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I took Bactrim in May for an infected mole on my arm. A few

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weeks later I got what...
I took Bactrim in May for an infected mole on my arm. A few weeks later I got what I thought was a yeast infection. Used Monistat for a week, didn't seem to help. A doctor prescribed Clindomycin vaginally, didn't work. Then took 3-4 more rounds of Monistat then Diflucan. None worked. Finally saw the doctor, all cultures negative. Was given steroids for about 10 days, didn't help too much. Vaginal opening is red and burns mildly. What could be the problem?
Submitted: 1 year ago.Category: OB GYN
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9/4/2016
OB GYN Doctor: Dr. Bob, Medical Doctor replied 1 year ago
Dr. Bob
Dr. Bob, Medical Doctor
Category: OB GYN
Satisfied Customers: 5,556
Experience: 20 Years in Internal Medicine, Neurology and Sports Medicine
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This could represent a bacterial vaginitis or cellulitis, which ironically would require an antibiotic (other than bactrim, of course). Similarly, vaginal redness and burning can be the result of an allergy (i.e. allergic dermatitis) which may require trying to identify and avoid the provoking substance as well as treating with antihistamines and topical anti-inflammatories.

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Customer reply replied 1 year ago
Are you an OB/gyn
Customer reply replied 1 year ago
I requested an OB, please defer question to OB/GYN, thanks.
OB GYN Doctor: Dr. Bob, Medical Doctor replied 1 year ago

My adult urgent care practice involves a lot of GYN care. This is a very common presentation in our clinic. If you still prefer to wait for a GYN doctor, I will opt out.

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Customer reply replied 1 year ago
I requested an OB
OB GYN Doctor: Dr. Bob, Medical Doctor replied 1 year ago

Your question went to adult medicine. I will opt out so you can await a GYN.

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OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 1 year ago
khagihara
khagihara, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 6,590
Experience: Trained in OB & GYN for many years.
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Can you attach the photos here? How old are you? How tall are you? How much do you weigh? Any weight change? Any medical problems? Any surgeries? Any other medications including over-the-counter pills and herbs? Any family medical history?

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Customer reply replied 1 year ago
No weight change, family history of what
OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 1 year ago

such as diabetes

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Customer reply replied 1 year ago
No diabetes, no surgeries.
OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 1 year ago

Do you mind attaching the photos here? Please answer other questions? Did you have a skin biopsy? Any abnormal vaginal discharge?

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Customer reply replied 1 year ago
No skin biopsy done. I'm 35.
Customer reply replied 1 year ago
No discharge. No infections found on cultures.
OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 1 year ago

Do you mind attaching the photos here?

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Customer reply replied 1 year ago
I don't have any photos.
OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 1 year ago

Was the steroid medication for oral or topical?

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OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 1 year ago

Pain or itch?

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Customer reply replied 1 year ago
Steroid was topical, seemd to further irritate skin
Customer reply replied 1 year ago
Mild burning, no itch
OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 1 year ago

What is the name of the steroid cream?

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Customer reply replied 1 year ago
Tricalone or something
OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 1 year ago

Triamcinolone is a bit strong steroid to use for the delicate area such as vagina and face. It could irritate the area and cause dermatitis. You just use non-oily moisturiser. If it is not improved, you should see a dermatologist to have a skin biopsy.

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Customer reply replied 1 year ago
I haven't used any steroids since beginning of August. Could the tissue still be irritated? How long before redness goes away? What kind of moisturizer?
OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 1 year ago

Soaking in warm water temporarily relieves vulvar discomfort. Sealing in the moisture with medication prescribed or emollient (eg, plain petroleum jelly) is also a mainstay of therapy.

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khagihara
khagihara
khagihara, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 6,590
6,590 Satisfied Customers
Experience: Trained in OB & GYN for many years.

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