How Can I Relieve My Vaginal Soreness?

Question:

Following a course of antibiotics (metronidazole) for bacterial vaginosis I developed soreness, stinging and a burning sensation in and around my vaginal, with red, wrinkled skin on the inner lips. I’m prone to skin irritation around this area and also have had thrush after antibiotics in the past. The doctor at my local GU clinic diagnosed vulvdynia and advised two weeks of washing and applying aqueous cream, but it hasn’t helped. It’s so bad that I have gone off sex.

Answer:

This area medically called the vaginal mucosa is very sensitive. Any inflammation here causes burning, stinging discharge and even ulceration. Researchers at the Brigham and Women's Hospital in Boston, USA, describe vulvodynia as a severe, debilitating vulvo-vaginal pain disorder. However, k is chronic and occurs in the absence of infection vaginal disease, and it sounds as if your problem is an acute inflammation, probably as a result of an infection such as thrush (which is the most common cause of vaginal and  vulval pain, in my experience). The wrinkles you describe have formed, I suspect, because of the general inflammation and dryness.

Thrush (also known as vaginal candidiasis) is an infection where a fungus (candida) settles, and thrives, in the moist, warm lining of the vagina and causes a thick white curdy discharge. You should have a swab to make certain. It's important that your partner is also checked out and that he takes great care over hygiene to prevent further infection.




How Can I Get Rid Of This Bitter Taste In My Mouth

Question:

My diet is good, with virtually no wheat or dairy, no red meat, very little alcohol or coffee, a lot of fresh fruit and vegetables, fresh vegetable juices, lots of water and green tea. I live a pretty healthy lifestyle. But I often have a very salty bitter-ish taste, which can leave me with a dry mouth and burning lips. This sometimes stays with me for days. My acupuncturist says this points to a problem with my kidneys. But how and why, and what can I do to get rid of it?

Answer:

Our tongues help in mixing food with saliva in the mouth, swallowing and, above all, tasting food. But for such an important part of the body, the tongue gives us comparatively little trouble. People have problems with hearing, sight and smell but rarely have complaints of the tongue. The result is that there are no tongue specialists.

Until 30 years ago, the first thing you would be asked to do if you went to a doctor was to show him or her your tongue. Tongue diagnosis was taught in many medical schools. When I was a medical student in Moscow, Professor Romashoff, the dean of my faculty, said that the tongue is the mirror of the gastrointestinal tract. He mapped the tongue with correlates in the stomach, liver, colon and intestines. I have been using tongue diagnosis for more than two decades. The clinical pharmacologist Dr Andrew Herxheimer, now retired, suggested I make diagrams of patients' tongues, annotated with their conditions, to see if there was a connection. I now have thousands of these on my patients' cards. The accuracy with which one can diagnose simply from the  state of the tongue is astonishing.






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