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Bacterial vaginitis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1776 Questions
User :   Im sorry, im trying to pay and it doesnt work
Doctor :   i think you are on paid chat now
User :   nop

User :   well, i didnt pay
User :   do i pay with a cc?
Doctor :   ya you are done with the payment
User :   i didnt put any information of a cc

User :   or, will i get a bill?
Doctor :   you are not getting that system msg
User :   i really didnt pay anyhow
User :   i want to pay only 24 hours
Doctor :   k
Doctor :   tell me in brief about your problem
User :   are you the same doctor as before?
User :   i have a vaginal infection
Doctor :   ya
Doctor :   go on from the begining

Doctor :   Hi
Doctor :   are you back
User :   yes i am
Doctor :   k
User :   can i talk to the first doctor i talked to?
User :   i told him my case and he was waiting for me to pay
Doctor :   ya i am the same doctor
User :   oh :) ok, thank you
Doctor :   ya you are welcome
User :   you asked me why if i am not sexually active i take pills
Doctor :   so you are 20 yrs female with browny discharge and itching since 2 weeks
User :   yes
Doctor :   and you are not sexually active
User :   the problem is today its been bleeding, red, maybe i scratched with stg
User :   nop, im virgin
Doctor :   k
Doctor :   did you scratch with your hand?
User :   no, toilet paper
Doctor :   k
Doctor :   can you answer few questions of me
Doctor :   before we proceed
User :   sure
Doctor :   are you having any burning pain during urination
User :   sometimes yes
Doctor :   now or a few days before
Doctor :   k when did you notice it actually
User :   like a week ago, i knew i had to go to the ginecologist but i was scared
User :   usually i go when i am home, once a year, here im alone
Doctor :   can you tell me the discharge consistency? thick or thin?
User :   well, it was like, making a spot in the underwear

Doctor :   k
Doctor :   no need to worry my dear
Doctor :   if u can answer my questions properly i can diagnose and cure your problem with ease
User :   ok =) thank u
Doctor :   k
Doctor :   after the painful urination the itching and discharge started?
User :   well, i think it was first itching
User :   with some discharge
User :   and painful urination
Doctor :   k only a spot in the clothes? u never found it with your hand
Doctor :   the consistency
User :   i have to admit it started some time before and i thought it would dissapear, thats why i dont remember
User :   i think yes, sometimes it was like very consistent
Doctor :   k
Doctor :   is it foul smelling odour?
Doctor :   or
User :   it is smelly
User :   like dirty, but im very clean
Doctor :   k
User :   i use special soap and wet whipes
Doctor :   u mean to say u take bath regularly and keeping up the hygiene
Doctor :   k
Doctor :   thats really good
Doctor :   are you sure you are not sexually active?
User :   yes, im virgin
Doctor :   k
Doctor :   u were speaking about some pills na
Doctor :   can u tell me what it is
User :   yes, i take pills, because my period is too strong and i was close to get anemia, so the pills also help controlling that
User :   AAAAAAA anticonceptives
Doctor :   k
Doctor :   were you taking any antibiotics?
User :   no
Doctor :   in past couple of days?
Doctor :   k u don
Doctor :   t
User :   but i was sick, strong flu, but i didnt take anything, just normal flu medicine
Doctor :   know exactly the consistency?
User :   not really :S
User :   what worries me is the bleeding now, because its very red
Doctor :   are you using soft detergents to clean?
User :   also it is painful
Doctor :   perfumes or douches
User :   notmal soap
User :   yes
User :   i use some nivea intimate soap
User :   and the wet whipes from carefree
Doctor :   k
Doctor :   do you have any diper rash?
User :   (im translating that word, one sec)
User :   diper?
Doctor :   k do you have any skin infections or under nail beds or skin folds?
Doctor :   that is the care free which you use
User :   nop
Doctor :   due to that
User :   ?
User :   the infection is because of the carefree?
Doctor :   no no
Doctor :   do you have any rash due to the diper or care free which u use?
User :   dont think so
Doctor :   k do you have any skin infections or under nail beds or skin folds?
User :   but, the skin is very red near the vagina, and painful
Doctor :   infection
Doctor :   k
User :   no infections anywhere else
Doctor :   apart from that u don't have any
Doctor :   k
Doctor :   u had any such problems before?
User :   no
Doctor :   k thats all my questions
Doctor :   now the problem is bacterial vaginitis or fungal
User :   =S
Doctor :   but in your case i probably think this is a case of bacterial
Doctor :   as there are no other signs of fungal infection
Doctor :   the vagina contains normal bacteria
Doctor :   when the other bacteria overgrow or if it is spread from urinary tract the infection results
Doctor :   got my point?
Doctor :   are you there?
User :   yes
User :   and what do i need to do?
Doctor :   ya just listen to me
User :   im scared of the ginecologist
Doctor :   if you have any doubts u can stop me
Doctor :   inbetween
User :   ok
Doctor :   i will follow up your case till you are normal
Doctor :   no need to panic
Doctor :   u need not go to gynaecologist also
User :   ok
Doctor :   when these bacteria overgrow they upset the normal balance
Doctor :   so due to this organisms the itching and pain results
User :   ok

Doctor :   so if you go to gynaecologist
Doctor :   they examine but mostly decide on the history that you give
Doctor :   that is the problems which you tell
Doctor :   and they take a smear of vaginal discharge to determine whether it is fungal or bacterial or other cause
Doctor :   got my point
User :   yes
Doctor :   so i likely think your case is bacterial vaginitis
User :   ok

Doctor :   for this i will provide you with some tips
User :   ok
Doctor :   kindly make a note of it with pen and paper
Doctor :   as u may forget
User :   ok
User :   ready

Doctor :   u require metronidazole and clindamycin cream for local application for full 7 days
Doctor :   twice a week
User :   can i get it in a farmacy without recept?
User :   is it 2 creams or 1 in 2?
Doctor :   do you mean without prescription?
Doctor :   it is cream
User :   yes : Doctor :   u get it in combination
User :   2 times a week
Doctor :   i think you may get it
Doctor :   where do you stay
User :   in vienna

User :   austria
Doctor :   Don't use scented or harsh soaps, such as those with deodorant or antibacterial action.
User :   ok
Doctor :   after a shower dry the area to prevent irritation
User :   ok
Doctor :   wipe from to back after toilet to prevent fecal contamination
Doctor :   into vagina
User :   yes
Doctor :   don't douche
Doctor :   use cotton or dry inner wears
Doctor :   if possible skip for a week
Doctor :   if u feel comfprtable
User :   ok
User :   and the bleeding today?
User :   also, ill get my period in 4 days aprox
Doctor :   k
Doctor :   is it regular for you the periods
User :   well, now im taking pills, usually 2 days after i finish the 21 pills
User :   but, my period is too strong, uncomfortable and painful
Doctor :   k
Doctor :   before it was normal
User :   nop
User :   always, very strong
User :   i use night pads, and i can still get spots
User :   i have to change them like evry 3 hours, this is the first 2 days, its strong
User :   and also a lot of colics
Doctor :   i think the vaginal infection would have been acquired due to those tampoons
User :   due to what?
User :   noooo, i dont use tampons
Doctor :   i mean due to those pads
User :   but i use them always
Doctor :   k
Doctor :   do you use the new ones
Doctor :   is there any abdominal pain
User :   i use new ones of course
Doctor :   k
User :   and yes, but i use a strong medicine i brought from home
Doctor :   k
Doctor :   k
Doctor :   is the bleeding worse now
User :   what do u mean?

User :   today im bleeding and there is no reason, i think i hurt myself and the blod was red, i just made a spot in my uderwear
Doctor :   k
User :   and during my period, well, its normal for me to have a strong period, thats why i take the pills
Doctor :   usually for how many days the bleeding will be there
User :   during my period?
Doctor :   ya
User :   2 days strong, 4-3 days less and less
Doctor :   u can continue with the same tablet
User :   jazmin?

Doctor :   i can speak to my specialsts and get back to your e mail regarding the change of tablets
Doctor :   if it is not improving
User :   ok,
Doctor :   Please fill the feedback form say done when done.
User :   i use to take the same brand when i was in colombia, and it was amazing, very short and small period, face got better
User :   but this one is different
Doctor :   whats the name of tablet?
User :   AAAAAAA
Doctor :   but it is an contraceptive
Doctor :   so it can have side effect
User :   yes
Doctor :   since you are unmarried
Doctor :   it may carry some risks in future
User :   oh, really?
Doctor :   Is there any thing else I can help you with?

Please fill the feedback form say done when done.
Doctor :   are you there?
User :   thank you
User :   thank you very much
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice.It shows you have moved away from the chat, so I close the window. Please log in again if you need further medical advice.
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