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Re: Strange discharge to Dr

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Mon, 11 Dec 2000 07:26:52 -0600 (CST)


At Sun, 10 Dec 2000, worried wrote: >
>I just took the antibiotics last week and this has been going on for 2
>months now. He said that it could be the plug, but unless I lose it
>completely it will regenerate throughout the pregnancy. He said he
>didn't want to aggrivate the cervix by doing a pelvic until I am past
>the miscarriage stage. Would the antibiotics have killed an infection?
>It was Zithromax. That is my biggest concern...infection. If it is
>preterm labor starting like the last pregnancies, there are drugs to
>stop that. Sorry to take up your time.
>
>At Sun, 10 Dec 2000, William F. von Almen, II, MD, FACOG wrote:
>>
>>At Sun, 10 Dec 2000, worried wrote:
>>>
>>>I am currently fifteen weeks pregnant and have been have a discharge
>>>similar to that of the loss of your mucous plug. It has the same
>>>texture and color. Sometimes there is blood mixed in with it. It has
>>>been happening since I was 6 weeks. I notice it is when I have cramps
>>>or have strained myself that day. I went to the Dr and had a pap smear
>>>and they did a culture. It came back clean with no problems or
>>>infection. Could it be an infection that they missed? I would imagine
>>>if it were I would have some symptoms with it. There are no other
>>>symptoms and the baby is fine. I also was put on antibiotics due to
>>>bronchitis. Wouldn't this have cured an infection? My worry is that it
>>>might be something that can hurt the baby or preterm labor. I starting
>>>dilating at 6 months with prior pregnancies. Could this be part of my
>>>plug so early? Sorry so long. Any advice is appreciated. Thanks
>>Worried
>>
>>I doubt this is your plug at 15 weeks. It is more likely due to the
>>antibiotics you have recently taken as these can alter your flora and
>>cause a little more discharge. Talk to you ob about these fears. good
>>luck
>>
>>--
>>William F. von Almen, II, MD, FACOG
>>Editorial Advisor-Pregnancy and Birth
>>Private Practice
>>New Orleans, La.
>>
>>*Please understand I can not respond to private emails.
>>
>>*These comments are for educational purposes only. They are
>>not meant to take the place of an examination by a qualified
>>health care provider. They are not intended to be the start
>>of a physician-patient relationship.
>>

Worried

Zithromax is a good antibiotic, but there is no one antibiotic that will get everything. It is not usually an antibiotic that we use for the vaginal flora offenders, ie group B strep, the anaerobes of bacterial vaginosis and the like. Hope this helps.

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only. They are not meant to take the place of an examination by a qualified health care provider. They are not intended to be the start of a physician-patient relationship.




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