Patient: In the past two weeks, I have always felt that my lower abdomen has fallen from the anus, and it will be better after farting. In addition, the labia is very itchy, and the vaginal discharge is like tofu, white, and has no peculiar smell until the evening of August 18 , I felt gas in the lower abdomen. When I went to the squat toilet, my lower abdomen suddenly fell painful. It went to the anus and couldn’t stand upright. I went to the hospital to see the emergency department. It was said that it was inflammation of the urinary system and some gynecological inflammation. What caused it, it was just an anti-inflammatory injection and an analgesic injection. My basic situation: married but not childbearing, no hemorrhoids, no dysmenorrhea, normal menstruation (usually 29 days, or 36 days), last menstrual period ended in August On the 6th, I feel a little bit of urination and frequent urination (it is more intense when I fall asleep, it’s usually fine), but there is no urgency. The phenomenon of lower abdomen falling up and wanting to fart has also occurred before, but it is not as serious as this time for laboratory tests and urine tests. The results of B-ultrasound are shown in the attachment. The pain is no longer present, but the genitals are still itchy, and the vaginal discharge is still like tofu Can know what part of the problem is probably, whether it is serious, how to prevent and treat
Wang Shijun, Department of Gynecology, Peking University People's Hospital: It should be fungal vaginitis. Fungal vaginitis is a common type of vaginitis. Although it is easy to recur, it can be cured. Treatment: Oral drugs for the treatment of molds, such as Fuda (fluconazole), Dafukang, etc., and local intravaginal use of dyconine, canidin, etc. can be used. Because it is easy to relapse before and after menstruation, it is necessary to prevent intravaginal suppositories before and after menstruation, and change to oral medication during menstruation for consolidation. Three consecutive cycles of treatment. I wish a speedy recovery.
Patient: Thank you, Dr. Wang, for answering me so quickly that I don’t have unclean sex, and I usually pay attention to hygiene. Why did I get this disease? I would like to ask what caused it. Also, the B-ultrasound doctor said that my pelvic cavity had a little water. , There is some inflammation in the attachment, but it is not very obvious. I want to ask if this needs treatment
Patient: In addition, I don’t care about mycotic vaginitis. I usually pay more attention to my health and hygiene.
Wang Shijun, Department of Gynecology, Peking University People's Hospital: Pay attention to hygiene and get fungal vaginitis, just like a cold. Who is the first source of infection? It is not clear. "I don't care about it. I usually pay more attention to my health and hygiene." "The B-ultrasound doctor said that my pelvic cavity has a little water and the appendages have some inflammation, but it is not very obvious." There is insufficient evidence. Imaging can not diagnose appendicitis. It must be diagnosed by clinicians. There may also be a small amount of free fluid in the pelvic cavity of normal people.