[36F] Experiencing lower abdominal fullness and watery discharge

Patient Description

A 36-year-old female presents with a sensation of fullness in the lower abdomen and a significant watery discharge. The patient notes the discharge to be itchy and abundant. Further details regarding the characteristics of the discharge, such as color, odor, or associated symptoms, were not provided. The patient is not currently pregnant. Additional medical history, medication use, and potential exacerbating factors have not been disclosed.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing one of the following conditions:

  • Bacterial Vaginosis (BV): This is a common vaginal infection in women of reproductive age. It happens when the normal balance of bacteria in the vagina is disrupted. Symptoms can include a thin, gray, white or green vaginal discharge, and a strong fishy odor, especially after sex. Itching or burning may occur, but not always.

    • Treatment usually involves antibiotics prescribed by a healthcare provider.
  • Yeast Infection (Candidiasis): This is a common fungal infection that can cause itching, irritation, and a thick, white, cottage cheese-like discharge.

    • Treatment typically involves antifungal medication, which can be obtained over-the-counter or prescribed by a healthcare provider.
  • Sexually Transmitted Infections (STIs): Certain STIs, like gonorrhea or chlamydia, can cause changes in vaginal discharge. This can include an increase in the amount of discharge, changes in the color or smell, and accompanying symptoms like itching or burning.

    • Treatment for STIs typically involves antibiotics.

What you can do

While waiting for your appointment with a healthcare provider, here are some general tips to help alleviate your symptoms:

  1. Avoid using scented soaps, bubble baths, and vaginal deodorants. These can upset the natural balance of your vagina and lead to discomfort.
  2. Wear cotton underwear and avoid tight pants to allow your vagina to breathe and reduce the risk of irritation.
  3. Avoid douching as it can disrupt the normal balance of bacteria in your vagina and can lead to an infection.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe abdominal or pelvic pain
  • Fever or chills
  • Increased pain or discomfort
  • Symptoms that do not improve or worsen after treatment

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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1 yr ago

Top picked over-the-counter products for Yeast Infection: Over-the-Counter Treatment

People Also Ask


What are the common symptoms of bacterial vaginosis?

Common symptoms of bacterial vaginosis include a thin, gray, white, or green vaginal discharge, a strong fishy odor, especially after sex, and sometimes itching or burning.


How can I differentiate between a yeast infection and bacterial vaginosis?

A yeast infection typically causes a thick, white, cottage cheese-like discharge and intense itching, while bacterial vaginosis often results in a thin, gray, or white discharge with a fishy odor. A healthcare provider can perform tests to accurately diagnose the condition.


What are the potential causes of increased vaginal discharge?

Increased vaginal discharge can be caused by infections such as bacterial vaginosis, yeast infections, or sexually transmitted infections. Hormonal changes, pregnancy, and certain medications can also affect discharge.


When should I seek medical attention for vaginal discharge?

You should seek medical attention if you experience severe abdominal or pelvic pain, fever or chills, increased pain or discomfort, or if your symptoms do not improve or worsen after treatment.


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