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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Vaginal Discharge, Passing Gas Through Vagina When Lying Down. Previous Vaginal Tear, Episiotomy Done. Recommendations?

Hi.I gave birth on 15th january 2013 and had vaginal tear ,and had. Episiotomy which was infected and was later treated.4months now I'm still discharging fluin like subsrtance from my vagina and passing gas through my vagina mostly at  when I'm lying down but when I'm standing it passes through my anus.what can I do.ekamma
Thu, 16 May 2013
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General & Family Physician,  's  Response
You probably have a Rectovaginal fistula(abnormal connection between vagina and rectum). Depending on the size of the connection,it could allow both flatulence(gas) and faeces to escape through the vagina.Your is probably small so allows only gas to escape through your vagina.
It is mostly caused by truamatic injuries during labour(obstetric fistulas),whose risks are increased by prolonged labour,instrumental deliveries and paramedian episiotomies or perineal tears.
Treatment depends on the size and cause of the fistula.It will usually involve surgery and antibiotherapy.
See your local Doctor to plan for treatment.
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Vaginal Discharge, Passing Gas Through Vagina When Lying Down. Previous Vaginal Tear, Episiotomy Done. Recommendations?

You probably have a Rectovaginal fistula(abnormal connection between vagina and rectum). Depending on the size of the connection,it could allow both flatulence(gas) and faeces to escape through the vagina.Your is probably small so allows only gas to escape through your vagina. It is mostly caused by truamatic injuries during labour(obstetric fistulas),whose risks are increased by prolonged labour,instrumental deliveries and paramedian episiotomies or perineal tears. Treatment depends on the size and cause of the fistula.It will usually involve surgery and antibiotherapy. See your local Doctor to plan for treatment.