[19F] Experiencing genital itching and severe oral burning

Patient Description

A 19-year-old female has been experiencing intermittent itching and partial numbness around the anus, severe itching in the vaginal area, and a pricking sensation inside the vagina for the past three weeks. Additionally, she reports a severe burning sensation in her mouth, affecting her cheeks, the root of her mouth, tongue, and lips, which also comes and goes. She has rated the severity of the vaginal itching as 8 out of 10 and the oral burning sensation as 10 out of 10. The patient has no known pre-existing conditions or chronic illnesses, but she has allergies to penicillin and amoxicillin. She is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Vaginal Yeast Infection: This is a common condition in women that can cause itching, burning, and a sensation of discomfort in the vagina. It's caused by an overgrowth of a type of fungus called Candida.

    • Treatment typically involves antifungal medications that can be applied to the affected area or taken orally.
  • Anal Itching (Pruritus Ani): This can be caused by a variety of conditions, including certain foods, medications, and skin conditions. It can also be a symptom of hemorrhoids or pinworms.

    • Treatment depends on the underlying cause but may include dietary changes, creams or ointments, and good hygiene practices.
  • Burning Mouth Syndrome: This is a condition that can cause a burning sensation in the mouth. The cause is often difficult to determine.

    • Treatment can involve managing any underlying conditions that may be contributing to the symptoms, such as dry mouth or oral thrush.
  • Oral Allergy Syndrome: This is a condition that can cause itching, burning, and a sensation of discomfort in the mouth after eating certain foods. It's caused by an allergic reaction to certain proteins found in fruits, vegetables, and nuts.

    • Treatment typically involves avoiding the foods that cause the symptoms.

What you can do

  1. For the vaginal itching, you can try over-the-counter antifungal creams or suppositories. If these don't help, or if your symptoms worsen, you should see a healthcare provider.
  2. For the anal itching, try to avoid scratching the area, as this can make the itching worse. Over-the-counter creams or ointments that contain hydrocortisone may help. If these don't help, or if your symptoms worsen, you should see a healthcare provider.
  3. For the burning sensation in your mouth, try to identify any foods or drinks that may be causing your symptoms and avoid them. Drinking plenty of water may also help. If these don't help, or if your symptoms worsen, you should see a healthcare provider.

What you should look out for

If you experience any of the following symptoms, you should seek medical attention immediately:

  • Severe pain
  • Difficulty breathing or swallowing
  • Swelling in your mouth or throat
  • Fever or chills
  • Unexplained weight loss
  • Blood in your stool or vaginal discharge

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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11 mo ago

People Also Ask


What are the common symptoms of a vaginal yeast infection?

Common symptoms of a vaginal yeast infection include intense itching, burning, redness, and a thick, white discharge that resembles cottage cheese. Some women may also experience pain during urination or intercourse.


How can I manage anal itching at home?

To manage anal itching at home, maintain good hygiene by gently cleaning the area with water and mild soap, avoid scratching, wear loose-fitting cotton underwear, and consider using over-the-counter hydrocortisone cream. If symptoms persist, consult a healthcare provider.


What is Burning Mouth Syndrome and how is it treated?

Burning Mouth Syndrome is characterized by a burning sensation in the mouth, affecting areas like the tongue, lips, and palate. Treatment focuses on managing symptoms and may include saliva replacement products, pain relievers, or addressing underlying conditions such as dry mouth or nutritional deficiencies.


What foods should be avoided if I suspect Oral Allergy Syndrome?

If you suspect Oral Allergy Syndrome, it's advisable to avoid raw fruits, vegetables, and nuts that trigger symptoms. Common culprits include apples, peaches, cherries, and almonds. Cooking these foods often reduces the allergenic proteins, making them safer to consume.


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