Antibiotic-related thrush or just itchy?
May 2, 2014 11:23 AM Subscribe
I am on antibiotics for a UTI. My vulva feels itchy and uncomfortable, but it isn't swollen or red, and I have no discharge. Could this be thrush? Should I self-medicate with Canesten or wait until I can see my GP after the bank holiday weekend (Tuesday at the earliest, in reality later)?
posted by fanlight to Health & Fitness (9 answers total)
Potted medical history: I have had 3 bouts of cystitis since February this year (around 6 altogether in a 3 year period), and not mild cases either. Blood in urine, abdominal pain, general misery. The first UTI this year was resistant to trimethoprim, so after that I took nitrofurantoin for a week. In mid-March I experienced severe hives and some joint swelling, and was prescribed amoxicillin. My urine test results (taken again a month after I finished the course of nitrofurantoin) showed that the infection (I think it was E. coli) was still present, and was resistant to amoxicillin as well, so my GP prescribed me co-amoxiclav at the end of March. I was UTI symptom-free until a couple of days ago, so I went straight back to my GP and he put me on one more course of nitrofurantoin, which I am in the middle of now.
In short, I have been antibiotic-ed up to the eyeballs for the past 3 months, which I understand can make you more susceptible to yeast infections. Fast forward to today, and I have quite a lot of itching and discomfort in and around my vulva. I don't have any soreness or swelling, nor any discharge. I used some Vagisil cream which has lessened the itchy sensation. I have never had thrush before.
YANMD, but it is the May Day bank holiday weekend in the UK and I cannot see my GP until Tuesday at the earliest, so:
1. Could this still be thrush, despite only presenting with some of the symptoms?
2. I have the Canesten oral & cream duo (fluconazole oral capsule and clotrimazole cream) in my possession - should I take it without having a medical diagnosis of thrush, just in case, or is that a bad idea?
3. If you think I should use something over the counter for thrush, is the pessary/cream combi the more effective option?
Please hope me Metafilter, my ladyparts are in a sad place at the moment :(
Thanks in advance for any advice you might have!