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Suggest Treatment For Painful Bumps In Genitals And Stomach Pain

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Posted on Thu, 7 Jul 2016
Question: Hello, my girlfriend noticed she had a bump on her clitoris 3 days ago. It was whitish in the center and kind of red like it was inflamed on the sides and it hurt when she touched it. Yesterday she noticed a second bump, but this one was more "pointy" and didn't hurt when she touched it nor did it look red on the sides. We don't know what to do. I don't know if it's relevant but she has started working out a while ago so she sweats more now. Also she has been complaining about stomach aches, but we think her period is coming soon, but then again her period is very irregular.
doctor
Answered by Dr. Sameer Kumar (12 minutes later)
Brief Answer:
likely pustule following folliculitis.

Detailed Answer:
Hello,
Thanks for the query to hcm,
The pointed bumps over the clitoris with a white head and red inflamed border is a pustule due to folliculitis. It has occurred possibly due to frictional injury of the tight undergarments and increased moisture over the genital area contributing to the infection as well. They can be treated with local antibiotic application and just popping the pustule out and then taking a course of antibiotics for 3-5 days.
The stomach aches are more likely to be due to PMS , which indicate the likely oncoming menses, as you mentioned that her menses have been irregular.
It would be best if you can send a picture of the lesion, as it would help to offer you a better and reliable diagnosis with advise on further management.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (6 minutes later)
The Report 1 picture was taken yesterday and you can clearly see the inflamed bump and the other weird one. The Report 2 picture was taken just now and you can see the weird one on the right and the inflamed one is kind of hard to notice now.

Also, I should note that she worked out without underwear twice, and the second day she did she also noticed the first bump. Is it possible that that might've contributed to the bumps?
doctor
Answered by Dr. Sameer Kumar (8 minutes later)
Brief Answer:
answered

Detailed Answer:
Yes, these bumps have been contributed by frictional injuries to the local area and inflammation is evident over the clitoris. The second pointed lesion does appear like a warty extension of the vulval skin or a tag. As mentioned its unlikely to be painful.
I would suggest COLD COMPRESSES locally as of now thrice a day for 15 min each for next 48 hrs and start Cap Amoxycillin 500mg thrice a day for 3 days for the clitoral bump. You may get it prescribed by you rPCP. Keep the local area dry as much as possible.
Review after 48 hrs and likely that the clitoral bump would subside soon. Regarding the pointing lesion, one needs to observe it for atleast next 48 hrs and see the response to antibiotics and cold compresses.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (3 hours later)
Thank you.
Is there anything she should avoid for the moment? Like being outside in the heat or working out?
doctor
Answered by Dr. Sameer Kumar (5 hours later)
Brief Answer:
answered

Detailed Answer:
she should avoid moisture and local sweat, avoid any frictional activities like scratching over the area. Wear loose undergarments. If possible avoid working out till cure.
Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1780 Questions

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Suggest Treatment For Painful Bumps In Genitals And Stomach Pain

Brief Answer: likely pustule following folliculitis. Detailed Answer: Hello, Thanks for the query to hcm, The pointed bumps over the clitoris with a white head and red inflamed border is a pustule due to folliculitis. It has occurred possibly due to frictional injury of the tight undergarments and increased moisture over the genital area contributing to the infection as well. They can be treated with local antibiotic application and just popping the pustule out and then taking a course of antibiotics for 3-5 days. The stomach aches are more likely to be due to PMS , which indicate the likely oncoming menses, as you mentioned that her menses have been irregular. It would be best if you can send a picture of the lesion, as it would help to offer you a better and reliable diagnosis with advise on further management. Regards