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Suggest Treatment For Recurrent Fungal Infection
Question: Hi doctor. I have an fungal infection and was prescribed by a doctor to use a vaginal pessary. I am 15 weeks pregnant. I feel a lot of discharge coming out like milky discharge. Something I'm walking and I feel like gush or a lump of discharge white coming out and since it's my first pregnancy I get really worried. Yesterday I felt abit of water coming out and I feel like scared what if it's the amniotic fluid? This morning went on the scale and my weight has dropped by a kilo and a half. So I'm worried I don't have any abdominal pains or anything or no bleeding just abit concerned I hope everything is ok. Last week I fell on my bum but I don't think that affected it as said by previous doctors. Pls help
Also the discharge has a smell. It's yellowish and has a smell. Sometimes it's milky white sometimes it's yellow and sometimes it's like watery. I'm worried if the water burst but I have no pains whatsoever I feel normal. No bleeding aswell.
Also the discharge has a smell. It's yellowish and has a smell. Sometimes it's milky white sometimes it's yellow and sometimes it's like watery. I'm worried if the water burst but I have no pains whatsoever I feel normal. No bleeding aswell.
Brief Answer:
mixed vaginosis..likely but not leakage...
Detailed Answer:
Hello,
thanks for the query to HCM,
tHE PRESENCE OF WHITE DISCHARGE per vaginum which is thick often and sometimes yellow with smell accompanied indicates a bacteria-fungal mixed infection, which can be seen if you are sexually active recently in last 2 weeks , where infection can be transferred from your partner. This needs to be confirmed with a per speculum examination and high vaginal swab culture which shall help isolate the organisms and confirm the diagnosis.
Also if there is a doubt about leakage of amniotic fluid, that too can be confirmed with a litmus paper test with blue litmus turning pink if leakage is present. But the chances are low at 15 weeks as the cervix is thick at this point of time and os is closed with mucous plug intact usually. Neither there is 2kg of amniotic fluid inside which can explain your weight loss, so best step would be to get a repeat abdominal ultrasound done to check for foetal viability and also a high vaginal swab culture.
If all is normal then weight loss can be attributed to redistribution of fat during pregnancy and possibly poor dietary intake during pregnancy.
I suggest a visit to your obstetrician again.
Regards
mixed vaginosis..likely but not leakage...
Detailed Answer:
Hello,
thanks for the query to HCM,
tHE PRESENCE OF WHITE DISCHARGE per vaginum which is thick often and sometimes yellow with smell accompanied indicates a bacteria-fungal mixed infection, which can be seen if you are sexually active recently in last 2 weeks , where infection can be transferred from your partner. This needs to be confirmed with a per speculum examination and high vaginal swab culture which shall help isolate the organisms and confirm the diagnosis.
Also if there is a doubt about leakage of amniotic fluid, that too can be confirmed with a litmus paper test with blue litmus turning pink if leakage is present. But the chances are low at 15 weeks as the cervix is thick at this point of time and os is closed with mucous plug intact usually. Neither there is 2kg of amniotic fluid inside which can explain your weight loss, so best step would be to get a repeat abdominal ultrasound done to check for foetal viability and also a high vaginal swab culture.
If all is normal then weight loss can be attributed to redistribution of fat during pregnancy and possibly poor dietary intake during pregnancy.
I suggest a visit to your obstetrician again.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I live in XXXXXXX and there's no medical here. And it's Sunday today so no doctors available. Like as for today I have no water leakage just ydy some water and yellow water discharge. I have no bleeding nothing no stomach pains. At the moment my right side is hurting me.. Could that be due to uterus growing?
And one more thing doctor Iv notices a weight drop Iv dropped about 1-1.5 kilos? I don't know it's quite strange.. I'm really worried like don't know I hope everything is fine.
And one more thing doctor Iv notices a weight drop Iv dropped about 1-1.5 kilos? I don't know it's quite strange.. I'm really worried like don't know I hope everything is fine.
Brief Answer:
answered
Detailed Answer:
As i said earlier, there is no apparent need to be worried if there is no bleeding per vaginum and no leaking at present. The pain on one side is often normal due to stretch of uterosacral ligaments which are the supports of the growing uterus. These pains are mild in nature and not constant.
The weight loss would need to be investigated but anyhow an ultrasound would be mandatory to check for foetal viability so you may wait till monday and do not get involved in any sexual activity or lift any weights by any chance.
Regards
answered
Detailed Answer:
As i said earlier, there is no apparent need to be worried if there is no bleeding per vaginum and no leaking at present. The pain on one side is often normal due to stretch of uterosacral ligaments which are the supports of the growing uterus. These pains are mild in nature and not constant.
The weight loss would need to be investigated but anyhow an ultrasound would be mandatory to check for foetal viability so you may wait till monday and do not get involved in any sexual activity or lift any weights by any chance.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks doctor maybe the weight loss could be due to I have like diharrea every morning and a lot comes out of me so when I finish using the bathroom my stomach feels a lot more lighter. Every morning when I wake up I use the loo quite well and release everything so maybe it could be that. I have attached a picture of the yellow colour of discharge that Iv been getting. So that's the kind of fluid that comes out its like I'm walking and I feel something and when I check it's like this yellow discharge so I took a picture to show you
Brief Answer:
answered
Detailed Answer:
Hello,
the discharge is vaginal bacterial infection and shall require treatment. Also important is that you shouldn't be having diarrhoea during pregnancy, instead constipation is a prime feature often. Please keep yourself well hydrated and also add a stool culture test to investigations for ruling out gastroenteritis as well.
This vaginal infection needs to be treated. Please keep the pessary in situ which you have been advised already and review with gynecologist on Monday.
Regards
answered
Detailed Answer:
Hello,
the discharge is vaginal bacterial infection and shall require treatment. Also important is that you shouldn't be having diarrhoea during pregnancy, instead constipation is a prime feature often. Please keep yourself well hydrated and also add a stool culture test to investigations for ruling out gastroenteritis as well.
This vaginal infection needs to be treated. Please keep the pessary in situ which you have been advised already and review with gynecologist on Monday.
Regards
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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