Dr. Mavani Jimesh Himatbhai
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have an abscessed Bartholin's gland cyst. This is like my 10th go around with this thing. I had marsupialization a few years ago. It did not work the way I was told it would but it did make it so afterward every one. I would have got pus drain and go away easier but this one is not draining. I am in pain. I have no insurance and now I am out of work so I have no money. Please give me some antibiotics. I am currently on Levothyroxine.
Hi,
Welcome to icliniq.com.
It needs marsupialization or complete removal. And if there is recurrence so many times mean you are not following proper hygiene and precautions told by the doctor. You can take Amoxicillin and Clavulanic acid 625 mg like combination two times a day and Metronidazole 400 mg two times a day, both for five to eight days. You can take a painkiller along with it. But if there is pus then it should be drained. Or the best thing is to reoperate. Drink more water. Keep the vaginal area as dry as possible. Hot water fomenting may help. If increasing more than need a clinical examination and also require to send pus for culture sensitivity test to find out which antibiotics work perfectly on it. According to the report antibiotics should be taken. Also, complete the course of antibiotics. Send some photos to see how severe is the infection.
I hope this helps.
Patient's Query
Hi doctor,
After a sitz bath the abscess drained. The pus has a sweet smell to it almost like grape candy, but I am still in a lot of pain.
Hi,
Welcome back to iCliniq.com
Continue antibiotics and sitz bath. Compress and drain all pus, even if it pains. It is the only option. Otherwise it will increase again and will have short cycle of increase and decrease. All candy like material must be pressed and removed till blood comes. Drink more water. You can take a locally available painkiller such as Paracetamol or Acetaminophen.
Take care.
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Obstetrics and Gynecology
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