How to treat pain during urination caused by bacterial vaginitis?

Written by Ding Ying Bo
Obstetrics and Gynecology
Updated on September 12, 2024
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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.)

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Written by Ding Ying Bo
Obstetrics and Gynecology
1min 26sec home-news-image

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.)

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Written by Li Jian Wu
Pulmonology
46sec home-news-image

How many days does a fever last in bacterial pneumonia?

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 He Jing
Obstetrics and Gynecology
1min 2sec home-news-image

Why is there tofu-like discharge in bacterial vaginitis?

Bacterial vaginitis may have cottage cheese-like discharge, which requires consideration of bacterial and fungal co-infection. It is advisable to visit a hospital for routine vaginal discharge tests. If these tests indicate the presence of fungi, the diagnosis can be confirmed as fungal vaginitis with a concurrent bacterial infection. Therefore, the appearance of the discharge may change to resemble cottage cheese, but at this point, treatment becomes complicated as it requires addressing both bacterial vaginitis and fungal vaginitis simultaneously. The treatment methods for these two conditions are actually opposite. Under a doctor's guidance, considering vaginal insertions of nifuratel-nystatin capsules for symptomatic treatment may be advisable. Observing the treatment response or, if the effect is not apparent, considering treating the fungal infection first, followed by the bacterial infection.

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Written by Gan Hai Ying
Obstetrics and Gynecology
1min 9sec home-news-image

Is bacterial vaginitis sexually transmitted?

Bacterial vaginosis is not sexually transmitted. The occurrence of bacterial vaginosis is mainly due to changes in the vaginal environment, which leads to an imbalance of bacteria normally present in the vagina. Some bacteria become dominant, leading to the development of bacterial vaginosis. Most cases of bacterial vaginosis are due to low immunity in women, reduced body resistance, or long-term use of vaginal medications which disturb the vaginal environment, resulting in bacterial vaginosis. It is not classified as a sexually transmitted disease. For bacterial vaginosis, if there are obvious symptoms such as abnormal vaginal discharge or external genital itching, treatment with metronidazole or clindamycin can significantly relieve discomfort. In addition to medication, attention should be paid to the hygiene of the external genitalia and improving one’s immunity, as many cases of bacterial vaginosis can heal on their own. (Please follow medical advice when using medication.)

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Written by Ding Ying Bo
Obstetrics and Gynecology
49sec home-news-image

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.