Concerns About Suppository Use: Itching, Odor, and What to Expect - Obstetrics and Gynecology

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Hello doctor, after taking a shower last night, I also used a suppository.
At first, it caused some itching and stinging.
This morning, after it dissolved, there was a bit of a fishy smell coming out.
Is this due to the medication? I'm really afraid of using suppositories.
If I were to show the doctor, would it be embarrassing if there was a small amount of discharge and an odor in the genital area? Thank you.

huanzhe, 40~49 year old female. Ask Date: 2015/12/03

Dr. Lin Wenbin reply Obstetrics and Gynecology


Suppositories need to be inserted properly to be effective; physicians do not concern themselves with the odor, as that is part of the examination.

Reply Date: 2015/12/03

More Info


When it comes to the use of suppositories, it's important to understand both the expected effects and potential side effects. Suppositories are often used for various medical conditions, including constipation, hemorrhoids, and certain gynecological issues. They can be effective, but they may also cause some discomfort or unusual sensations, especially when first used.


Itching and Burning Sensation
The itching and burning sensation you experienced after using the suppository can be attributed to several factors. First, the ingredients in the suppository may cause irritation, especially if you have sensitive skin or if there is an underlying condition such as a yeast infection or bacterial vaginosis. It's also possible that the suppository itself may not be suitable for you, leading to localized irritation. If the irritation persists or worsens, it would be advisable to consult your healthcare provider.


Odor After Use
The odor you noticed after the suppository melted is not uncommon. Many suppositories contain active ingredients that can have a distinct smell, and when they dissolve, they may release these odors. Additionally, the presence of vaginal secretions mixed with the medication can also contribute to an unusual smell. If the odor is particularly strong or foul, it could indicate an infection or an adverse reaction, and you should seek medical advice.


What to Expect
After using a suppository, it is normal to experience some discharge as the medication melts and is expelled from the body. This discharge can vary in consistency and color depending on the type of suppository used and your individual body chemistry. If you notice a significant change in your discharge, such as an increase in volume, a change in color (especially if it becomes green or yellow), or if it has a strong, unpleasant odor, these could be signs of an infection or an adverse reaction to the medication.


Concerns About Embarrassment
It's understandable to feel embarrassed about discussing these symptoms, but it's important to remember that healthcare providers are trained to handle such issues professionally and without judgment. If you have concerns about your symptoms, including any unusual discharge or odor, it is crucial to communicate these to your doctor. They can provide guidance on whether the symptoms are normal or if further evaluation is needed.


Recommendations
1. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as increased itching, burning, or unusual discharge. This information can be helpful for your healthcare provider.

2. Consult Your Doctor: If the itching and burning persist or if you notice any changes in your discharge that concern you, do not hesitate to reach out to your healthcare provider. They can assess your situation and determine if a different treatment is necessary.

3. Consider Alternatives: If suppositories continue to cause discomfort, discuss alternative treatment options with your healthcare provider. There may be other forms of medication or treatment that could be more suitable for you.

4. Maintain Hygiene: After using a suppository, ensure that you maintain proper hygiene to minimize the risk of irritation or infection. Gently clean the area with mild soap and water.

In conclusion, while some discomfort and unusual sensations can occur with the use of suppositories, it is essential to monitor your symptoms and communicate openly with your healthcare provider. They can help you navigate any concerns and ensure that you receive the appropriate care.

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Hemorrhoids should definitely be evaluated by a proctologist, as this is a specialized field, and I cannot provide much assistance. If there is itching in the genital area after using suppositories, a topical ointment can be applied. The discharge can also lead to irritation of t...

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