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Re: Finding RV fistulas From: Gail Waldby (gwaldby@willinet.net) Tue May 30 21:11:46 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: Hemoperitoneum" Previous message: Efrain Ramirez: "Re: Hemoperitoneum" Maybe in reply to: Daniel Flaherty: "Finding RV fistulas" You might try hydrogen peroxide. The bubbles are easy to see and it doesn't stain the tissues like the blue dyes. Gail Waldby, MD Huron Clinic SD > Daniel Flaherty wrote: > > Hi, > > I saw a patient today for a return visit concerning a chronic foul > odor vaginal discharge. She had a vaginal delivery last fall by > another doctor, and had a second degree tear and repair. No loss of > stool continence or pain but a question of loss of stool gases from > the vagina. When I saw her four weeks ago, there was an area of weak > support, like a dimple in the RV septum above the external sphincter > ring, but I could not see a hole with probing the area. It was not > inflamed or particularly tender. She did have a yeast infection, and > that went away after treament, but the foul odor remained. I checked > her today, and nothing had changed, other than finding a small amount > of discharge over the dimple that smelled quite awful. Does anyone > have experience with finding small fistulas? How about placing a > tampon soaked with dye into the rectum and checking for dye in > the vagina? Thanks. > > Dan Flaherty MD > Watertown SD Next message: Charlie Chambers: "Re: Hemoperitoneum" Previous message: Efrain Ramirez: "Re: Hemoperitoneum" Maybe in reply to: Daniel Flaherty: "Finding RV fistulas"

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