[42F] With itchy, painful bump and vaginal discharge

What might be happening

Based on the symptoms and medical history you've provided, here are some possible explanations:

• Abscess or Boil: The painful, itchy bump on your butt cheek that is draining could be an abscess or boil. These are often caused by bacterial infections and can become quite painful as they drain.

  • Treatment typically involves keeping the area clean and applying warm compresses. In some cases, a doctor may need to drain the abscess or prescribe antibiotics.

• Bacterial Vaginosis (BV): The foul-smelling vaginal discharge that smells like ammonia and varies in color could be due to bacterial vaginosis. BV is a common bacterial infection that can cause a fishy odor and discharge.

  • Treatment usually involves antibiotics prescribed by a doctor.

• Pelvic Inflammatory Disease (PID): Given your history of gonorrhea, the abdominal pain, nausea, and fatigue could be signs of PID, a serious infection of the female reproductive organs that can occur if sexually transmitted infections are not fully treated.

  • Treatment involves antibiotics, and it's crucial to seek medical attention promptly to prevent complications.

• Chronic Fatigue Syndrome (CFS): The extreme fatigue and the ability to fall asleep at any moment could be indicative of chronic fatigue syndrome, especially if it has been ongoing for several months.

  • Management includes lifestyle changes, medications, and sometimes therapy to help manage symptoms.

What you can do

1. Consult a Doctor: Given the range of symptoms and their severity, it's important to consult a healthcare provider for a thorough evaluation and appropriate treatment.
2. Maintain Hygiene: Keep the area around the bump clean and dry. Use warm compresses to help with drainage and pain.
3. Monitor Symptoms: Keep a symptom diary to track any changes or patterns in your symptoms, which can be helpful for your healthcare provider.
4. Stay Hydrated and Eat Well: Ensure you are drinking plenty of water and maintaining a balanced diet to support your overall health.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe Pain: If the pain in your abdomen or the bump becomes severe.
• High Fever: If you develop a fever (temperature over 100.4°F).
• Increased Discharge or Odor: If the vaginal discharge becomes more pronounced or the odor worsens.
• Spreading Redness or Swelling: If the area around the bump becomes more red, swollen, or painful, indicating a possible spreading infection.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.