Which Specialist Should I See for Oral and Vaginal Symptoms? - Internal Medicine

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Based on your symptoms, it seems that you are experiencing issues in both your oral cavity and vaginal area. The discomfort in your left oral cavity, especially with the swelling and the potential ulceration, suggests that you may have an infection or inflammation, possibly related to your wisdom teeth. The change in your vaginal discharge to a "cottage cheese" appearance is indicative of a yeast infection, which is a common condition that can occur due to various factors including hormonal changes, antibiotic use, or other underlying health issues.

Given these symptoms, it would be advisable to see two different specialists:
1. Dentist or Oral Surgeon: Since you are experiencing pain and swelling in your mouth, particularly around the area of your wisdom teeth, it is essential to consult a dentist or an oral surgeon. They can perform a thorough examination, possibly including X-rays, to determine if your wisdom teeth are impacted or if there is an infection that requires treatment. If there is an abscess or significant infection, they may need to drain it or prescribe antibiotics. Additionally, they can assess the ulceration and provide appropriate treatment to alleviate your symptoms.

2. Gynecologist: For the vaginal symptoms, particularly the change in discharge to a white, cottage cheese-like consistency, it is best to consult a gynecologist. They can perform a pelvic examination and possibly a culture to confirm if you have a yeast infection or another type of infection. Treatment for a yeast infection typically involves antifungal medications, which can be prescribed in oral or topical forms.

While it may seem overwhelming to see multiple specialists, addressing both issues concurrently is important for your overall health. Infections in one area can sometimes affect other areas, so it’s crucial to get both the oral and vaginal symptoms evaluated and treated appropriately.

In addition to seeing these specialists, here are some general recommendations:
- Maintain Oral Hygiene: Continue to practice good oral hygiene by brushing and flossing gently around the affected area. Avoid any irritants such as hot, spicy, or acidic foods that may exacerbate the pain.

- Monitor Symptoms: Keep track of any changes in your symptoms, such as increased swelling, fever, or changes in discharge. If you experience worsening symptoms, seek medical attention promptly.

- Avoid Self-Medication: While over-the-counter pain relievers may help alleviate discomfort temporarily, avoid self-medicating with antibiotics or antifungals without a prescription, as this can lead to complications or resistance.

- Stay Hydrated and Rest: Ensure you are drinking plenty of fluids and getting adequate rest to support your immune system as your body fights off any potential infections.

In summary, you should see a dentist for your oral symptoms and a gynecologist for your vaginal symptoms. Addressing both issues will help you achieve a comprehensive understanding of your health and ensure appropriate treatment for both conditions.