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VAGINITIS |
From
Sent: 10-15-2004 8:03PM
To: drgian@stdweb.com
Subject: Is
there a 4 pill cure for bacterial vaginitis that is taken all @ one
time?
Hi,
Yes, metronidazole 500 mg tablets.
Four of them at once. If you have a weak stomach you can go with two a
day of the same for a week.
Dr. Gian |
From:
Sent:
To: drgian@stdweb.com
Subject: I am worried!!!
Ciao Dr. Gian,
I really appreciate what you are doing for people even if you don't
get to answering my message. I'm doing this in hopes to get a response
of course. Well, I haven't been very careful lately when it comes to the
people I have been giving myself to. In the past month and a half I have
slept with seven individuals. In the past week or two I have notice my
odor has changed. It is now very distinct, not foul, but kind of fishy.
My urine is not clear, but cloudy. I do not notice any type of skin
irritation, or any burning sensation. Everything appears to look normal.
There is a little bit of itchiness, but it isn't extreme. My discharge
appears to be normal, but I am still concerned. I shower one to two
times daily, but within a matter of a few hours, that smell comes back.
I am going to be twenty years old in a month. I have had one yeast
infection, so I am not quite sure what to look for. I don't believe in
diagnosing myself. I was wondering if maybe it could be hormonal??? I
want to go get tested, but it is too expensive. I am not financially
stable enough to spend $500 to test for everything, otherwise I would. I
want to narrow the possibilities of what I need to be tested for. If you
could, please respond. I would really appreciate it. Hope to hear from
you soon. Grazie mille (thanks a thousand). Ciao.
Ciao my friend,
pretty busy lately! It seems to me that
Bacterial
Vaginosis (BV) is a good possibility. BV develops when some types of
bacteria that may live in the vagina in low numbers (mainly
Gardnerella vaginalis) become more common than the normal vaginal
bacteria (lactobacillus). The most distinctive symptom of BV is a thick,
milky vaginal discharge with a strong fishy odor. Doctors do what is
called the Whiff test. Several drops of a potassium hydroxide (KOH)
solution are added to a sample of the vaginal discharge. A strong fishy
odor from the mixture suggests bacterial vaginosis (BV) is present. I
think you need to see a physician also for a Trich culture and to get
medications for BV. Check with your local free Clinic or call
800-232-4636 and they will guide you to one.
Stai bene ( Be well)
Dr. Gian
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From:
Sent:
To: drgian@stdweb.com
Subject: re:std's'VE READ OTHER PEOPLE'S
QUESTIONS AND THEY SOUND AS STRANGE AS MINE. MY NEIGHBOR (NBR) , A TEEN
CAME OVER WITH TEEN FRIEND. THE TEEN FRIEND CONFIDED IN ME SHE HAS STD
BUT DID NOT TELL ME WHICH AND MADE ME PROMISE NOT TO TELL HER FRIEND.
PROBLEM IS : THIS STD TEEN USED MY TOILET. I USED IT AFTER HER AND
NORMALLY I FLUSH 1ST BUT HAD TO GO SO BADLY I FORGOT SHE WAS THERE
BEFORE ME. I HAD B.M. (BOWEL MOVEM.) AND IT SPLASHED GREATLY, MORE SO
THAN EVEN TAKING A BATH. I'D HEARD FROM PRIOR GYNEC. VISITS YOU CAN'T
GET ANYTHING FROM THIS SO I IGNORED UNTIL 2 MONTHS PAST AND NOW I HAVE
FOUL ODOR(NOT THERE BEFORE), HAVE TO URINATE 3 TIMES FOR SMALL WATER.
HAVE NO PAIN, NO CRAMPS, NO RASH, NO ITCHING, NO BURNING ETC. ABOUT 10
YEARS AGO, WHEN VERY STRESSED, (BURN CANDLE BOTH ENDS) GYNECO. SAID I
HAD VAGINITIS AND WAS TREATED WITH FLAGYL AND METRONIDAZOLE. LAST STD
TESTING WAS 5 YEARS AGO. NO OTHER SYMPTOMS THAN THE ABOVE. I DO NOT KNOW
THIS GIRL'S NAME AND CANNOT ASK MY TEEN NBR WITHOUT VIOLATING HER
SECRET. AM I IN BAD WAY AND WHAT SHOULD TEST BE?
Hi,
It is probable
that you are having a flare up of your vaginosis/vaginits and the
information acquired from the teen has been magnifying your perceptions
and concerns. Why don't you visit the Doctor who treated you before and
obtain a refill on you medications?.
In good health
Dr. Gian
Sent: Thursday, November 20, 2003 5:38 PM
I recently began having a fishy smell coming
from my vagina. But I have no other symtoms, what are the possibilities
I have an STD?
Hi Camille,
it seems to me you are dealing
with a situation called BV (Bacterial Vaginosis). All the cavities of our
bodies which are open to the outside world such as the intestine, mouth,
vagina, rectum contain a population of organic, biologic components made of
waste products, viruses and bacteria. These have been with us since the
beginning of time and share there existence in harmony with us. They form a
sort of "atmosphere" around us like the one around the earth. We usually
call them " friendly bacteria" since they even have a somewhat protective
effect to our bodies. We distinguish them according to the type and
location. The vagina normally contains a lot of "good" bacteria, called
lactobacilli (say: "lack-toe bah-sil-li") which normally provide a natural
disinfectant (similar to hydrogen peroxide) and helps in maintaining a good
vaginal health and a few other types of bacteria, called anaerobes (say: "ann-air-robes").
When there are alterations, at
times even subtle, in the processes of our bodies and in those of our
environment there may be a change in the components of this "atmosphere" in
favor of bacteria which are not the useful or the friendly kind, the
anaerobes. Such is the case of BV which is a mild infection in the vagina
caused by too many anaerobes which grow in the absence of oxygen. The
"numero uno" and best known of these bacteria is Gardnerella
Vaginalis.
Like many other situation in
medicine we have made many observations and produced many explanations
for BV but really we don't know why the anaerobe bacteria overgrow and cause
this infection. May be you do know, if you are willing to take a good,
unbiased look to your health practices and behaviors such as nutrition,
activities, stress, peace of mind, etc.
In BV usually a vaginal discharge
is present which is clear or grayish colored and which may be light or heavy
and may have a fishy smell, especially after you have intercourse. Some
women have BV without any symptoms. Doctors when examining the vagina use a
cotton swab to get a sample of the discharge for testing.
At times the infection clears by
itself, at times gets so bad that, if it isn't treated, the bacteria may get
up into the uterus or the fallopian tubes and cause more serious infections.
Treating bacterial vaginosis lowers this risk. Treatment is especially
important in pregnant women. Remember, if you are given medication for
BV, not to use alcohol while taking them to prevent nausea and vomiting.
Is it an STD? Controversy is in
favor to the negative since BV may be present in women who do not engage in
sexual activities.
Can it be associated to other
STD's. Yes.
Be well and enjoy.
Dr. Gian
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