How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Vakul Aren Your Own Question

Vakul Aren
Vakul Aren, Doctor
Category: Health
Satisfied Customers: 3379
Experience:  MBBS,DTM&H( Univ of Liverpool),30yrs experience in practice
15267045
Type Your Health Question Here...
Vakul Aren is online now
A new question is answered every 9 seconds

I went for a physical and yearly papsmear. I mention to Dr.

Customer Question

I went for a physical and yearly papsmear. I mention to Dr. that felt bladder pressured. I was prescribed cipro for 3 days. Then after the papsmear results came I was prescribed 500mg 3 times a day for 7 days. I was just told when I called that I needed to take it because Cipro won't work. I wasn't told the reason when I asked the person on the phone. I made another appointment to find out. I don't understand why Cirpo won't work. In the past 5 years I hadn't had an UTI and when I did I asked for Cipro. I HAVE READ ON OTHER SITES AND SOME SAY IT MAY BE AN STD. I AM WORRY WHAT STD. I am in this new relationship for 2 months.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.
Greetings.

I am Dr. Phophalia and would assist you today.

Do you have increased frequency of urination, burning urination, urgency?
Was a urine test / urine culture done?
Apart from bladder pressure do you have any other symptoms?
What is your age?

Thanks for using JustAnswer.
Customer: replied 1 year ago.

Have frequent urination, yes a urine test was done. I noticed a different color of discharge, and red bumps on pubic area the second day of intercourse, I also mention it to Dr. and left side pelvis had sharp pain and my period was late.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello,

What is the color of the discharge?
Was a vaginal swab, STD screening and a urine culture test done?
Did your routine urine test show any infection?

Dr. Arun
Customer: replied 1 year ago.

To be honest with you, I was just prescribed Cipro 250mg 2 times a day for 3 days after urine test. Then a week later I just received a call for another antibiotic. I wasn't give a follow up appointment but I made another one. I still feel the same was as before.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello,

A white cheesy vaginal discharge would point to yeast infection. This does not smell.

The other possibility to consider would be bacterial vaginosis. The clinical diagnosis of bacterial vaginosis is made if three of the four following signs are present:

 

1) A grayish-white vaginal discharge;

2) A vaginal pH exceeding a value of 4.5;

3) The presence of so-called clue cells on saline wet mount;

4) A fishy or amine odor after the addition of a 10% potassium hydroxide solution (positive whiff or sniff test).

 

Treatment of the bacterial vaginosis is cumbersome. Following are the treatment modalities;

 

1) Metronidazole (flagyl) and clindamycin have been the drugs of choice.

 

2) Azithromycin too is effective. Secnidazole, ornidazole and tinidazole are also used.

3) Antiseptics as vaginal suppositories;

a) benzydamine,

b) chlorhexidine,

c) dequalinium chloride,

d) polyhexamethylene biguanide,

e) povidone iodine

f) hydrogen peroxide

 

4) Probiotics

 

5) Stop douching or bubble bath, if you do.

 

6) Avoid liquid soaps and body wash.

 

A urine culture is the best investigation to establish the urinary tract infection as it not only confirms the infection but also tells about the best antibiotic to eradicate the infection. With your symptoms, chance of STD is low though, no harm in getting a STD screening just for the cautionary reasons, especially if the urine culture is negative.

 

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using JustAnswer.

 

We have recently implemented a new rating and feedback system. Please be aware that you are rating my courtesy and service as a professional. If you have any questions whatsoever, or there is anything I can clarify for you, please temporarily bypass the rating system by clicking “Continue the Conversation” or "Reply."

Clicking either of the lowest two options reflects poorly on me so please reply to me if there is anything else I can do to help before choosing those options. I appreciate your patience while we work out the kinks. It's important to me that you are 100% satisfied with the service I have provided you. Thank you.
Expert:  Vakul Aren replied 1 year ago.

It would be best to request for a STD panel testing to set your mind at ease.A antibiotic to treat the folliculitis/red bumps on the pubis till the results of the STD come back would help.It would bebest if both the partners are tested and treated together to prevent passing any infection to-and fro.

Vakul Aren, Doctor
Category: Health
Satisfied Customers: 3379
Experience: MBBS,DTM&H( Univ of Liverpool),30yrs experience in practice
Vakul Aren and 7 other Health Specialists are ready to help you
Expert:  Dr. Arun Phophalia replied 1 year ago.
As I mentioned in my detailed answer, STD screening is usually recommended with your symptoms for the cautionary reasons and for the exact diagnosis. There can be UTI and STD concomitantly.

It is privilege assisting you.
Expert:  Vakul Aren replied 1 year ago.
Thank you for accepting the answer.I am available on the site to answer any follow up/other questions.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery