[42F] Experiencing vaginal pressure and burning

Patient Description

A 42-year-old female presents with a 3-month history of pain and pressure in the vaginal area after urination, described as a constant heavy and tight sensation, rated 7 out of 10 in severity. The patient also reports a burning sensation in the vaginal area, rated 6 out of 10, which occurs after urination and intermittently at other times. Additionally, the patient has been experiencing constipation on and off for the past year. Medical history includes diabetes, high blood pressure, high cholesterol, sleep apnea, and a history of kidney stones. Current medications include Labetalol, Amlodipine, Hydrochlorothiazide, Metformin, Pantoprazole, Cymbalta, Tylenol, Advil, Benadryl, Flexeril, and Trazodone. No known drug allergies. No recent changes in hygiene products, sexual partners, or protection methods.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could potentially explain your symptoms:

  • Interstitial Cystitis (IC): This is a chronic condition characterized by a feeling of pressure and pain in the bladder area, along with lower urinary tract symptoms which last for more than 6 weeks, without any infection or other clear causes. Symptoms often include an urgent and/or frequent need to urinate and pain or discomfort in the bladder and pelvic region.

  • Overactive Bladder (OAB): This condition is characterized by an urgent, frequent need to urinate, often accompanied by incontinence. The urge may be difficult to stop, and overactive bladder may lead to the involuntary loss of urine.

  • Vulvodynia: This is a chronic pain condition that affects a woman's outer genitals, including the vulva. It can cause burning, stinging, or throbbing pain.

  • Chronic Constipation: This is a common condition that's characterized by infrequent bowel movements or difficult passage of stools that persists for several weeks or longer.

Please note that these are potential explanations based on the symptoms you've described, but they are not definitive diagnoses. It's important to consult with a healthcare provider for a formal diagnosis and treatment.

What you can do

While waiting for your appointment with your healthcare provider, here are some things you can do to help manage your symptoms:

  1. Keep a symptom diary: Note down when your symptoms occur, what you're doing when they happen, and what foods or drinks you've consumed. This could help identify potential triggers or patterns.

  2. Stay hydrated: Drink plenty of water throughout the day to help maintain urinary health.

  3. Maintain a balanced diet: Eating a diet rich in fiber can help prevent constipation.

  4. Over-the-counter pain relief: Non-prescription pain relievers such as acetaminophen (Tylenol) may help with pain. Always follow the package instructions.

  5. Avoid irritants: Certain soaps, bubble baths, and other products can irritate the vulva and could potentially worsen your symptoms. Try to identify and avoid any potential irritants.

What you should look out for

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

  • Blood in your urine or stool
  • Severe abdominal pain
  • Fever or chills
  • Vomiting
  • Symptoms that significantly worsen or interfere with your daily activities

Remember, while I strive to provide accurate and helpful health information, this advice is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What is interstitial cystitis and how is it diagnosed?

Interstitial cystitis (IC) is a chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain. The pain ranges from mild discomfort to severe. Diagnosis typically involves ruling out other conditions, and may include a cystoscopy, urine tests, and bladder distention.


What are the common symptoms of vulvodynia and how is it treated?

Vulvodynia is characterized by chronic pain or discomfort around the opening of the vagina (vulva) for which there's no identifiable cause. Symptoms include burning, stinging, irritation, or rawness. Treatment may involve medications, physical therapy, dietary changes, and sometimes surgery.


How can chronic constipation be managed effectively?

Chronic constipation can be managed by increasing fiber intake, staying hydrated, exercising regularly, and possibly using over-the-counter laxatives. It's important to consult a healthcare provider for persistent symptoms.


What lifestyle changes can help manage overactive bladder symptoms?

Lifestyle changes for managing overactive bladder include limiting caffeine and alcohol, practicing bladder training, maintaining a healthy weight, and doing pelvic floor exercises like Kegels to strengthen the muscles that control urination.


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