[53F] Experiencing vaginal itching and painful raw buttocks

Patient Description

A 53-year-old female presents with a one-week history of vaginal itching, described as a 4 out of 10 in severity, without associated pain, burning, or noticeable changes in vaginal discharge. The patient denies new sexual partners or unprotected intercourse, and there has been no use of new personal care products. Additionally, the patient reports a concurrent issue of painful, raw skin on the inside of both buttocks cheeks, which began as dry skin resembling eczema and has persisted for a week. The affected area is rough and itchy but without pus or discharge. There is no associated fever, unintentional weight loss, bleeding from the anus, or changes in bowel movements. The patient has no known drug allergies, no significant past medical history, and is not currently on any medications. Cortisone cream provides minimal relief for the itching.

Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

Vaginal Yeast Infection: This is a common condition characterized by itching, irritation, and sometimes a white, cottage cheese-like discharge from the vagina. It's caused by an overgrowth of yeast, a type of fungus naturally found in the vagina.
- Treatment typically involves antifungal medications, which can be either applied topically or taken orally.
Contact Dermatitis: This is a type of skin inflammation that occurs when substances touching your skin cause irritation or an allergic reaction. The red, itchy rash isn't contagious or life-threatening, but it can be very uncomfortable.
- Treatment typically involves avoiding the irritant, applying topical creams to relieve itching and inflammation, and in severe cases, taking oral medications.
Anal Fissure: This is a small tear in the thin, moist tissue (mucosa) that lines the anus. Anal fissures can cause pain and bleeding during bowel movements. You might also experience itching around the anus.
- Treatment typically involves topical creams to relieve pain, fiber supplements to soften stools and make them easier to pass, and in severe cases, surgery.

What you can do

For vaginal itching, try over-the-counter antifungal creams or suppositories. If your symptoms don't improve after a week, see a healthcare provider.
For the pain and redness in your buttocks, try applying a warm compress to the area for 15 minutes at a time, several times a day. Over-the-counter creams containing hydrocortisone may also help with the itching and inflammation.
Keep the area clean and dry. Avoid using harsh soaps or wipes, and pat the area dry gently after bathing.

What you should look out for

If your symptoms worsen or don't improve after a week, or if you develop new symptoms such as fever, chills, or severe pain, seek medical attention. These could be signs of a more serious condition that needs medical 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 recommendations.

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11 mo ago

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