Unusual Symptoms: When to See a Gynecologist - Obstetrics and Gynecology

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Such an examination?


Hello, doctor.
To be honest, the yellow discharge has started again, and it is itchy.
Since I don't have any suppositories, I've been washing with clean water.
Why do I often have this issue? Should I come to your clinic? Last night, I went out for hot pot, and after eating, I vomited twice and had diarrhea once.
I went to the gastroenterology department at the hospital in Yuanlin.
The doctor pressed on my abdomen, and unexpectedly, he pressed down to my lower area and even squeezed it a bit.
I was shocked; how is this kind of examination done in gastroenterology? The doctor also asked me if I had given birth, and I was at a loss for words.
Is this kind of examination strange, doctor? There was a nurse present, but she wasn't paying attention.
What should I do? Thank you.

huanzhe, 30~39 year old female. Ask Date: 2012/12/28

Dr. Lin Wenbin reply Obstetrics and Gynecology


Recently, during the winter season, there have been many patients experiencing gastrointestinal discomfort.
Due to the consumption of hot pot, which consists of highly irritating foods (high in protein, fat, spicy, acidic, and alcoholic), as well as infections from rotavirus and norovirus, caution is essential.
Physicians may need to check for localized abscess formation, and a thorough history regarding obstetric history is also necessary.
As long as there are female nursing staff present, there is no need for excessive reaction.

Reply Date: 2012/12/28

More Info


When it comes to unusual gynecological symptoms, it is essential to understand the potential underlying causes and when to seek medical attention. Based on your description of yellow discharge accompanied by itching, as well as gastrointestinal symptoms like vomiting and diarrhea, it is advisable to consult a gynecologist for a thorough evaluation.


Understanding Your Symptoms
1. Yellow Discharge and Itching: The presence of yellow discharge, especially when accompanied by itching, can indicate a possible infection. Common causes include bacterial vaginosis or a yeast infection, both of which can lead to abnormal discharge and discomfort. Bacterial vaginosis often presents with a fishy odor, while a yeast infection may cause a thick, white discharge and intense itching. It is crucial to get a proper diagnosis, as the treatment for these conditions varies.

2. Gastrointestinal Symptoms: The vomiting and diarrhea you experienced after eating could be related to food intolerance, a gastrointestinal infection, or even stress. However, the fact that a physician examined your abdomen and asked about your gynecological history suggests that they were considering the possibility of a connection between your gastrointestinal symptoms and your gynecological health. This is not unusual, as some gynecological conditions can cause referred pain or discomfort in the abdomen.


When to See a Gynecologist
Given your symptoms, it is advisable to see a gynecologist for the following reasons:
- Persistent Symptoms: If the yellow discharge and itching persist or worsen, it is essential to seek medical attention. A gynecologist can perform a pelvic exam and possibly take cultures to determine the cause of the discharge.

- Associated Symptoms: If you experience additional symptoms such as fever, severe abdominal pain, or changes in your menstrual cycle, these could indicate a more serious condition that requires immediate attention.

- Previous Medical History: If you have a history of gynecological issues or infections, it is wise to keep your gynecologist informed. They can provide tailored advice and treatment options based on your medical history.


The Examination Process
Regarding your experience at the gastroenterology clinic, it is not uncommon for doctors to perform a thorough examination that may include palpating the abdomen to assess for any abnormalities. While it may have felt unusual for a gastroenterologist to inquire about your gynecological history, it is important for healthcare providers to consider all aspects of a patient's health. If you felt uncomfortable during the examination, it is your right to express that to the healthcare provider or seek a second opinion.


Conclusion
In summary, your symptoms warrant a visit to a gynecologist. They can provide a comprehensive evaluation and appropriate treatment options. It is essential to address any unusual symptoms promptly to ensure your health and well-being. If you have concerns about the care you received at the gastroenterology clinic, consider discussing them with your primary care physician or seeking a different specialist for a second opinion. Your health is paramount, and you deserve to feel comfortable and confident in your healthcare experience.

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