Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

A 37 year old pt presents with increased vaginal discharge,

Customer Question
A 37 year old...

A 37 year old pt presents with increased vaginal discharge, white in color without odor, vaginal irritation, itching. She also presents with dysuria, hematuria, increased frequency, and burning during urination. Lower abd pain with flank pain. Pt was treated 7 days ago 250mg rocephin IM, 1g azithromycin, 150mg diflucan. 2days ago treated with 2g Flagyl. She continues to complain of urinary symptoms with vaginal irritation.

Doctor's Assistant: How long have you been dealing with the burning? Are you experiencing any other discomfort?

9-10 days

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Hysterectomy, increased stress

Submitted: 5 months ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 2 hours by:
11/22/2017
Doctor: Dr. Muneeb Ali, Doctor replied 5 months ago
Dr. Muneeb Ali
Category: Medical
Satisfied Customers: 9,232
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
Verified
Hi,
Welcome to Ja and thanks for this question. I'm sorry to hear about your symptoms. I just came online to see that you have been waiting for some time. Now from what you are describing it sounds like that you are still suffering from an infection of the genitourinary tract. This would be diagnosed with the help of a repeat urine analysis, urine cultures, abdominal ultrasound. The ultrasound is extremely important here. This will tell us if the infection has tracked up into the kidneys or not. Given your vaginal discharge this sounds like a severe fungal infection which has not responded to fluconazole. Some fungal infections need a longer course of therapy with fluconazole, even upto 6 weeks or more intensive regimen with fluconazole used on an alternate day basis.
It is also possible that the fungus is resistant to fluconazole and you would need a special fungal culture to determine which anti fungal should be used in that case however generally speaking voriconazole should be tried when fluconazole fails.
The other possibility is that you have a bacterial infection which is resistant to the antibiotics used, again a culture would be needed to determine the ideal antibiotic. Sometimes you could have both a bacterial or fungal infection which cab be resistant and both could be worsening the situation.
I would recommend that you get additional testing done with special concentration on the possibility of resistant infections.
Do you have anymore questions?
Please remember to leave a positive rating as that is how we are compensated for helping you today
Ask Your Own Medical Question
Doctor: Dr. Muneeb Ali, Doctor replied 4 months ago

Would you like to know anything else? Any clarifications or additional questions that you might have, i would be happy to answer them for you. If done for now, please remember to leave a positive rating as that is the only way we are compensated for our time spent helping you. You can continue to ask follow-up questions even after the rating. Any BONUSES would be well appreciated!

Ask Your Own Medical Question
Was this answer helpful?
Ask Dr. Muneeb Ali Your Own Question
Dr. Muneeb Ali
Dr. Muneeb Ali
Dr. Muneeb Ali, Doctor
Category: Medical
Satisfied Customers: 9,232
9,232 Satisfied Customers
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine

Dr. Muneeb Ali is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,786 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,750 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,863 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

15,604 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
Azithromycin 4 tablets 500mg Will that treat gonorrhea and
Azithromycin 4 tablets 500mg Will that treat gonorrhea and chlamydia,My girlfriend here chlamydia but I think she had gonorrhea before that? … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
7,035 satisfied customers
I was given AZITHROMYCIN Tablets 250mg 5 day pack. I
Hi doc! I was given AZITHROMYCIN Tablets 250mg 5 day pack. I Finished the pack on Sunday the 15th. From what i understand even after you finish it the medicine keeps working up to day 10. Since i been… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
967 satisfied customers
I was given a dose of Azithromycin for chlamydia treatment.
I was given a dose of Azithromycin for chlamydia treatment. I had unprotected sex 3 days after taking the dose with someone who does not have chlamydia. Is there a chance I could have reinfected mysel… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,507 satisfied customers
Does azithromycin oral liquid need to be refrigerated. Never
Does azithromycin oral liquid need to be refrigerated … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,985 satisfied customers
If i take azithromycin (5 day course) a day after condom
If i take azithromycin (5 day course) a day after condom break and possible exposure, should this stop stds like Chlamydia and gonorrhea from developing? Of course i will need to get tested at 2 weeks… read more
Edgar Rubio Villegas
Edgar Rubio Villegas
Emergency physician
Surgeon in Traumatology and Orthopedics
745 satisfied customers
I was given azithromycin 500mg 1 tab a day for 3 days but i
I was given azithromycin 500mg 1 tab a day for 3 days but i still have the throat pains is that normal? … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,323 satisfied customers
Prednisone 20mg azithromycin tablet 250mg. Ipratrotiun
Prednisone 20mg azithromycin tablet 250mg. Ipratrotiun bromide > nasal spray 42 mcg. Can I take Benadryl or Advil for headache … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,604 satisfied customers
I took azithromycin 3 days ago for a chlamydia infection but
Hi, I took azithromycin 3 days ago for a chlamydia infection but did not wait 7 days to have sex and think I might have been re-infected. Can I take a second dose of azithromycin tomorrow (500mg)?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,507 satisfied customers
Can I take azithromycin and Clint in Hal together. One is
Can I take azithromycin and Clint Amy in Hal together. One is for my teeth being pulled and azithromycin is for bronchitus. … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,604 satisfied customers
Can you take azithromycin or rocephin while taking bactrim
Hi, can you take azithromycin or rocephin while taking bactrim ds? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,604 satisfied customers
I took a fluconazole a few hours ago then i just took 0.25
i took a fluconazole a few hours ago then i just took 0.25 mg. alprazolam and 50 mg. diphenhydramine. then noticed there is a severe reaction. should i be worried? … read more
Dr. Amir
Dr. Amir
Post-Doctoral Degree
2 satisfied customers
My wife might be having allergic reaction to Azithromycin.
My wife might be having allergic reaction to Azithromycin. She has diarrhea, low grade fever and red skin rash around her eyes. Slightly puffy around her eyes as well. No swollenness in her throat or … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
7,035 satisfied customers
My 11 yr old was prescribed Azithromycin powder to mix into
hi . my 11 yr old was prescribed Azithromycin powder to mix into liquid solution. … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,604 satisfied customers
Took 2 pills on day 1 1 pill on day 2. Azithromycin for
Took 2 pills on day 1 1 pill on day 2. Azithromycin for throat ulcer. Lost pills. How to proceed?… read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,867 satisfied customers
What are the chances of 1g azithromycin taken orally to cure
what are the chances of 1g azithromycin taken orally to cure symptomatic gonnorhoea in men (discharge, burning sensation, pain near urethra) … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
7,035 satisfied customers
I'm looking for drug integration info for: Azithromycin,
I'm looking for drug integration info for: Azithromycin, Advil, Tylenol extra strength, Unisom and Salonpas camphor/menthol/methyl salivate. … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,746 satisfied customers
I have been on Fluconazole 150 mg for 6 days for fungal
I have been on Fluconazole 150 mg for 6 days for fungal prostatitis. Relief is sporadic. Kicks in every other day for some reason. Should I increase to 200 mg or stay on 150 mg until my 2 week supply … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,985 satisfied customers
I have a question about azithromycin and possible exposure
I have a question about azithromycin and possible exposure to sti … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,172 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x