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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constipation With Heartburn, Stomach Upset And Bad Smell From The Vagina?

Hi im 19 years femal weight 145..for over a year now i havent been capable of pooping correctly. I constantly have heart burn, upset, stomack, and the heart burn is after almost ever meal. I seam to have adapted to some sort of white layer on my tongue making me always want to touch my lips, my tongue feels really sensitive and dry, my lips are always peeling, not chapped. My abdominal area hurts all the time, if you were to press down i yelp. my vagina smells bad too..i think i might be infected with an std. please someone help me...im scared to go to the doctors cuz i dont have insurance
Tue, 26 Feb 2019
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General Surgeon 's  Response
Hi,

Noted the history and understood all the concerns.
The commonest cause of heartburn is a condition called GERD that is Gastro-esophageal reflux disease. This can be secondary to gastroenteritis of some sort giving secondary glossitis and stomatitis and all the changes in lips and tongue as you have mentioned.
Changed bacterial flora can cause vaginitis giving bad smell.
Hence I would advise you the following in such a situation:
Take Pre and probiotics, add curd/yogurt to diet.
Go for soft and bland diet in small and frequent way to cover the stomach lining.
Take a PPI like Omeprazole.
Domperidone to regularize bowel motility.
Antacids when on empty stomach.
Clean private parts with plenty of warm water and apply liquid Povidone Iodine locally, may help with vaginitis.
All these will help you a lot.
If there is no complete relief then a visit to the Doctors may then be necessary, avail the Govt facilities if you do not have insurance.
Send stool for lab along with blood.
STD check up as you have mentioned about the possibility.
Examination by a Gynecologist to know the exact diagnosis so that a proper management can be done.
A course of an antibiotic, metronidazole helps a lot.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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What Causes Constipation With Heartburn, Stomach Upset And Bad Smell From The Vagina?

Hi, Noted the history and understood all the concerns. The commonest cause of heartburn is a condition called GERD that is Gastro-esophageal reflux disease. This can be secondary to gastroenteritis of some sort giving secondary glossitis and stomatitis and all the changes in lips and tongue as you have mentioned. Changed bacterial flora can cause vaginitis giving bad smell. Hence I would advise you the following in such a situation: Take Pre and probiotics, add curd/yogurt to diet. Go for soft and bland diet in small and frequent way to cover the stomach lining. Take a PPI like Omeprazole. Domperidone to regularize bowel motility. Antacids when on empty stomach. Clean private parts with plenty of warm water and apply liquid Povidone Iodine locally, may help with vaginitis. All these will help you a lot. If there is no complete relief then a visit to the Doctors may then be necessary, avail the Govt facilities if you do not have insurance. Send stool for lab along with blood. STD check up as you have mentioned about the possibility. Examination by a Gynecologist to know the exact diagnosis so that a proper management can be done. A course of an antibiotic, metronidazole helps a lot. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon