Question

Hii, I am nikita suffering with recurrent vaginal infection since 4/5 months. Actually I was delivered on october 23 threw cs and I am also a practitioner at my own set up in a short town. Thats why I started seatings very early then after I got a scanty brown discharge (may be lochia) two times after one and half month later in between a prephase of 15 days I consulted with my consultant surgeon as she said it may be an urinary infection you can take tablet martifur 100 mg b.d and I got relief. Then in mid of january I get uti again and I took the pills orr intake of fluids then got relief again, after a short period of 15 days I feels itchy vagina with milky white thick fluid then I take tablet fluka 150 mg stat and flagyl 400 mg bid for 5 days along with cream clo ect gm l/a twice and higher fluids then again I feel better, and the symptoms appears after a short duration then I again consulted with gyneco and she said remove your bartholin which I was having since 4/5 years but doesn't trouble me. As she advised I removed it on feb 9. When on day seventh with analgesic (ace-p sr) and antibiotic (cefuroxime200 mg) bid I feel pain and discharge at site even I took hot sitz and apply the povidine oint locally at site, I will go to her and after she was checked she said there is a infection you ma take tab. linezolid 600 with previous prescription. Because my stitches are broken thats why there is a discharge after a month I recovered from that, and a few days later there is itching over clitoris vulval lips and opening along vagina its very severe day by day then vaginal discharge became cudy and having some solid particles. Again I consulted with her and she suggest me to take sachet vanitizer for vaginal flora tablet fluconazole 150 mg o.d for 7 days continue and clotrimazole vaginal pessaries।.rapidly after all these I got relief gain and again after 15 days I get ihe infection symptoms even I am also practitioner as I said my brain wasn't working what is that and what to do. After a prolong treatment I didn't get relief. Urine routine examination is normal so I decided to go for hvs and it was also normal there is no pathogen. Then I consulted with an another going at my city. She suggest me to change antifungal and she prescribes capsule itamore 200 mg bid vaginal pessaries fantin alternate day for two days and ointment ornidazole+miconazole vaginally for 5 days. Get relief for few days wven after taking that and got the symptoms again now I go for pap smear and the reports are pending even I repeated urine routine there is pis cell 5-6 ans crystal 3-4 may be there is some chances of renal calculus so I go for a usg soon. Please suggest me what to do I am getting furstate due to this itching and burning sensation there is no odour in discharge I think some yeast infection it is. And when when I washed out I feels something like scum around the lips and vagina. Please help me. I am very thankful to you if someone suggest me something better
thank you.

Dr.Nikitha Murthy · Accepted Answer

Get your sugar and hemoglobin levels, hiv status tested as you are getting recurrent infections.
First give for urine culture and sensitivity test and high vaginal swab for culture and sensitivity at a well accredited lab. Treat accordingly and not blindly. Complete the entire course of treatment.
Additionally drink lots of water
try consuming cranberry juice once in a while
wash your private parts with only water externally.

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