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How to treat vaginal burning, itching, and dryness with cheese-like discharge for the past few days?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I got vaginal burning, itching, and dryness with little or very less cottage cheese-like discharge with no foul smell or difficulty in urination. At first, it got very dry and itchy, so I used Candid-B ointment. After taking the AF kit, I got a thick white discharge. After three days, I took Fluconazole 150 mg again, and then after three days, I used a Clingen Forte vaginal capsule every night. So far, I have used two capsules. I am also taking Itraconazole 200 mg OD for three days. I want to know whether I need to take Doxycycline 100 mg. If yes, then for how many days, or if Itraconazole 200 mg, then for how many days? I see improvement in infection, and the itching has subsided.

Answered by Dr. Rajesh Jain

Hello,

Welcome to icliniq.com.

I understand your concern.

It seems to be due to some mixed infection there.

I suggest,

  • Clean the vagina with vaginal wash regularly.
  • Continue Clingen (Clindamycin, Clotrimazole, and Tinidazole) vaginal capsules once daily for three days.
  • Capsule Itraconazole 200 mg one per day.
  • Capsule Doxt SL (Doxycycline and lactic acid bacillus) one twice a day on the first day and one per day from the second day onwards.
  • Tablet Metrogyl ER (Metronidazole) one tablet twice a day.

All for seven days. Follow-up after seven days. We suggest some natural remedies to clear it entirely after seven days.

I hope you find it helpful.

Kind regards.

Patient's Query

Hi doctor,

I have itching in the anus after taking Doxycycline 100 mg with probiotics and Metronidazole and Itraconazole, and no constipation. I used Hydrocortisone 1 %, and I got some relief.

Answered by Dr. Rajesh Jain

Hello,

Welcome back to icliniq.com.

Do not worry.

Are there any rashes around the anus?

Any worms in stools?

Any ringworm-like infection?

Reply with details.

Kind regards.

Patient's Query

Hi doctor,

No rashes or worms in stools or ringworm. I have itching. Today itching has reduced as I used Sucral Ano cream at night. Sometimes I face constipation.

Answered by Dr. Rajesh Jain

Hello,

Welcome back to icliniq.com.

It seems to be due to internal piles.

I suggest,

  • Tablet Amroid (polyherbomineral formulation) or tablet Pilex (Lajjalu and Yashad Bhasma) one tablet three times a day for three weeks.
  • Can continue Sucral Ano cream (Lidocaine, Metronidazole, and Sucralfate) for a few weeks.
  • Take milk plus cow ghee regularly at night for a few weeks to avoid constipation.

I hope you find it helpful.

Kind regards.

Patient's Query

Hi doctor,

Do I need to take the tablet Pilex after or before food three times a day?

And a sitz bath is required?

I have stopped taking Doxycycline and Metronidazole and have only taking Itraconazole for three days.

Answered by Dr. Rajesh Jain

Hello,

Welcome back to icliniq.com.

How are you now?

How are vaginal symptoms?

Kind regards.

Patient's Query

Hi doctor,

I am fine now, as all vaginal symptoms are gone.

Just worried about piles. It is not that serious, but I want to treat it.

Applying Sucral Ano cream.

Do I need to take any antibiotics with Pilex?

Answered by Dr. Rajesh Jain

Hello,

Welcome back to icliniq.com.

Do not worry.

Is there any lump outside of the anus?

Is there any difficulty in passing stools?

Any bleeding during defecation?

Any erosion in the anal mucosa?

Reply with details.

I hope you find it helpful.

Kind regards.

Answered byDr. Rajesh Jain

Medically reviewed byiCliniq medical review team

Published At November 22, 2022
Reviewed AtJanuary 23, 2024

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Dr. Rajesh Jain

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