[28F] Experiencing severe genital burning and swelling

Patient Description

A 28-year-old female presents with severe genital burning and throbbing, swelling, and a sensation of a cut between the rectum and vagina, which has been present for almost 2 weeks. The patient rates the burning sensation as a 9 out of 10 in severity, indicating significant discomfort. The pain is exacerbated during urination and the patient reports an inability to hold urine for long periods. There is also a mention of discomfort during sex, localized to the site of the perceived cut. The patient has noted itching, which may be related to clothing. No interventions have been reported to relieve the symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs are more common in women and can cause burning during urination, frequent urination, and pelvic pain.

    • Treatment typically involves antibiotics prescribed by a healthcare provider.
  • Vaginal Yeast Infection: This is a fungal infection that causes irritation, discharge, and intense itchiness of the vagina and the vulva.

    • Treatment typically involves antifungal medication, which can be either prescription or over-the-counter.
  • Genital Herpes: This is a common sexually transmitted infection marked by genital pain and sores.

    • Treatment can help, but this condition can't be cured. Antiviral medication can help to manage outbreaks.
  • Vulvovaginitis: This is an inflammation or infection of the vulva and vagina that can cause itching, pain, and discharge.

    • Treatment depends on the cause, which can include bacteria, yeast, viruses, and allergens.

What you can do

Given the severity of your symptoms, it's important to seek medical attention as soon as possible. In the meantime, here are some things you can do to help manage your symptoms:

  1. Avoid sexual intercourse until you have seen a healthcare provider.
  2. Avoid using any scented products in the genital area, including soaps and menstrual products.
  3. Wear cotton underwear and avoid tight-fitting pants or underwear.
  4. Do not scratch the area, as this can further irritate the skin and potentially lead to more serious infections.

What you should look out for

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

  • Fever or chills
  • Severe lower abdominal pain
  • Blood in your urine
  • Inability to urinate

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Please consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain.


How can a vaginal yeast infection be treated?

A vaginal yeast infection can be treated with antifungal medications, which are available over-the-counter or by prescription. These can be in the form of creams, ointments, tablets, or suppositories.


What are the signs of genital herpes and how is it managed?

Signs of genital herpes include painful blisters or sores on the genitals, itching, and discomfort. It is managed with antiviral medications that help reduce the severity and frequency of outbreaks.


What should I do if I suspect I have vulvovaginitis?

If you suspect you have vulvovaginitis, it's important to see a healthcare provider for an accurate diagnosis. Treatment will depend on the cause and may include antifungal, antibacterial, or antiviral medications, as well as avoiding irritants.


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