Hello XXXXXXX

Thanks for writing to us. I am trying to give answer according to your concern.

There are several possibilities of welts or bumps on either side of labia with redness/ swelling and burning or itching sensation. These includes as follows:

1) Mostly suggestive of associated vaginal yeast infection or any type of Sexually Transmitted Disease (STD).
2) Hypersensitivity reaction due to use chemical substance like lubricant/ jelly with condom or soap/ detergent/ other bath products, related with repeated friction & irritation inside vagina & labial side.
3) Others- UTI) with co-existence of vaginal infection, inserting any type of foreign objects etc.

The possibilities can be narrowed by pelvic examination (with or without speculum) and some initial investigations like complete blood test & serological tests for STD profile, urine examination - routine & microscopy and vaginal swab test for culture etc.

Treatments depends on underlying causative factor. You may need to take proper antibiotic therapy with local application of cream/ ointment (like vagisil etc) and vaginal suppository.

Above condition is not likely related with acidity or sweating. Though maintenance of genital hygiene & taking proper medication are the key to get rid of this.

In this scenario, I suggest you to consult with a gynecologist/ venereologist at the earliest for proper guidance through examination, investigation & next line of management.

Following things are helpful to get relief from above condition:

1) Take healthy diet with anti oxidant (like vit-E etc) supplements. Drink plenty of water/ fluids.
2) Do not touch/ wipe out genital area too much. Also avoid inserting objects inside vagina. Keep the genital area always dry.
3) Maintain personal hygiene properly with proper washing & cleaning genital area.
4) Wear only clean & cotton underwear. Also avoid repeated friction with clothes.
5) Avoid using any type of chemical cosmetics or soap or condoms.
6) Try to avoid any type of sexual activity for at least 2-3 weeks or till completion of treatment course.

I hope above said information is very much sufficient & helpful to you. If you have any further questions I will be happy to help.

Wish your good health and practice protected sex in future.

Regards,
Dr Soumen.

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Hello XXXXXXX

Thanks for your query and giving me a concrete information about the problem. I apologize for misinterpretation.

Burning sensation around underwear line in between legs is probably due to accumulation of sweating and friction of wearing cloth. This causes irritation and inflammatory reaction (specially on hot weather) on those area and leads to redness & swelling. Another thing, using bath cosmetics/ soap or hair removal cream may aggravate the condition. Hair folliculitis also can cause this type of features. There is no relation with acidity.

Here, I suggest to consult with dermatologist for clinical examination & blood test for hypersensitivity reaction. You may apply 1% hydrocortisone cream/ aloe vera gel locally that can help in soothing and heal wounds & inflamed skin. Also you wear loose clothing over it to avoid further irritation.

For itching sensation around vagina and anus, you need to rule out vaginal yeast infection by doing vaginal swab test. In such cases, vaginal suppository is very much useful.

In addition, you should follow all preventive measures that I have described in last portion of my previous reply.

If you do not have any clarifications, you can close the discussion and rate the answer.

Take care yourself.

Regards,
Dr Soumen.

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