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What Causes Extreme Pain In Groin Area Along With Swelling And Itching?

Posted on Tue, 3 Feb 2015

Question: Hi there!
I am in extreme pain. About one month ago i had gotten test results back from my OBGYN saying i have chlaymidia. I then took proper precaution went back to the doctor to get tested and it was gone. However, i cant forget the pain i had before i got the results back its Something similar to what i have now. My vagina is swollen, itches so bad, i have yellow dischage, my vagina is red, and it smells! I am very uncomfortable. I cant sit, walk, stand, or lay down without discomfort and pain. What do you think is going on?

Answered by Dr. Sameer Kumar (25 minutes later)

Brief Answer:
its mixed vaginosis with vaginitis + PID...explained..

Detailed Answer:
hello,
Thanks for contacting healthcaremagic.

The presence of yellowish thick discharge associated with itching with red painful vagina indicates a mixed infection with fungal and bacterial, possibly chlamydia and candida together causing vaginitis as well. Secondly , the pain experienced in the lower abdomen with inability to stand , walk, or lay down without discomfort indicate a pelvic inflammatory disease as well.
PID , is caused most commonly by a chlamydial infection, if the infection is recurrent or have been treated incompletely.
please follow the following advise sequencially. :-

1. Take TAB AZITHROMYCIN 1000mg STAT dose as treatment for chlamydia.
2. next day, start on:-
CAP. DOXYCYCLINE 100mg TWICE A DAY FOR 14 DAYS.
TAB TINIDAZOLE 500mg TWICE A DAY FOR 14 DAYS.,..for PID.
Tab mefenamic acid 500mg thrice a day for 3 days for pain relief.
3. CLINGEN VAGINAL PESSARY ( or combination of CLINDAMYCIN + CLOTRIMAZOLE vaginal pessary) , apply intravaginally at night before sleeping for 7 days ..for mixed vaginosis.

Please increase your water intake to disallow any spread of infection to bladder as it can cause UTI as well.

4. Avoid sexual intercourse till you are completely treated and course is over...atleast 2 weeks.

Also please get your partner examined for chlamydial infection with a urethral culture.
You should feel better after 3 days. Please follow the prescription.

regards,
Dr.Samiir Kumar

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

Follow up: Dr. Sameer Kumar (9 minutes later)

Currently i am in dominican republic and wont be going back to the united states until february. Could you possibly recommend medications i could find here? If you would know.
Thank uou beey much for your help .

Answered by Dr. Sameer Kumar (6 minutes later)

Brief Answer:
they are generic names and easily available ...

Detailed Answer:
hello,
I have purposefully mentioned the GENERIC NAMES of the drugs and not the trade names, so it would be easy to find in any part of the world.
They are available with different brand names but generic name is the same, so you won't have any difficulty, i am sure,
regards
Dr.Samiir Kumar

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

Follow up: Dr. Sameer Kumar (5 minutes later)

Ok that is perfect. Thank you. Also, i am currently taking this medication, 24 hours now. Does this cancel any out?

Answered by Dr. Sameer Kumar (2 minutes later)

Brief Answer:
which medicine you are on?

Detailed Answer:
what medication are you taking?..you didnt mention any in the description...

please let me know which one you have been taking for last 24 hrs, so that in case i need to reduce any , i shall.
regards
dr.samiir XXXXXXX

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

Follow up: Dr. Sameer Kumar (4 minutes later)

This is the medication .

Answered by Dr. Sameer Kumar (2 minutes later)

Brief Answer:
explained.

Detailed Answer:
metronidazole...
yes you may stop it completely and switch to the schedule and prescription i have advised. 24 hrs shall not make a difference. this will deal only with gm negative organisms only.I have already prescribed a better substitute as tinidazole in its place.
so you may start the schedule from tomorrow to get earliest relief as the infection is not just chlamydial alone .
regards,
dr.samiir XXXXXXX

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

Follow up: Dr. Sameer Kumar (35 minutes later)

Can my boyfriend take the same medicine or does he need something different because he is a male?

Answered by Dr. Sameer Kumar (23 minutes later)

Brief Answer:
meds for your bf..

Detailed Answer:
hello,
For your boyfriend he should take the following two only:-
1.TAB AZITHROMYCIN 1000mg stat dose orally,for chlamydia.
2 Then next day TAB FLUCONAZOLE 300 mg stat dose orally for candida spores.
Both of you should avoid sexual intercourse till you are completely treated and cured after 14 days of treatment.
regards.
Dr.Samiir Kumar

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

Follow up: Dr. Sameer Kumar (24 minutes later)

He is also needing to double is intake of water and no drinking alcohol in this process of 14 days, rigt? h

Answered by Dr. Sameer Kumar (3 minutes later)

Brief Answer:
yes of course

Detailed Answer:
yes, that is very true,
alcohol can reduce the efficacy of both fluconazole and azithromycin and can cause dizziness and lethargy if continued during the course .
he has to take just stat single doses for both. and of course avoid alcohol for at least 10 days.
regards,
Dr.Samiir Kumar

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