Abdominal pain, smelly discharge, fever. Taking medication for bacterial vaginosis. Suggestions?
Patient: hi there i am 13 yrs old, i have abdominal pain, i have a bad smelling discharge down there, really uncomfortable pain i my abdomen its also swollen there, the discharge smells horrid, im not sexually active or anything, i also get high fevers alot im not sure if thats related, ive been to a doctor before and he said that i had bacterial vaginosis but the medicine isnt working and its not fungal either, my mum is a gynecologist and she refered me to an adolescent gyn clinic but its too far from now and i need to know what it could be as im worried i might not be able to have kids in the future? thanks for your time Doctor: Hi,     You have bacterial vaginitis,  with high grade fever & foul smelling vaginal discharge. You are already on antibiotics.& still there is no relief.      you seem to be very much tensed. Please don't worry. You are not sexually active, so the chances of  pelvic inflammation are lesser. If you get treatment on following lines in time, it wont hamper your capacity of child bearing!      - Please get your vaginal swab testing  for culture & sensitivity. It will guide about choice of effective antibiotic. Please start taking the antibiotic sincerely after an expert's advice.      - Cleanliness &  hygiene of vagina is of imence importance. Probably that's why you were refered to adolescent clinic by your mother. Please do visit it & know the health tips in time.      _ you must stick to habbit of cleanliness & take a comlpeate course of medicines .      Please take care.