[23F] With foul-smelling urine, abnormal vaginal discharge, and new onset cough
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
Foul-Smelling Urine and Vaginal Discharge
- Urinary Tract Infection (UTI): Even though you recently completed antibiotics for a UTI, it's possible that the infection has recurred or was not fully eradicated. UTIs can cause foul-smelling urine and increased frequency of urination.
- Bacterial Vaginosis (BV): BV can cause a fishy odor and abnormal discharge. Since you were recently treated for BV, it’s possible that the infection has recurred.
- Yeast Infection: The itching and discharge you described could also be due to a yeast infection, especially if you have taken antibiotics recently, as they can disrupt the natural balance of bacteria and yeast in the vagina.
Scratchy Throat and Cough
- Allergic Reaction: Exposure to mold can trigger an allergic reaction, leading to a scratchy throat and cough.
- Upper Respiratory Infection: Although your symptoms started recently, they could be the early signs of a viral or bacterial upper respiratory infection.
What you can do
Foul-Smelling Urine and Vaginal Discharge
- See a Doctor: It's important to consult a healthcare provider to determine the exact cause of your symptoms. They may perform a urine test and a vaginal swab to diagnose the issue.
- Stay Hydrated: Drink plenty of water to help flush out any potential bacteria from your urinary tract.
- Maintain Good Hygiene: Keep the vaginal area clean and dry. Avoid using scented products that can irritate the area.
- Over-the-Counter Treatments: For yeast infections, over-the-counter antifungal treatments are available. However, it's best to get a proper diagnosis before starting any treatment.
Scratchy Throat and Cough
- Avoid Irritants: Try to stay away from mold and other potential allergens.
- Stay Hydrated: Drink warm fluids like tea with honey to soothe your throat.
- Over-the-Counter Remedies: Throat lozenges and cough syrups can provide temporary relief.
- Monitor Symptoms: If your symptoms worsen or you develop a fever, consult a healthcare provider.
What you should look out for
Given the symptoms you are experiencing, you should seek medical care if you notice any of the following:
- Fever or Chills: These could indicate a more serious infection.
- Severe Pain: In your lower abdomen or pelvic area.
- Blood in Urine: This could be a sign of a more serious urinary tract issue.
- Difficulty Breathing: Especially if your cough worsens.
Remember, while I can provide some guidance, it's crucial to consult a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track your progress, get insights, and share your medical notes with your provider.
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6 mo ago