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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Cure For A Bacterial Infection Which Causes A Foul Odor

Hello... my name is Anne. Can I ask you if the type of bacteria present in BV (bacterical vaginosis) can spread to the skin? I have had recurrent BV for years. As if that is not bad enough for the last few years my feet and legs have been producing a really stong offensive odor? My feet only smell when my shoes are on. As soon as I take them off there is no smell. Anyone have any suggestions? The doctors I am seeing now can't seem to cure me of this. It is makng me very depressed. Please help.
Wed, 6 Jan 2016
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General & Family Physician 's  Response
Hi Anne,
Thanks for posting in HCM.
I understand your concern.
Symptoms what you is experiencing could be due to recurrence of yeast infection along with associated bacterial infection. This may be due to poor hygiene or due to transmission by asymptomatic partner during intercourse.

If the infection recurs again and again, the following things needs to be done:
1. Maintenance therapy like a regimen of oral fluconazole tablets once a week for six months or clotrimazole as a vaginal suppository used once a week for six months can be used.
2. Treating partner too if the partner has symptoms of a genital yeast infection (balanitis).
Along with this, you need take a course of metranidazole to counter bacterial infection.

Other measures which needs to be taken care are the following:
1. Wash the area with warm water and mild antiseptic twice daily until the symptoms subsides.
2. Abstain from sexual activity till your symptoms subside completely.
3. After using the toilet, wipe from front to back to avoid spreading yeast or bacteria from anus to the vagina or urinary tract.
4. Wear loose fitting cotton undergarments that helps keep your genital area dry and doesn't hold in warmth and moisture.
5. Change pads or tampons often during periods.
6. Use vaginal anti-fungal medicines which are available for 1-day, 3-day, and longer courses, depending on the strength of the medicine.
7. Along with it, you can use vaginal boric acid capsules, which are available over-the-counter. Do not use this medication if you are pregnant.

Hope the information provided would be helpful.
All the best.
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Suggest Cure For A Bacterial Infection Which Causes A Foul Odor

Hi Anne, Thanks for posting in HCM. I understand your concern. Symptoms what you is experiencing could be due to recurrence of yeast infection along with associated bacterial infection. This may be due to poor hygiene or due to transmission by asymptomatic partner during intercourse. If the infection recurs again and again, the following things needs to be done: 1. Maintenance therapy like a regimen of oral fluconazole tablets once a week for six months or clotrimazole as a vaginal suppository used once a week for six months can be used. 2. Treating partner too if the partner has symptoms of a genital yeast infection (balanitis). Along with this, you need take a course of metranidazole to counter bacterial infection. Other measures which needs to be taken care are the following: 1. Wash the area with warm water and mild antiseptic twice daily until the symptoms subsides. 2. Abstain from sexual activity till your symptoms subside completely. 3. After using the toilet, wipe from front to back to avoid spreading yeast or bacteria from anus to the vagina or urinary tract. 4. Wear loose fitting cotton undergarments that helps keep your genital area dry and doesn t hold in warmth and moisture. 5. Change pads or tampons often during periods. 6. Use vaginal anti-fungal medicines which are available for 1-day, 3-day, and longer courses, depending on the strength of the medicine. 7. Along with it, you can use vaginal boric acid capsules, which are available over-the-counter. Do not use this medication if you are pregnant. Hope the information provided would be helpful. All the best.