
Have Yeast Infections And Bacterial Vaginosis. Taking Diffulcan. What Could Be Causing This?

can u tell me which one should i use or both used together would be fine.thanks so much.its really disturbing our life and am really concerned .i have 2 yr old and wonderful husband.
iam having flu like sypmtoms.cold bad cough and i feel my immunity has gone really low because all this going on since months.
You are describing a common and very frustrating problem. Often I see doctors just treating the problems but never really asking "why" is this happening. It is a big step for you to be forward thinking enough to ask why and be looking for the underlying answer. I will assume that this was not really a problem before XXXXXXX
I will also assume that there are other symptoms that prompted an ultrasound of the kidney and pelvis, such as abdominal and pelvic pain.
First, lets address common causes for recurrent infections in a 31 year presumably healthy female:
1. Recent antibiotics (for a cold, cough, upper respiratory infection, bladder infection)
2. Birth control pills (can affect vaginal estrogen levels)
3. Use of over-the-counter douches or antibaterial soaps
4. Tight fitting clothes that do not breathe
Second, let review the typical tests that would / should be done:
1. Diabetes
2. HIV (looking for anything that would affect your immune system)
3. Thyroid disease (tested for but not associated with vaginal infections)
4. Cultures of the cervix for STD's - certainly could explain a vaginal discharge and abdominal pain
5. CBC (blood counts) - looking for sign of infection with an elevated white blood cell count
6. Tests of your urine - looking for causes of abdominal or pelvi pain such as a complicated bladder infection
If this just comes down to recurrent vaginal infections with BV and/or yeast, you should limit your self treatment to:
1. Oral Diflucan - I like the once per week plan, until symptoms are gone
2. Metrogel cream - twice daily for 5 days, the 2-3 times per week
3. Acidophilus capsules - contain Lactobaccili cultures (i.e normal vaginal bacteria)
4. Florajen capsules - a more concentrated version of #4
5. Cotton underwear and loose fitting clothes
6. Avoid ANY vaginal douching
7. Avoid ANY anti-bacterial soaps
8. If you are on birth control, consider stopping it until this resolves - but definitely use backup such as condoms
I hope this helps. Please ask if you have more questions. Please take a moment to leave feedback!! - DR XXXXXXX


also
1)how many times should i take acidophulus and biffidus capsule in a day. i have capsules of 8 million potency .
2)should i still take floragen on top of this.
3)would taking many acipdohuls capsules in a day would be bad? is too much of good bacteria harmful.
4) shoudl i eat flour as usual..like in bread bagels..or just stick to whole wheat or eat not even that.i feel like when i had pita bread last weel which has yeast in it ..this time yeast infection started .could it be iam allergic to yeast?
5) what other foodds to avoid.iam ready to give up anything ..i am having zero sugar since last month,no sweets at all.
please let me know if any other measures i have to take for 3-4 months as to prevent this from happening .i have had no sexual activity too since last month.to avoid this from happening.
also all the tests you have mentioned were done 2 months back in my annuals check up and all are negative.
And i dont ahve any abnominal and pelvic pain issues now.it was some pain at the flanks on back a month back.but its fine now.
1. The metrogel cream is the best for BV. I am not familiar with the use of sulphanilamide cream and my limited research suggests that this is not an appropriate choice.
2. I would take either the Acidophilus OR the Florajen (Florajen is better) - once daily
3. There would be no benefit to taking "extra" Florajen and it would probably not be harmful.
4. You are not allergic to yeast. You should continue with a balanced diet and the probiotics that we have discussed.
5. Giving up processed sugars is a decent idea, but it really is only an issue if you have diabetes.
I hope this answers all of your questions. Good luck!


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