[34F] With vaginal itching, headache, and abnormal discharges

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Vaginal Itching and Discharge

• Yeast Infection (Candidiasis): This is a common cause of vaginal itching and discharge. It can cause a thick, white discharge and intense itching.
• Bacterial Vaginosis: This condition can cause a thin, grayish discharge with a fishy odor and may also cause itching.

Anal Discharge and Blood in Stool

• Hemorrhoids: These can cause blood in the stool and mucus-like discharge, especially during bowel movements.
• Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause mucus in the stool, blood, and diarrhea.
• Infections: Certain infections can cause anal discharge and blood in the stool.

Abdominal Pain and Nausea

• Irritable Bowel Syndrome (IBS): Given your history of IBS, this could be a flare-up, causing abdominal pain, cramping, and diarrhea.
• Gastrointestinal Infections: These can cause nausea, diarrhea, and abdominal pain.

Increased Urination

• Urinary Tract Infection (UTI): This can cause increased urination and sometimes abdominal pain.

Headache

• Medication Side Effects: Both Lithium and Zoloft can cause headaches as a side effect.
• Dehydration: This can also cause headaches, especially if you have diarrhea.

What you can do

Vaginal Itching and Discharge

• Yeast Infection: Over-the-counter antifungal treatments like clotrimazole (Canesten) can be effective. Avoid douching and wear loose, breathable clothing.
• Bacterial Vaginosis: This typically requires antibiotics, so see a healthcare provider for a prescription.

Anal Discharge and Blood in Stool

• Hemorrhoids: Increase your fiber intake, stay hydrated, and consider using over-the-counter treatments like witch hazel pads or hydrocortisone cream.
• IBD or Infections: These require medical evaluation. See a healthcare provider for appropriate testing and treatment.

Abdominal Pain and Nausea

• IBS: Follow a low-FODMAP diet, stay hydrated, and consider over-the-counter anti-diarrheal medications like loperamide (Imodium).
• Gastrointestinal Infections: Stay hydrated and consider using oral rehydration solutions. Avoid dairy and fatty foods until symptoms improve.

Increased Urination

• UTI: Drink plenty of water and see a healthcare provider for a urine test and possible antibiotics.

Headache

• Medication Side Effects: Discuss with your healthcare provider if your medications might be contributing to your headaches. They may adjust your dosage or switch medications.
• Dehydration: Ensure you are drinking enough fluids, especially if you have diarrhea.

What you should look out for

Given the range of your symptoms, it's important to seek medical care to rule out serious conditions. Reasons to seek care urgently include:

• Severe abdominal pain or cramping
• High fever or chills
• Persistent or worsening blood in your stool
• Severe headache or changes in vision
• Signs of dehydration, such as dizziness, dry mouth, or reduced urination

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare provider for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.