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Treatment for painful vaginal swelling with odorous discharge?

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I have a fever accompanied by vaginal swelling and discharge and oder. I feel pain when urinating.I am also sexually active

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 27 Doctors Online


Thank you for your query at

I have noted your symptoms and gone through your previous consult.

You seem to be having a mixed infection of the genitalia. Since your initial symptom was an itch, it could have been a yeast infection/ allergic reaction to an irritant substance. Following scratching and trauma to the skin, a bacterial infection would have set in. This causes foul odor and fever. A Urinary Tract Infection (UTI) can also cause all these symptoms.

If the swelling is localized to only one side, either left or right, it could be an infected Bartholin's cyst.

I have the following suggestions.

1. Please take an OTC Tylenol 500 mg every 6 hours, to relief of fever and pain.

2. Please take an OTC Phenazopyridine 200 mg (Uricalm/ AZO Standard® Maximum Strength/ Phenazo/ Azo-Gesic™ ), three times daily for 2 days. This will take care of pain during urination. Also, you can take Sitz baths where you sit in a tub of warm water for 15-20 mins for good relief of local pain. You can add an any mild antiseptic liquid to this water.

3. Please drink plenty of fluids, including citrus fruit juices.

4. You can use a pH balanced intimate wash to keep the area clean. Wear cotton underwear and make sure the area is dry.

5. You will need to see a Gynaecologist for examination, confirmation of a diagnosis and appropriate treatment.

I hope this was helpful.

Let me know if I can assist you any further.

Thank you.

Patient replied :

I just looked down there with a mirror and I found a bump on the inner libia and pimples near the recital area


It is really difficult to opine without having seen the lesions. I request you please provide more details and a picture.

- Are the pimples around the anus painful too?

- Has the fever and painful urination subsided?

I would request you to upload a high resolution image of the affected area so that I can give a definitive opinion.

Thank you.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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