Hello. Thank you for posting your query at DoctorSpring.com
I understand your concern.
Thanks for your elaborate history. It does seem more like an UTI, as the symptoms most commonly experienced in UTI in the acute stages are lower abdominal discomfort, slight vague abdominal pain, frequency to urinate, burning micturition, and at times feeling of incomplete void. The new brand of tissue paper does not seem to contribute to any kind of allergy here. Ideally it is better to get an urine routine examination done just to confirm the pH pf the urine, and to check for the presence of pus cells in the urine which will be confirmatory for the infection. If it is posible for you, then send your urine for a routine examination. Meanwhile i will suggest the following medicine for you :
Tab. Norfloxacin 500 mg twice daily for 5-7 days depending on the severity.
Plenty of water and fluids to prevent the urine from getting too acidic and flush out the bacteria.
Please send your urine for analysis before starting the medicine.
Hope this is helpful.
Feel free to discuss further,
Patient replied :
Hi and thank you very much for your advice and fast response. If it has not cleared up by next week i will look into it further, but as it is the early hours of Sunday morning i won't be able to get to a doctor until next week. Is there any thing i can do from home to help it along? I've heard drinking cranberry juice is good and bi carb soda? And i will drink plenty of water. Or anything i can get from a chemist which is ok to take for now?
Hello. Thank you for posting the follow up.
Since it is not possible for you to immediately get the urine test done, you can get tablet norfloxacin and start the treatment. It should settle down in 5-7 days time.
Also you can drink bi carb soda. It will help in turning the urine less acidic. It is helpful in UTI and cystitis cases.
It is really good to find such intelligent and knowledgeable patients.
Tablet Norfloxacin and bi carb soda along with plenty of water will be fine for now.
Get back to me in 3 days time and let me know about your symptoms.
Patient replied :
Hi, sorry it took me a while to get back to you. I went to the doctor on Monday last week and did a urine test and got antibiotics, which i finish taking today. It feels much better except for a slight burn at the end of urinating but it's nothing like before and i don't feel like i need to go all the time. Now i am experiencing a sort of itchy/irritation feeling up inside my vagina which i'm not quite sure what it is. I have had it quite a few times in the past, usually before and after my period, though this time it seems to be hainging a bit longer. It is not severely bad but just enough to be uncomfortable at times, but then sometimes i can't feel it at all. Thought it might've been thrush but i have no discharge as far as i know, and i think from what i'm told that thrush is much worse. If it continues i will go to the doctor but i am hoping it will just go as it doesn't really stop me from functioning and isn't always there.
Good to hear that you are recovering well.
The present irritation could be due to a mild thrush. Since you have just been on antibiotics, it could have caused a slight imbalance in the normal microbial flora of the vagina. However, it is nothing to worry about as it will go away on its own.
In case it persists longer or if the symptoms worsen with discharge etc, it is better to see your Gynaecologist for an internal exam and appropriate treatment.
Meanwhile, take plenty of fluids and keep the genital area clean and dry. Do not use harsh soaps or agents. A pH balanced gentle intimate wash can be used.