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How to know is it vaginal infection or STI
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STDs & Related Infections
Question #11625
344 days ago
643

How to know is it vaginal infection or STI

Sneha Karmakar

I'm suffering from itching at my vagina and burning during pee since 4 months. This problem is started before period or after period. Please confirm me what kind of problem is it I'm 20 years old and I am sexually active and I have one partner in my life

Age: 20
Chronic illnesses: No
Itching
Burning during pee
$7.5
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Doctors' responses

Hello Sneha, thank you for sharing your concern. What you are explaining seems like a Urinary Tract Infection. Here is advise and prescription from my side -

Drink plenty of fluids (5 Litres/day) Tab. Oflox + OZ twice a day × 7 days Cap. Pantop + DSR before breakfast × 7 days Syp. Urine Alkalinizer 2tsp + water thrice a day × 7 days Tab. Paracetamol 500mg if you have fever. Clotrimazole Vaginal Pessary 500mg at night only once.

I see you also noticed some blood in your urine, so you should consider getting these tests done - CBC, Urine (routine, microscopy, culture), Ultrasound Abdomen+Pelvis, PT-INR. You can discuss the reports with me.

Feel free to reach out.

Regards, Dr. Nirav Jain MBBS, DNB D Fam.Med

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Hello, You may be suffering from vaginal infection with urinary infection.

Get these tests done: 1. CBC 2. Urine-r/m 3. Urine-c/s

Take these medicines: 1. Syrup Alkasol 2tsp in 1/2 glass water twice daily for 3 days 2. Tablet Meftla-spas twice daily for 3 days 3. Tablet Fluconazole 150mg once only 4. Tab Secnidazole 2gm once only 5. Maintain local hygiene 6. Avoid intercourse for 5 days 7. Drink 1.5-2 lit./day

Follow up with reports. Take care

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Hello dear See as per clinical history it seems vaginal infection probably fungal Iam suggesting some medications and precautions Kindly follow them for atleast 15 days Topical Antifungals powders-Clotrimazole- Candid/clomed/clozed. Micogel to be applied topically Nizoral for Skin application Terbinafine 250 mg twice a day for 5 days ( oral) Itraconazole -Sporanox ( on prescription by general physician only) Fusidic acid/lulliconazole topical 3-4 times for 5 days In addition, following preventive measures should be taken Dry the involved organ Prevent moisture contamination Some medications are harmful so regular liver function tests are must especially for itraconazole In case of no improvement consult general physician or dermatologist for further improvement

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Hello Don’t worry you will get fine Its basically uti infection… for which you need a longer treatment… as it’s been active for so long and avoid intercourse for some time . Can you describe more brief other symptoms so that i can prescribe you medicine

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2 replies
Sneha Karmakar
Client
340 days ago

Today in morning I’m suffering from blood in urine. After this the burning during pee has decreased

Yes it mostly because of uti too… You can take Tab. Cefixime 200 mg( cefspan) - bd ( two time a day… one in morning and one at night after food) Tab Paracetamol -sos if fever Cap pantop dsr - od ( daily morning empty stomach) × 7 days …

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Most likely recurrent vaginal candidiasis with possible UTI component, triggered around periods. Needs a urine test + vaginal swab to confirm. Treatment is usually with antifungals (fluconazole/clotrimazole) and supportive care.

This could be fungal infection.

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Determining whether your symptoms are due to a vaginal infection or a sexually transmitted infection (STI) requires considering several factors. Itching and burning during urination can result from conditions like yeast infections, bacterial vaginosis, or STIs. Since you mentioned the timing of your symptoms around your period, there could be a hormonal component affecting vaginal pH, making you more susceptible to infections. Yeast infections often present with itching, redness, and sometimes a thick white discharge. Bacterial vaginosis might cause a fishy odor and a thin gray discharge. Both are common and linked to imbalances in your vaginal flora rather than sexual activity. However, since you are sexually active, and these symptoms persist, STIs like chlamydia, gonorrhea, or trichomoniasis should be considered. These can cause persistent symptoms like you’re experiencing. It’s crucial to get tested to rule out these possibilities, as untreated STIs can lead to significant health issues. Schedule an appointment with your healthcare provider for a proper examination, swabs, and possibly urine tests. They can provide the necessary diagnostics to pinpoint the cause and prescribe appropriate treatment. Until then, avoid douching or harsh soaps around the vaginal area, which might worsen the irritation. Safe practices, like condom use, should be considered to reduce STI risk, even with a single partner. If your symptoms are severe, or if you experience fever, abdominal pain, or unusual discharge, seek medical attention promptly. These could indicate a more serious underlying condition requiring immediate care.

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