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Excessive thirst, urination, and swollen fingers. What to do?

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

Patient's Query

Hi doctor,

I have had excessive thirst and frequent urination for the past three days. The urge to urinate is always urgent. Sometimes, the urine quantity is normal; sometimes, it is in drops. Also, my left ring finger and middle finger appear slightly swollen in the middle. Kindly let me know why this is happening and what I can do.

Thank you.

Answered by Dr. Poonguzhali Liston

Hello,

Welcome to icliniq.com.

I understand your concern.

All the symptoms you are describing are related to a urinary infection. Kindly provide the following details so I can help you with your issue.

  1. Do you have any white discharge from the vagina?
  2. Is there any itching sensation around your urethra and vagina?

Please reply with the replies to tell you what to do next.

I hope this information will help you.

Thank you.

Patient's Query

Thank you for the reply.

I have a white discharge from the vagina. I can notice the discharge, but not excess. Sometimes, there is itching around the anus. More often, I do not see the itching. Can you please tell me what to do?

Thank you.

Answered by Dr. Poonguzhali Liston

Hi,

Welcome back to icliniq.com.

I understand your concern.

It appears to be a urinary infection with a yeast infection of the perineum. Kindly do the following:

  • Get a routine urine examination, as this will show the presence of infection.
  • A blood sugar test to see the cause of the yeast infection (as yeast infection increases with uncontrolled sugars).

Now, if you need, I can prescribe an empirical treatment for both. Kindly let me know if you need it.

I hope this information will help you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I will need one now and act according to your suggestion. Kindly tell me what I have to do.

Thank you.

Answered by Dr. Poonguzhali Liston

Hello,

Welcome back to icliniq.com.

I understand your concern.

I would suggest the following medications for urinary infection and advice:

  • Tablet Nitrofurantoin SR (sustained release) 100 mg, morning and night for five days after food, reduces the infection.
  • Tablet Urispas (Flavoxate) 200 mg thrice daily for three days after food to reduce the pain. Not to take if the pain subsides.
  • Candid V6 vaginal pessaries (Clotrimazole) (keep it in your vagina after you pass urine before sleep for six days, you will see an increase in white discharge, but that is due to the tablets or pessaries melting, so do not worry).

If sexually active, kindly abstain from intercourse for one week till you finish the pessaries.

Take plenty of fluids.

Kindly get back to me with the urine routine and sugar test (before and after food).

I hope this information will help you.

Thank you.

Patient's Query

Hello doctor,

Thanks for the reply.

I have attached the test report herewith.

Thank you.

Answered by Dr. Poonguzhali Liston

Hello,

Welcome back to icliniq.com.

I understand your concern.

I have gone through your reports (attachment removed to protect the patient's identity). Your blood sugar is within the normal range, which is good news. Also, your urine routine report looks fine. Kindly continue the medications prescribed above. No additional medications will be required.

I hope this information will help you.

Thank you.

Patient's Query

Hi doctor,

Thanks for the reply.

I sometimes have this mild, uneasy feeling in the lower right abdomen. Other than that, I am doing fine. Can I have the COVID vaccine while taking these medicines?

Thank you.

Answered by Dr. Poonguzhali Liston

Hi,

Welcome back to icliniq.com.

I understand your concern.

Is this pain cyclical, meaning it's associated with your menstrual cycle? This medication is not a contraindication for the COVID vaccine. Kindly go ahead and get vaccinated.

I hope this information will help you.

Thank you.

Patient's Query

Hi,

Thank you for the reply.

I have similar pain during my menstrual cycle with a history of PCOD (polycystic ovarian disorder). But now, I am not menstruating. Also, I hear so much news about the COVID-19 vaccine that I am doubtful and scared about getting vaccinated. If I share my complete medical history with you, you could help me make an informed decision. I am taking the medicines you prescribed for UTI (urinary tract infections).

  1. I have had herpes simplex infection around my mouth frequently during periods or whenever I have had a fever and have taken treatment for the same. My husband also has it occasionally.
  2. I had a C-section due to high blood pressure, and also took treatment for postpartum depression. My blood pressure is normal now.
  3. My husband, aged 42 now, had an episode of sunstroke a few years back and was hospitalized for the same. He has eczema on his skin.

Kindly let me know whether we can both get vaccinated. Your input would clear my confusion.

Answered by Dr. Poonguzhali Liston

Hi,

Welcome back to icliniq.com.

I understand your concern.

The mild pain could be due to ovulation. Pain is usually limited to the ovary from which the ovum is released. Do not worry.

I understand your confusion regarding the vaccine. The Coronavirus (COVID) condition is very dire. Immunization, masks, and social distancing are our only options to keep ourselves safe. The vaccines are very safe. Ninety-nine percent of people experience mild side effects, such as fever, pain, and sometimes diarrhea. All symptoms are mild and very manageable.

Another significant side effect, such as blood clots, is rare. You and your husband are low-risk vaccination candidates and are unlikely to have any significant complications. So do not worry. Do get the vaccination done. People who are vaccinated, even if they test positive for COVID-19, have very mild symptoms and, in most cases, would not require oxygen supplementation.

I hope this information will help you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I have some clarity now regarding vaccination. You stay safe as well.

Thank you.

Answered by Dr. Poonguzhali Liston

Hi,

Welcome back to icliniq.com.

Glad I could be of help.

Thank you.

Patient's Query

Hi doctor,

Thanks for the reply.

The pharmacists are not giving medicine. Could you officially give me an online prescription?

Thank you.

Answered by Dr. Poonguzhali Liston

Hi,

Welcome back to icliniq.com.

I understand your concern. I can surely give you a prescription.

I hope this helps you.

Thank you.

Patient's Query

Hi doctor,

Thanks for the reply.

I got only Nitrofurantoin 100 mg. The pharmacist says only this tablet is available, and there is no Nitrofurantoin SR 100. Are they both the same? If not, could you tell me the alternative?

Thank you.

Answered by Dr. Poonguzhali Liston

Hello,

Welcome back to icliniq.com.

I understand your concern.

Nitrofurantoin can be taken as an alternative to Nitrofurantoin SR. So you can take that exact dosage.

I hope this information will help you.

Thank you.

Answered byDr. Poonguzhali Liston

Medically reviewed byiCliniq medical review team

Published At May 10, 2021
Reviewed AtMarch 6, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Poonguzhali Liston

Obstetrics and Gynecology

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