that is a different consistency, malodorous, accompanied by blood, pain, pruritis, or dysuria is usually not physiologic. Abdominal pain, emesis and fever may indicate pelvic inflammatory disease. If bloody, consider foreign body, Shigella, Streptococcus, abuse, estrogen withdrawal, and menses. If white, cottage-cheese like, consider Candida. If white-yellow, consider normal variation, irritation and Chlamydia. If yellow-green, and thick, consider foreign body, Neisseria gonorrhea and trichomonas. If there is no smell you need not worry.