Gynecology and Obstetrics Online Doctors Consultation — page 22

The persistent itching in your private area is likely due to a yeast infection or diabetic vulvovaginitis, which is common in people with uncontrolled diabetes. Since you’ve had the issue for two months, you may need oral antifungal medication (like fluconazole) along with a topical antifungal cream (clotrimazole or miconazole) for 7-14 days. To soothe the itching, you can use calamine lotion or hydrocortisone cream temporarily. Maintain good hygiene by wearing cotton underwear, keeping the area dry, and avoiding scented soaps or washes. Since recurring infections can be a sign of poorly controlled blood sugar, managing your diabetes is essential. For your chronic fissure and constipation, continue using lactulose syrup but consider adding psyllium husk (isabgol) before bedtime to improve bowel movements. Eat a fiber-rich diet with vegetables, fruits, and whole grains, and drink plenty of water to keep stools soft. Taking sitz baths (warm water with Epsom salt) twice daily can help reduce pain and promote healing. You can also apply lidocaine gel or nitroglycerin ointment for pain relief. Avoid straining during bowel movements to prevent worsening the fissure. To better manage your uncontrolled diabetes, focus on dietary changes and regular monitoring. Limit refined carbs and sugary foods while including lean proteins, healthy fats, and fiber-rich foods. Stay hydrated and engage in regular physical activity to improve blood sugar levels. If your symptoms persist or worsen, consult a gynecologist for the vaginal infection and a proctologist or gastroenterologist for the fissure. You may also need to see your diabetologist for medication adjustments to achieve better glucose control.

Hello Swati, After going through your complaints I wanted to ask your that is there cloth wetting suddenly? And one more thing.. repeated uti infection can be caused due to lack of vaginal hygiene or improper pH of vagina So I would advise you to 1 ) to get urine culture done to identify the organisms 2 use Vwash to maintain vagina hygiene 3 please use washroom after cleaning the seat even at home 4 continue the treatment and see improvement in your health 5 eat fruits and vegetables that would help to maintain pH

Hello Dolly. As you are suffering from PID since 6 months and haven't seen any improvement even after complete course of antibiotics then I would suggest you to get checked for antibiotics resistance as PID is very stubborn disease and post result you should start the antibiotics course again and complete it . And after even this you don't get cured I would suggest to consult obg gynec for laproscopic surgery to remove pus and scar tissue I would also suggest pain killer for your pain like zerodol sp And inclusion of anti inflammatory diet like omega 3 . Thank you hope u find this helpful