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What Causes Foul Odour From Vagina Post Intake Of Flagyl For Trichinosis?

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Posted on Wed, 20 Apr 2016
Question: I was diagnosed with trichinosis and took Flagyl 500 mg twice daily for 12 days, I feel like I may still have an odor. It may be in my head because I was completely taken off guard with the diagnosis and I am completely grossed out by it. Can you tell me how long it typically takes for the odor to go away and if it should be gone should I go get retested? Thanks
doctor
Answered by Dr. Saad Sultan (1 hour later)
Brief Answer:
kindly specify the problem after reading detailed answer....

Detailed Answer:
Welcome at HCM.
I am Dr Saad Sultan and will be answering your query. I have read and understood your health concerns.
Kindly specify the term? Whether you were suffering from trichomoniasis or trichinosis??
Are you talking about vaginal odor?
As flagyl is a drug of choice for trichomoniasis and foul odor from vagina also present in this disease. So if you were having trichomoniasis and didn't get full recovery ( persistance of odour) then there is need for reassessment. Culture of vaginal swabs should be done and if positive then eradication therapy should be given again. Normally in cases of re infection , daily 2 g of metronidazole for five days in standard protocol...it will help in clearing infection.

On the other hand, trichinosis normally doesn't cause foul odor except excessive gas and bloating. The drug of choice for it is albendazole or mebendazole. Flagyl don't work well in this. For reinfection there is need to get full blood count, LDH and creatinine kinase CPK levels. And should be treated with albendazole or mebendazole.
Meet your physician and discuss about this.
Hope it helps
Regards
Dr Saad Sultan
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Saad Sultan (17 hours later)
I'm sorry I was talking about trichomoniasis. I have an appointment for retesting tomorrow. After I had received this response from you, I went ahead and made the appointment.

I do have a couple of other questions and they are dumb ones but I have no experience with STD's. Can you see this bacteria or only under a microscope? Do you disinfect/clean like normal or do you need to do something extra or use a specific product to clean bathroom areas, clothes, towels and sheets? Do you need to use antibacterial soap to clean the vaginal area or does that strip good bacteria away as well? I want to be able to attack this aggressively but haven't a clue how. Thank you in advance for your response.
doctor
Answered by Dr. Saad Sultan (15 hours later)
Brief Answer:
see explanation

Detailed Answer:
Welcome at HCM
I appreciate your follow up.
No, bacteria can only be visualized under microscope......
You can use vaginal emollients for the vaginal hygiene...it will not affect vaginal normal flora much.
No, there are not such ways to disinfect the bathrooms or clothes specifically for the Trichomoniasis coverage. Just do normal routine cleaning.
The only way to treat it aggressively is via systemic therapy .
Hope it helps
Feel free to write me on HCM next time.

Get well soon
Regards
Dr Saad Sultan
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Saad Sultan

General & Family Physician

Practicing since :2013

Answered : 1049 Questions

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What Causes Foul Odour From Vagina Post Intake Of Flagyl For Trichinosis?

Brief Answer: kindly specify the problem after reading detailed answer.... Detailed Answer: Welcome at HCM. I am Dr Saad Sultan and will be answering your query. I have read and understood your health concerns. Kindly specify the term? Whether you were suffering from trichomoniasis or trichinosis?? Are you talking about vaginal odor? As flagyl is a drug of choice for trichomoniasis and foul odor from vagina also present in this disease. So if you were having trichomoniasis and didn't get full recovery ( persistance of odour) then there is need for reassessment. Culture of vaginal swabs should be done and if positive then eradication therapy should be given again. Normally in cases of re infection , daily 2 g of metronidazole for five days in standard protocol...it will help in clearing infection. On the other hand, trichinosis normally doesn't cause foul odor except excessive gas and bloating. The drug of choice for it is albendazole or mebendazole. Flagyl don't work well in this. For reinfection there is need to get full blood count, LDH and creatinine kinase CPK levels. And should be treated with albendazole or mebendazole. Meet your physician and discuss about this. Hope it helps Regards Dr Saad Sultan