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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Vaginal Redness And Rash. Diarrhea And Lumps Under Arms. Tried Diaper Rash Cream. Remedy?

Hello, I'm experiencing vaginal redness and rash. I've gone to the doctor and she wanted to test for herpes. The result was negative, but if anything I've gotten worse. From what I've seen, my situation doesn't resemble photos online. I'm also having diarrhea and lumps under my arms. However, my skin (face) is AMAZING (I don't know if this has anything to do w/anything). I don't know what to do. The doctor prescribed me diaper rash cream and since this hasn't been doing much, she prescribed me acid mantle cream. I have been unable to obtain the latter. What are other possibilities besides herpes? I feel like I need House!!!
Fri, 14 Jun 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

Presence of vaginal rash and redness suggests an infection most probably fungal infection.
is there any associated discharge?
If discharge is present it should be sent for examination.
Fungal infection can be treated with topical anti-fungals.
Diarrhea is due to the gastrointestinal upset.
An antibiotic can be taken after consulting your doctor.
Norfloxacin is commonly prescribed for infective (bacterial) diarrhea, however take the drug prescribed by your treating doctor.
Lump under the arms can be due to lymph node enlargement or rarely accessory breasts.
However, these are only few causes, many other entities can cause such swelling.
A fine needle aspiration of these lumps is needed.
This procedure aspirates cells in the lesion.
These cells are stained and observed under the microscope.
This test will determine the origin and character of the lesion.

So, consult your doctor and get the relevant investigations done.
Thanks and take care
Dr Shailja P Wahal

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Have Vaginal Redness And Rash. Diarrhea And Lumps Under Arms. Tried Diaper Rash Cream. Remedy?

Hello and welcome to HCM, Presence of vaginal rash and redness suggests an infection most probably fungal infection. is there any associated discharge? If discharge is present it should be sent for examination. Fungal infection can be treated with topical anti-fungals. Diarrhea is due to the gastrointestinal upset. An antibiotic can be taken after consulting your doctor. Norfloxacin is commonly prescribed for infective (bacterial) diarrhea, however take the drug prescribed by your treating doctor. Lump under the arms can be due to lymph node enlargement or rarely accessory breasts. However, these are only few causes, many other entities can cause such swelling. A fine needle aspiration of these lumps is needed. This procedure aspirates cells in the lesion. These cells are stained and observed under the microscope. This test will determine the origin and character of the lesion. So, consult your doctor and get the relevant investigations done. Thanks and take care Dr Shailja P Wahal