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Dr. Montgomery- allergic to bactrim!
From: Emme (anonymous@obgyn.net)
Wed, 16 Aug 2000 13:10:09 -0500 (CDT)
I was taking bactrim for a while for UTIs, but then my dermatologist
discovered that I was allergic to it (got Stevens Johnson Syndrome-
erethmya multiformae). I am also allergic to cipro. Does that leave
any hope for me? Also, when I had a cysto back on July 18, shouldn't the
urologist have been able to tell if I had urethritis or would only the
culture provide this answer? (I was just in to the ob/gyn last week for
a pap and vaginal culture). The urologist doesn't seem to want to deal
with me any more and just tells me to take pyridium. I hate to keep
harassing doctors about this, but I just want the problem to get
resolved and go away! :(
At Wed, 16 Aug 2000, Lynn D. Montgomery, MD wrote:
>
>At Wed, 16 Aug 2000, Emme wrote:
>>
>>My ob/gyn tested for chlamydia and gonnorhea and they came back
>>negative...is this what you were talking about or would she have to do a
>>specific culture for urethritis? Also, how would you treat urethritis? I
>>am going on vacation to Paris a week from tomorrow and just want to be
>>feeling better
>
>FOR THE CHLAMYDIAL INFECTION THAT CAUSES NONGONOCOCCAL URETHRITIS, YOU
>HAVE TO USE A SPECIFIC CHLAMYDIAL TEST AND SPECIFICALLY SWAB THE
>URETHRA. IT CAN BE MISSED IF ONLY CULTURING THE VAGINA. THIS IS
>TREATED WITH EITHER A SULFA PREPARATION SUCH AS BACTRIM OR AN
>ERYTHROMYCIN PRODUCT. ALSO FOR THIS PARTICULAR INFECTION, I DO NOT LIKE
>THE "QUICK" TREATMENTS SUCH AS Z-PACKS, ETC. YOU REALLY NEED A FULL
>7-10 DAY COURSE. IF THE CULTURE IS POSITIVE, I ALSO TREAT THE PARTNER.
>I WOULD ALSO TRY THE CONDOM THING AND LUBRICANTS. IF THIS SEEMS TO FIX
>THE PROBLEM THEN AT LEAST YOU KNOW AND CAN BE SEXUALLY ACTIVE...
>LYNN
>>
>>At Wed, 16 Aug 2000, Lynn D. Montgomery, MD wrote:
>>>
>>>At Wed, 16 Aug 2000, Emme wrote:
>>>>
>>>>Do any of the doctors (or posters) have any advice about how to deal
>>>>with urethral syndrome? I have to say that out of all the problems I
>>>>have had to deal with this one must be the most annoying...especially
>>>>since not that much is known about it. According to my urologist, a
>>>>cystoscopy revealed no signs of IC, stones, anything like that, so he
>>>>says I just have urethral syndrome and to take pyridium when I feel
>>>>pain. That doesn't do much for my sex life though. I don't know if I
>>>>feel pain because I get "dry" because I'm afraid and expect pain or
>>>>what. But now I'm scared of having sex (especially since I'm going on
>>>>vacation and don't want to get sick in a foreign country). The funny
>>>>thing is once last month wbr>
>>>>thing is once last month we had sex with condoms and a bit of lubricant
>>>>three times in one weekend and I was not in significant pain. The last
>>>>two times we have tried however (with no condoms- I am on the pill) I
>>>>was in pain and felt ill aftwerwards, and the last time my yeast
>>>>infection seemed to come back. Could the pH of the semen be affecting
>>>>me? Or the friction? Could pain during intercourse earlier in July have
>>>>been due to an undiagnosed yeast infection? My primary care doctor
>>>>prescribed diflucan when I told him I had yeast infection symptoms, but
>>>>my ob/gyn said that he was not a big fan of the drug b/c it only killed
>>>>about 50% of yeast infections. He discovered a rather significant yeast
>>>>infection at the end of July.
>>>>
>>>>Also, as I have mentioned earlier, I do not encounter any pain when
>>>>urinating, but afterwards (ie. after I wipe and for maybe half an hour
>>>>or so afterwards) there is a burning/stinging sensation in the vaginal
>>>>area. To what might this be due? I recently started taking cran
>>>>supplements again b/c UTIs usually appear in the first week after I
>>>>start my new pack of pills, but I have stopped for now because I am
>>>>afraid that it is affecting the acidity of my urine and irritating
>>>>vaginal tissues. What are you thoughts? Sorry to be so long-winded but
>>>>I am just looking for answers. None of my doctors seem to be able to
>>>>give me any explanations for these problems. And I hate to keep going
>>>>back to them.
>>>>
>>>>Thank you SO SO much for your time. I really appreciate the service you
>>>>provide.
>>>
>>>Emme,
>>>There are several possibilities here. First, there are those who are
>>>allergic to their partners-particularly the semen. The fact that the
>>>discomfort was absent when you used condoms speaks to that some. You
>>>might try a controlled experiment here to rule this option in or out.
>>>Additionally, you also used lubricants with the condoms, so this may
>>>also be the answer. Many women find that they get dry and irritated if
>>>their hubby takes too long during intercourse. The urethral opening is
>>>very exposed and vulnerable during vaginal penetration and can be easily
>>>irritated with prolonged intercourse. For this one, you may simply need
>>>to use some lubricant...
>>>Finally, vaginitis can cause the vulva and vagina to be easily
>>>irritated. Further a particular infection involving the urethra can
>>>cause your symptoms and cannot be detected except by particular
>>>culture-chlamydia-nongonococcal urethritis. This also has to be
>>>specifically treated or it will not resolve...
>>>Lynn
>>>
>>>--
>>>Lynn D. Montgomery, MD
>>>Director, Maternal-Fetal Medicine
>>>Rocky Mountain Perinatal Center
>>>Missoula, Montana
>>>
>>>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>>>
>>>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>>>
>>>**Thank you for your understanding ;-)
>>>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>
>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
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