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Taking celphalexin for UTI. Started feeling uncomfortable with dry and itchy vagina. Side effect?

Mar 2013
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Practicing since : 1998
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yeast infection from antibiotics?I recently got a UTI and my doctor prescribed me Celphalexin. I have been taking it for a few days and now I believe I have a yeast infection. I read up on the medication side effects and it says that that is one of the side effects. my vagina area on the outside is kind of itchy, and just feels uncomfortable and dry. I've never had one, so I don't know how it feels.. any advice?
Posted Thu, 11 Apr 2013 in Medicines and Side Effects
Answered by Dr. Aarti Abraham 1 hour later
Thanks for your query.

It definitely sounds like you are having a vaginal infection.
This is very common following a UTI,
and after antibiotic use, as antibiotics tend to deplete the normal vaginal flora.

Regarding yeast infection it is also common to have it following antibiotic use.
Let me brief you about some aspects of vaginal candidiasis or , vaginal yeast infection.
Vaginal yeast infection is an infection of the vagina, most commonly due to the fungus Candida albicans.

Most women have a vaginal yeast infection at some time. Candida albicans is a common type of fungus. It is often found in small amounts in the vagina, mouth, digestive tract, and on the skin. Usually it does not cause disease or symptoms.

Candida and the many other germs that normally live in the vagina keep each other in balance. However, sometimes the number of Candida albicans increases, leading to a yeast infection. This can happen if you are taking antibiotics used to treat other types of infections. Antibiotics change the normal balance between germs in the vagina by decreasing the number of protective bacteria.

Obesity, diabetes and general ill health contribute. Having a diabetic partner and having unprotected sex would predispose you to have vaginal candidiasis.
You could experience a vagifrom that rangesfrom a slightly watery, white discharge to a thick, white, chunky discharge (like cottage cheese).
You could experience Pain with intercourse, Painful urination, Redness and swelling of the vulva, Vaginal and labial itching, burning, dryness of the vagina etc.

You need to consult a Gynecologist to confirm the diagnosis and differentiate from other vaginal infections or STD.
A pelvic examination will be done. It may show swelling and redness of the skin of the vulva, in the vagina, and on the cervix. The health care provider may find dry, white spots on the vaginal wall. There may be cracks in the skin of the vulva.

A small amount of the vaginal discharge is examined using a microscope. This is called a wet mount and KOH test).

Sometimes, a culture is taken when the infection does not improve with treatment or comes back many times.

Medications to treat vaginal yeast infections are available in either creams or suppositories. Sometimes, oral drugs are required.

Keep your genital area clean and dry. Avoid soap and rinse with water only. Sitting in a warm, but not hot, bath may help your symptoms. Avoid wearing damp undergarments, or wet bathing suits and exercise gear for prolonged time.

Avoid douching. Although many women feel cleaner if they douche after menstruation or intercourse, it may actually worsen vaginal discharge because it removes healthy bacteria lining the vagina that protect against infection.

Eat yogurt with live cultures or take Lactobacillus acidophilus tablets when you are on antibiotics to prevent a yeast infection.

Use condoms to avoid catching or spreading sexually transmitted infection (STI).

Avoid using feminine hygiene sprays, fragrances, or powders in the genital area.

Avoid wearing extremely tight-fitting pants or shorts, which may cause irritation.

Wear cotton underwear or cotton-crotch pantyhose. Avoid underwear made of silk or nylon, because these materials are not very absorbant and restrict air flow. This can increase sweating in the genital area, which can cause irritation.

The symptoms usually disappear completely with adequate treatment.

Secondary infection may occur. A lot of scratching may cause the area to crack, making you more likely to get another superimposed infection, or recurrent yeast infection, which is resistant to treatment.

Hence please consult your doctor at the earliest for management further.
Hope I have clarified your doubts.
Take care and feel free to ask further questions.

Above answer was peer-reviewed by
Follow-up: Taking celphalexin for UTI. Started feeling uncomfortable with dry and itchy vagina. Side effect? 6 hours later
should I continue taking the antibiotic?
Answered by Dr. Aarti Abraham 1 hour later
It would be a further mistake to Take an incomplete course of antibiotics, and leave the UTI untreated.
Above answer was peer-reviewed by
Follow-up: Taking celphalexin for UTI. Started feeling uncomfortable with dry and itchy vagina. Side effect? 2 days later
ok thank you.
Answered by Dr. Aarti Abraham 1 hour later
Most welcome anytime.
Feel free to leave a user review.
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