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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Bacterial Vaginosis, Took Medication. Took Bactrim For Suspected Bladder Infection, Having Pain. Reason?

I had a pre op physical for a hysterectomy and they said I had bacterial vaginosis since there was clue cells in my urine and a trace amount of bacteria and they put me on metronidazole for 7 days and at the end of that they thought I had bladder infection went on bactrim for 3 days and the pain came back went to doctor they said I still had BV and put me on metronidazole gel pain got very bad after two treatments. now just sore and wondering what happened. cancelled surgery till i figure out what is causing this pain down there. help?
Mon, 27 Oct 2014
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OBGYN,  's  Response
Hi,
In the current scenario, it would be ideal to stop the medication and wait until the soreness eases. If the soreness has been caused by the medication, it would decrease; else, it could continue and in such an event, a swab should be taken to determine what is the causative organism and test drug sensitivity. Combined oral and local treatment with the specific drug often cures the condition and since the vaginoses tend to recur, it is ideal to take preventive treatment for a further 3-6 months. Hope this helps.
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Diagnosed Bacterial Vaginosis, Took Medication. Took Bactrim For Suspected Bladder Infection, Having Pain. Reason?

Hi, In the current scenario, it would be ideal to stop the medication and wait until the soreness eases. If the soreness has been caused by the medication, it would decrease; else, it could continue and in such an event, a swab should be taken to determine what is the causative organism and test drug sensitivity. Combined oral and local treatment with the specific drug often cures the condition and since the vaginoses tend to recur, it is ideal to take preventive treatment for a further 3-6 months. Hope this helps.