Re: Unexplained Swelling and Pain
Doctor...
I'm sorry...
Following up on my previous question -- the clitoral hood suddenly swelled up and initially felt a bit painful, like a pimple, but as of today, there are still no pus-filled bumps appearing.
Yesterday, I rode my bike and bumped it a bit, which made it hurt more.
It has turned into a continuous throbbing pain with occasional sharp pains, somewhat like the pain from an external injury or inflammation.
Additionally, there are two small black dots that have appeared on the swollen area, and when I press on those black dots, it feels like there are tiny hard lumps underneath.
The skin around the black dots has become a bit rough, and the outer side, closer to the labia majora, is somewhat red.
Thank you for your response regarding the possibility of a localized infection.
However, since I am currently in the United States and due to insurance and their appointment system, I cannot see a doctor immediately and can only see a family physician (the earliest appointment is next week).
I hope you can clarify what kind of infection this might be and what methods can alleviate the pain? As you mentioned, friction has increased the swelling and discomfort, and I am unsure if I can wait until next week.
Additionally, I would like to know if there are any specific medical terms in English to describe this condition.
Thank you!
m, 30~39 year old female. Ask Date: 2012/11/07
Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: Making a diagnosis without an examination does not align with medical principles.
If you need to seek medical attention and have to wait for an appointment, it may be a consideration to legally purchase topical antibiotic ointments on your own.
Pharmacies should have qualified pharmacists available for consultation, but the diagnosis should primarily be made by the physician who treats you.
Thank you!
Reply Date: 2012/11/07
More Info
Sudden clitoral swelling and pain can be concerning and may arise from various causes, including infections, trauma, or dermatological conditions. Based on your description, it sounds like you may be experiencing localized inflammation, possibly due to a minor injury or irritation, especially since you mentioned that the pain worsened after riding a bicycle. Here’s a more detailed look at potential causes and suggestions for relief.
Possible Causes
1. Infection: Localized infections, such as folliculitis (infection of hair follicles) or vulvitis (inflammation of the vulva), can cause swelling and pain. The presence of small black dots could indicate clogged hair follicles or small cysts. If there is any discharge, it could suggest a bacterial or yeast infection.
2. Trauma: Since you mentioned that the pain increased after a minor injury, it’s possible that you have sustained a soft tissue injury. This could lead to localized swelling and pain due to inflammation.
3. Dermatological Conditions: Conditions like dermatitis or allergic reactions can cause swelling and discomfort. If you have recently changed soaps, lotions, or any personal care products, this could be a factor.
4. Cysts: Bartholin's cysts can form when the glands become blocked, leading to swelling and discomfort. These cysts can sometimes become infected, resulting in pain.
Relief Measures
While waiting for your appointment, there are several steps you can take to alleviate discomfort:
- Warm Compress: Applying a warm compress to the affected area can help reduce swelling and provide pain relief. Make sure the compress is not too hot to avoid burns.
- Avoid Irritation: Try to avoid any activities that may further irritate the area, such as tight clothing or vigorous activities. If riding a bicycle exacerbates the pain, consider refraining from it until you have seen a doctor.
- Over-the-Counter Pain Relief: If you are comfortable doing so, you may consider taking over-the-counter pain relievers like ibuprofen or acetaminophen to help manage pain and inflammation.
- Maintain Hygiene: Keep the area clean and dry. Avoid using harsh soaps or products that could irritate the skin further.
- Avoid Scratching or Picking: If you notice any bumps or black dots, refrain from picking at them, as this can lead to further irritation or infection.
When to Seek Immediate Care
If you experience any of the following symptoms, seek medical attention sooner:
- Severe pain that does not improve with over-the-counter medications.
- Fever or chills, which could indicate a systemic infection.
- Increased redness, swelling, or discharge from the area.
- Difficulty urinating or any changes in urinary habits.
Terminology in English
In English, the condition you are describing may be referred to as "clitoral swelling" or "vulvar swelling." If you need to explain your symptoms to a healthcare provider, you can say, "I am experiencing sudden swelling and pain in the clitoral area, with some redness and small black dots present."
Conclusion
While it can be frustrating to wait for an appointment, taking these steps may help manage your symptoms until you can see a healthcare provider. It’s essential to have a thorough evaluation to determine the exact cause of your symptoms and receive appropriate treatment. If you have any further questions or concerns, don’t hesitate to reach out for more information.
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