HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Urinary Incontinence And Recurrent Bacteria Vaginosis

default
Posted on Wed, 21 Jan 2015
Question: Gynecologist question. I am 41 years old had my second child 2 years ago I have been having experiencing continuous pee like wetting in my pants have to change under wear a lot in a day and it drip to my feet done bacterial tests all came negative except BV took a lot of antibiotics and antibiotic creams I just don't know what to do next.
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Incontinence / recurrent BV

Detailed Answer:
Thank you for asking XXXX!
Dripping that much might be an incontinence and may be confused with vaginal discharge secondary to bacterial vaginsosis which is easily treated with slight hygiene and antibiotics .

So i suggest you get to a urologist or gynecologist and have you urodynamics studies done see if there is any incontenince. Stress incontinence secondary to pregnancies are very common at your age groups.

It may Recurrent bacterial vaginosis infections which has one or more of the following reasons.

1)Recent antibiotic use
2)Decreased estrogen production of the host Wearing an intrauterine device (IUD)
3) Douching
4) Sexual activity that could lead to transmission (eg, having a new sexual partner or a recent increase in the number of sexual partners)

Now the general basic principles for recurrent BV like in you case include following management.

Antibiotics are the mainstay of therapy dietary supplementation with Lactobacillus (acidophilus) Asymptomatic women with G vaginalis colonization do not need treatment. BV that does not resolve after one course of treatment may be cured by giving a second course of the same agent or by switching to another agent (eg, from metronidazole to clindamycin or from clindamycin to metronidazole) Some women with recurrent BV may benefit from evaluation or treatment of G vaginalis colonization in their sexual partner (controversial) Patients should be advised to stop douching or using bubble bath or any other over-the-counter vaginal hygiene products Patients should wash only with hypoallergenic bar soaps or no soap at all and should avoid liquid soaps and body washes Surgery is not indicated Testing for other infections (eg, N gonorrhoeae, C trachomatis, or herpes simplex virus [HSV]-1) may be appropriate Therapy with metronidazole or clindamycin may alter the vaginal flora and predispose the patient to development of vaginal candidiasis You should stop douching or using bubble bath or any other over-the-counter vaginal hygiene products.Wash only with hypoallergenic bar soaps or no soap at all. Avoid liquid soaps and body washes. Prophylaxis with vaginal probiotic product (8 billion units of Lactobacillus rhamnosus, L acidophilus, and Streptococcus thermophilus per capsule) for recurrent bacterial vaginosis prevention is advised. The dosage regimen should consist of short-term use of 7 days on, 7 days off, then 7 days on. Consult with an infectious disease specialist or obstetrician/gynecologist to sort out nonresolving and/or recurring BV or more serious infections, such as endometritis, pelvic inflammatory disease, and chorioamnionitis( in case of pregnancy only).

I hope it helps. Take good care of yourself and Dont forget to close the discussion please.
May the odds be ever in your favour.
Take care
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shafi Ullah Khan (4 days later)
Thank you, I have another question I will ask you after holidays...
doctor
Answered by Dr. Shafi Ullah Khan (7 hours later)
Brief Answer:
:)

Detailed Answer:
You are welcome any time XXXX. Happy holidays
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Urinary Incontinence And Recurrent Bacteria Vaginosis

Brief Answer: Incontinence / recurrent BV Detailed Answer: Thank you for asking XXXX! Dripping that much might be an incontinence and may be confused with vaginal discharge secondary to bacterial vaginsosis which is easily treated with slight hygiene and antibiotics . So i suggest you get to a urologist or gynecologist and have you urodynamics studies done see if there is any incontenince. Stress incontinence secondary to pregnancies are very common at your age groups. It may Recurrent bacterial vaginosis infections which has one or more of the following reasons. 1)Recent antibiotic use 2)Decreased estrogen production of the host Wearing an intrauterine device (IUD) 3) Douching 4) Sexual activity that could lead to transmission (eg, having a new sexual partner or a recent increase in the number of sexual partners) Now the general basic principles for recurrent BV like in you case include following management. Antibiotics are the mainstay of therapy dietary supplementation with Lactobacillus (acidophilus) Asymptomatic women with G vaginalis colonization do not need treatment. BV that does not resolve after one course of treatment may be cured by giving a second course of the same agent or by switching to another agent (eg, from metronidazole to clindamycin or from clindamycin to metronidazole) Some women with recurrent BV may benefit from evaluation or treatment of G vaginalis colonization in their sexual partner (controversial) Patients should be advised to stop douching or using bubble bath or any other over-the-counter vaginal hygiene products Patients should wash only with hypoallergenic bar soaps or no soap at all and should avoid liquid soaps and body washes Surgery is not indicated Testing for other infections (eg, N gonorrhoeae, C trachomatis, or herpes simplex virus [HSV]-1) may be appropriate Therapy with metronidazole or clindamycin may alter the vaginal flora and predispose the patient to development of vaginal candidiasis You should stop douching or using bubble bath or any other over-the-counter vaginal hygiene products.Wash only with hypoallergenic bar soaps or no soap at all. Avoid liquid soaps and body washes. Prophylaxis with vaginal probiotic product (8 billion units of Lactobacillus rhamnosus, L acidophilus, and Streptococcus thermophilus per capsule) for recurrent bacterial vaginosis prevention is advised. The dosage regimen should consist of short-term use of 7 days on, 7 days off, then 7 days on. Consult with an infectious disease specialist or obstetrician/gynecologist to sort out nonresolving and/or recurring BV or more serious infections, such as endometritis, pelvic inflammatory disease, and chorioamnionitis( in case of pregnancy only). I hope it helps. Take good care of yourself and Dont forget to close the discussion please. May the odds be ever in your favour. Take care Khan