Why do I have severe itching and vaginal discharge?

Hello,

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The presence of vulvovaginal itching and increased frequency of urine indicate that you have a vaginal fungal infection causing vaginitis along with urinary tract infection, which can cause lower abdominal pain, fever, pain in the lower back, etc. The presence of pus-filled boils or lumps over the vulval area are possibly due to folliculitis secondary to the frictional lesion. Hence you are unable to wear pajama pants as the inflamed vulvovaginal area hurts. The prime cause of vulvovaginitis is improper genital hygiene. So to maintain it,

1) Avoid using chemical soaps or fragranced soap, or shower gels to wash your hula or vagina. Use only plain water or alkaline vaginal wash.

2) Avoid using public toilets.

3) Use tissues each time to wipe yourself dry. Keep the genital area dry as much as possible. You may use antifungal dusting powder after urinating every time.

4) Avoid wearing moist or wet undergarments for long.

Presently you need to be placed on antifungals and antibiotics for seven days, and you should use an alkaline vaginal wash to clean both internally and externally over the genital area. Plain water douche can be used once or twice to remove the threaded clumps of sticky fungal discharge. Also, increase your daily water intake to 0.7 to 1 gallon a day to avoid urinary infections. You may get a high vaginal swab culture and a urine routine microscopy test to confirm the diagnosis. Avoid intercourse if you have been sexually active.

I hope this was helpful.