[44F] Concerns about recurrent yeast infection and systemic symptoms

Question

Can I have your advise please. I was not given it earlier. I though it would be emailed but I was just cut off back to the sign in page without being able to read your advise

Patient Description

A 44-year-old female is experiencing minimal vaginal itching rated 3/10, associated with smelly urine and slimy stools. She has a history of a toenail yeast infection, and is concerned about a possible systemic yeast infection due to persistent symptoms including bad breath, high blood pressure, and severe joint pain. She has a complex medical history including endometriosis treated with multiple surgeries and a hysterectomy, gastroparesis possibly managed with Librax and Reglan, and osteopenia managed with calcium and vitamin D3 supplements. She also takes hydrocodone for pain and Zanaflex for muscle spasms. Recent symptoms include hot flashes and unexplained weight loss of 15 lbs. She is scheduled to see a specialist for suspected Ehlers-Danlos syndrome. She has been self-medicating with AZO D-Mannose for urinary tract health.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Recurrent Yeast Infections: You mentioned a past toenail yeast infection and current vaginal itching. Recurrent yeast infections can occur, and while it's less common for yeast to cause systemic symptoms, it's not impossible, especially if your immune system is compromised.

    • Treatment typically involves antifungal medications, which can be topical (for skin or vaginal infections) or oral (for more systemic infections).
  • Endometriosis: You have a history of endometriosis and have been experiencing similar lower abdominal pain recently. Endometriosis can cause a range of symptoms, including pain, fatigue, and gastrointestinal issues.

    • Treatment can involve hormone therapy, pain management, and in some cases, surgery.
  • High Blood Pressure: Your blood pressure readings have been high. This can be due to a variety of factors, including stress, diet, lack of exercise, and certain medical conditions.

    • Treatment typically involves lifestyle modifications and potentially medication.
  • Joint Pain: You've been experiencing increased joint pain, which could be due to your past injuries, or possibly a rheumatological condition like osteoarthritis or rheumatoid arthritis.

    • Treatment typically involves pain management, physical therapy, and potentially surgery.
  • Gastrointestinal Issues: You've been experiencing bad breath, changes in stool, and have been prescribed medication for possible gastroparesis. These symptoms could be due to a variety of gastrointestinal conditions.

    • Treatment would depend on the specific condition diagnosed.

What you can do

You should definitely see a doctor about your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, here are some things you can do:

  1. Maintain good oral hygiene: Continue brushing and flossing regularly, and consider using a tongue scraper to help with bad breath.
  2. Stay hydrated: This can help with a variety of symptoms, including fatigue and high blood pressure.
  3. Monitor your symptoms: Keep track of when your symptoms occur, their severity, and any potential triggers. This will be useful information for your doctor.
  4. Eat a balanced diet: This can help with high blood pressure, fatigue, and overall health.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool or urine
  • Severe vaginal itching or discharge
  • A sudden increase in joint pain
  • A sudden increase in blood pressure readings

Please remember that while I strive to provide accurate and helpful health information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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8 mo ago

People Also Ask


Can a yeast infection cause systemic symptoms like joint pain and bad breath?

While yeast infections typically cause localized symptoms, in rare cases, they can lead to systemic symptoms if the immune system is compromised. It's important to consult a healthcare provider for a proper diagnosis and treatment.


What are the common symptoms and treatments for gastroparesis?

Gastroparesis is a condition where the stomach empties food into the small intestine more slowly than normal. Common symptoms include nausea, vomiting, feeling full quickly, and bloating. Treatment often involves dietary changes, medications like Reglan, and sometimes surgical interventions.


How can endometriosis affect gastrointestinal health?

Endometriosis can cause gastrointestinal symptoms such as bloating, diarrhea, constipation, and abdominal pain due to the presence of endometrial-like tissue outside the uterus, which can affect nearby organs. Treatment may include pain management, hormone therapy, and surgery.


What lifestyle changes can help manage high blood pressure?

Lifestyle changes to manage high blood pressure include maintaining a healthy diet low in salt, regular physical activity, managing stress, avoiding tobacco use, and limiting alcohol intake. These changes can help lower blood pressure and improve overall cardiovascular health.


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1 Comments


Leo#3962

8 mo ago

Your assessment should be similar to "What might be happening". An expanded version of your assessment should available on your account if you click "Dashboard" if you click on the conversation listed in your "Past Chats"

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