Answered by Dr. Ana Karen Pulido Ayala

Answered by Dr. Ana Karen Pulido Ayala

I have intense itching in my vagina. How to manage it?

Hi doctor,

I am a 20-year-old woman. Today morning, when I woke up, I had an intense itching inside my vagina. I was unable to resist it and scratched it with my fingers inside. Now I am having a burning sensation in my vagina. The burning got reduced after I took a bath. But it is still burning very intensely. I have got my periods a few days back. I do not have periods now. I have never faced this issue. Is it something serious?

23 Jan 2024 - 1 min read

Why do cough, nausea with occasional vomiting, loss of appetite, and constipation occur?

Hi doctor,

I am a 32-year-old female and a mother of two children. I have a diagnosis of Hashimoto, lichen planus, and vitiligo. I have had 11 years of chronic medical stress over my 11-year-old daughter, who has CHD and had four open heart surgeries and a cancer diagnosis five years ago. Before six years, I started having strange GI symptoms, and I was so sick that I landed in the hospital on IV fluids for four days and was then released. The gastroenterologist did an endoscopy and said it was a hiatal hernia. He said that it was small and would not cause symptoms and also told me it was related to stress, and it seemed less concerning. I have dropped from 178 to 145 lbs in four months unintentionally. I will list other symptoms with descriptions. None of the doctors I have seen seem to think there is anything wrong with me.

I have a cough and thick saliva that becomes worse in the morning. It is so thick that I cannot swallow it or breathe out without gasping. It gets better but is still present throughout the day. I have a noticeable flushing redness on my face and chest without exertion. My heart flutters or feels like it is pounding really hard at rest. At the end of the day, I have nausea with occasional vomiting and loss of appetite. I feel constipated; however, the stool is soft and thin, and sometimes diarrhea. I do lots of straining, excretion feels incomplete, and I go multiple times to the bathroom yet feeling not done excreting. There is a darkening of the skin around my mouth and under my right eye. I also have random dizzy attacks feeling as though I will faint, followed by sudden nausea and tingling hands. I occasionally have sudden blurred vision and uncomfortable feelings in my kidneys. I also have pressure or fullness feeling in the pelvic floor and rectum. I have a rash on my hip that looks like ringworm, and I was treated for it for five weeks, but it did not change and did not spread. I also have complaints like excessive dry mouth and thirst. These symptoms have crept in one after the other over the past year. My thyroid function is within range, and I have had laboratory tests like endoscopy in which a hiatal hernia was found and gastric emptying slow but not paresis, Hida normal. Abdominal ultrasound was also normal, with no pancreas view. Please help.

21 Jan 2024 - 1 min read

I have belly fat, big thighs and hips. How to reduce it?

Hi doctor,

I am 28 years old. My height is 5.8 feet, and my weight is 83 kilograms. I have belly fat, big thighs, and hips. Please suggest.

12 Dec 2023 - 1 min read

What does my blood test report indicate?

Hello doctor,

I did a blood test. Kindly evaluate it and give advice.

05 Dec 2023 - 1 min read

Why does a person who underwent treatment for TB, pneumonia, and pleural effusion have a non-healing catheter wound?

Hello doctor,

My 50-year-old uncle had TB, pneumonia, and pleural effusion for four years. After complete treatment of antibiotics and pleural drainage, everything was fine. However, the catheter wound does not heal and fluid keeps oozing out for four years. Every time he has a fever or excessive fluid coming out, the doctor prescribes Chymotrypsin for anti-inflammation. Is his condition normal? He has taken pleural X-ray and pleural CT scan. He is planning to take curcumin supplements for his inflammatory problem, but not right now.

Kindly help.

12 Oct 2023 - 1 min read

Dr. Ana Karen Pulido Ayala
General Practitioner

Education

MBBS., MD, INTERNAL MEDICINE

Specialties

General Practitioner

Specialized Treatments

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