How many days does a fever last in bacterial pneumonia?

Written by Li Jian Wu
Pulmonology
Updated on September 21, 2024
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Bacterial pneumonia can cause sudden high fever and convulsions. Typically, the fever lasts about three to five days. In patients with weak immunity, the fever may persist for seven to ten days. Decisions should be made based on the amount of bacteria in the body and the immune capacity. It's important to adjust your mindset, understand correctly, and seek early detection and treatment. Maintaining appropriate indoor temperature and humidity is crucial. When feverish, it's necessary to measure body temperature. If it does not exceed 38 degrees Celsius, oral antipyretic medications generally aren't necessary; physical methods to reduce fever can be used to relieve discomfort.

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Written by Zhu Hua
Obstetrics and Gynecology
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Can bacterial vaginitis lead to pelvic inflammatory disease?

Bacterial vaginitis can lead to pelvic inflammatory disease. Bacterial vaginosis is a mixed infection caused by the imbalance of normal vaginal flora. When bacterial vaginosis occurs, the predominance of lactobacilli in the vagina decreases, leading to the overgrowth of other microorganisms such as Gardnerella, anaerobes, and some staphylococci. The proliferation of these pathogens can compromise the host's defense mechanisms. These pathogens can travel from the vagina to the uterine cavity and then to the pelvic cavity, leading to disturbances in the microecological environment of the pelvis and resulting in pelvic inflammatory disease.

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Written by Ding Ying Bo
Obstetrics and Gynecology
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Why does bacterial vaginitis turn into fungal vaginitis?

Women with bacterial vaginitis need to be treated with metronidazole, which can be either taken orally or applied as metronidazole vaginal effervescent tablets. Some women may experience recurrent bacterial vaginitis, which leads to a longer duration of medication use, potentially causing an imbalance in the vaginal flora. Yeast naturally exists in the vagina, but the environment is usually stable due to the predominance of lactobacillus, which inhibits the growth of yeast. However, if the treatment period for vaginitis is extended, it can disrupt the vaginal environment, reduce the amount of lactobacillus, and consequently, yeast can proliferate and lead to yeast-based vaginitis.

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Written by Luo Chun Yan
Obstetrics and Gynecology
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Can mild bacterial vaginitis heal on its own?

Mild bacterial vaginitis generally does not heal by itself and needs timely treatment. Bacterial vaginosis is caused by a disruption of the vaginal flora and an increase in the pH value of the vagina, leading to a mixed infection dominated by anaerobic bacteria. This condition results in an increase in vaginal discharge, which is relatively thin but has a distinct fishy odor, and may cause itching of the vulva. The relationship between bacterial vaginosis, endometritis, and pelvic inflammatory disease is very close. Therefore, even mild bacterial vaginosis should be treated promptly. Treatment can be administered orally or locally via the vagina, mainly using anti-anaerobic agents. If not treated promptly, it may lead to ascending infections, causing endometritis and pelvic inflammatory disease, which can result in infertility. Thus, even mild bacterial vaginosis should be treated in a timely manner; it generally does not heal on its own.

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Written by Luo Chun Yan
Obstetrics and Gynecology
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Is bacterial vaginitis related to self-immunity?

Bacterial vaginitis is somewhat related to one's immune strength. It occurs when the microecological balance of the vagina is disrupted and the pH value of the vagina changes, leading to a mixed infection in the vagina. This can lead to an increase in vaginal discharge, producing a fishy-smelling leukorrhea and causing itching of the vulva. When the body's resistance decreases and the immune system is weakened, the microecological balance of the vagina can be easily disrupted. This can change the pH value of the vagina and lead to a lack of Lactobacillus, thereby causing bacterial vaginitis. Therefore, it is essential to regularly strengthen physical exercise to enhance the immune system. This can reduce gynecological inflammations, including bacterial vaginitis. Additionally, it is important to protect the barrier of the vagina and avoid frequent vaginal douching, which can cause an imbalance in the vaginal pH, triggering bacterial vaginitis.

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How to treat pain during urination caused by bacterial vaginitis?

Bacterial vaginitis refers to when the pathogen in the vagina is Gardnerella and is associated with a disruption of the vaginal flora. This can result in an increased amount of discharge, with a foul odor. An increased amount of vaginal discharge can irritate the vulva, leading to severe vulvitis, and possibly cause pain during urination. If pain during urination is accompanied by urinary urgency and frequency, it should be considered that there might be a urinary tract infection, and a urinalysis could be conducted. If a urinary tract infection is confirmed, it is necessary to drink more water, urinate more frequently, and take oral levofloxacin. If tests confirm that there is no urinary tract infection and the symptoms are only due to local irritation, using a 1:5000 potassium permanganate sitz bath daily for 15 minutes can significantly alleviate the pain during urination. Additionally, systemic medication should be administered to treat bacterial vaginitis. Only after the vaginitis is cured, which would significantly reduce the discharge, can the vulvitis and pain during urination be relieved. (Medication should be administered under the guidance of a physician.)