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Suggest Treatment For Folliculitis

Posted on Tue, 14 Apr 2015

Question: Hi dr XXXXXXX I did go to my obgyn the lady who seen me diagnosed me with follicuitis I am currently taken bactrim im only on day two of taken it when should it to start to click in affect she also gave me nystatin powder which ive been using on and off so im hoping this works the bactrim antibiotic is 2 tablets a day for 7 days happen if this dont work the lady told.me to come.back if it dont help I also go april 16 for my yearly pap smear I still feel.uncomfortable down in that area when im like wearing jeans thats why I asked.when does the antibiotic kick in and.can I use the powder n antibiotic at same time I feel like this.wont work for some reason like I have no hope its just been.very stressful and emotional

Answered by Dr. Aarti Abraham (6 hours later)

Brief Answer:
Dont worry, antibiotics will work.

Detailed Answer:
Hello
Glad to hear from you once again.
Of course it will work.
Folliculitis responds very well to antibiotics, why should you worry about it ?
You have been given a 7 day course, you should see an improvement in 3 - 4 days ' time.
Yes, you can use the powder and the antibiotic at the same time.
Stress and emotional upheaval will only worsen such infections, so try and have some positive thinking !
Folliculitis clears up dramatically when antibiotics are taken.
Just dont touch that area at all, to minimum extent.
Yes, if Bactrim does not work, you would need a proper swab and culture to see which antibiotic will work.
Keep me posted on how it goes !
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (2 days later)

hi dr XXXXXXX so im on day 5 of the bactrim its not helping at all spots are still visable and im starting to feel.like a pain in my vagina and lower stomach and cramping and spotting some and im still having the burning sensations could this be some other kind of infection

Answered by Dr. Aarti Abraham (21 minutes later)

Brief Answer:
can you send recent pics ?

Detailed Answer:
I can access the earlier pictures by the earlier query.
Can you send the current pictures ( after 5 days of Bactrim ) please ?
I wish to compare.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (1 hour later)

ok here is recent pics dr XXXXXXX I kno you told me not to stress but I have just been totally stressed out and freaking out im depressed I just want to feel normal again so I can start working out again ive gained weight it just has been an emotional rollercoaster I just kno something is.not right with me :( its just a scary scary thing cause I want to start being able to date again

Answered by Dr. Aarti Abraham (11 hours later)

Brief Answer:
Please upload pics.

Detailed Answer:
Hello dear
Please dont feel so depressed.
This is not at all a big thing.
It is a minor infection, and will go away.
It is strange that it has not responded to 5 days of antibiotics.
An I am not able to view the recent pics :(
Have you uploaded them yet ?
Please do so at the earliest, if you have not.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (5 hours later)

ok pics should be coming the one.pic that has my finger.on it the area down beside my lips its like.a.big bump or.lump like.its swollen its hurts but not in so much pain I cant handle it what coyld that be from I need.to.def get back to the doc like monday or tuesday morning could that be a cyst

Answered by Dr. Aarti Abraham (5 minutes later)

Brief Answer:
No pics here still.

Detailed Answer:
Still awaiting the pics.. why dont you call the customer support team and find out why they are not getting uploaded ??

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (9 minutes later)

ok im teyinf agiain lol

Ok I uploaded the pics doc hopefully it worked this time the first two Pics r pics of where that lump/bump is.beside my lips

Answered by Dr. Aarti Abraham (4 hours later)

Brief Answer:
Get a culture done and antibiotics accordingly.

Detailed Answer:
Yes I have gone through the pics.
Unfortunately, you are right.
There is just no improvement.
THat lump / bump is an infected hair follicle, it is turning into an abscess.
I think you need to have a culture of the area, and take proper antibiotics as per the culture report.
Bactrim is obviously not working in your case.
Please consult your OB - GYN again, and ask for a culture, and then take a repeat course of appropriate antibiotics as dictated by the culture report.
I understand this can be very distressing, but believe me, this is a minor infection and nothing very serious.
Just that a higher dosage of another antibiotic is required.
And use local antibiotic cream such as Mupirocin cream / gel.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (5 minutes later)

ok thank you I will go to my obgyn monday or tuesday n I will ask for a.culture I will keep you updated thank you so much for your support

Answered by Dr. Aarti Abraham (4 minutes later)

Brief Answer:
As below

Detailed Answer:
Please do that.
I am very sure it needs a change of drug and higher dosage.
Also local antibiotic cream.
Make sure the area is kept dry all the time.
You can use Nystatin dusting powder ( it is an antibacterial powder ) that keeps the area dry.
Moisture and dampness will worsen the problem.
Change your undergarments frequently.
Dont use any special cleansers, gels or douches.
Plain lukewarm water is best for cleaning.
Clean your hands with antibacterial soap after you have touched the area.
I can understand how much this is affecting you, but you have to trust me that it is not a very serious issue, just give it time, it will clear up.
Keep me informed.
God bless you.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar