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Recurring Vulvitis

Hope someone can help:

In 2009, I had a severe outbreak on my vulva two weeks after a Tdap vaccine. It started with a slight burning that I thought might be a UTI, but by that evening, my vulva was swollen. The next day I suffered extreme itchiness and swelling entirely filling out the labia minora. A 4 cm. ulcer formed on each inner surface of the labia minora and faced eachother. This was extremely painful and concurrently there was fever > 100, chills, and malaise. All STD tests came back negative, but came back positive for staph. Took Thuja 30c and treated with topical antibiotic per OB/GYN and the ulcers began shrinking in size and fever broke.

No issues with this until April 2012 when on day before period I noticed redness, itching, and swelling on vulva starting at vaginal opening and moving up labia minora. No ulceration was present. These symptoms lasted for 2 weeks and the second week my labia minora began to peel.

These symptoms happened again in May during my period without the peeling. No symptoms in June and now again in July, I had symptoms reappear the 2nd day of my period lasting 4 days and now 4 days later after the end of my period the symptoms have reappeared with greater amount of swelling and itching than last episode, with left labia significantly more swollen and itchy.

I've taken sulphur 30c for the itching, which was somewhat helpful, but really needing something better. Additional info below:

1. Describe your main suffering?
-Vulvitis (?)

2. What other physical sufferings do you have in your body?
-Skin sensitivity to sun w/extreme itching if suddenly exposed after a long period of time without increased exposure. Pins and needles sensation and itchiness all over body worse by heat, better by cool, wet compresses.
-Anxiety with unfamiliar things, change, and new people
-Right inner tip of nostril scabs over
-Knee pain with regular running on pavement- especially right knee

3. What mental sufferings / feelings do you have associated with your physical sufferings?
-Feelings of anxiety and self-doubt, self-criticism. Wanting to be alone to cope with feelings of embarrassment.

4. What exactly do you feel when you are at your worst?
Anxiety, panic, fear, distress, poor memory

5. When did it all start? Can you connect it to any past event or disease?
3 years ago was first episode

6. Which time of the day you are worst?
Physical: Evening
Emotional: Evening

7. What are the things which aggravate your suffering and which are those which ameliorate the same?
Aggravate – sex, itching, anxiety, warmth
Ameliorate – cool, wet compresses, refraining from itching

8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?
-Yes, the symptoms present at time of menses, however, symptoms have reappeared 4 days after end of menses.

9. When do you feel better, during hot weather or cold weather, humid or dry weather?
Hot dry weather

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy, etc.
Generally positive, friendly, nervous, lazy
-Agreeable, nervous, quiet, friendly, generally positive, timid

- How do you feel before or during a thunderstorm?
-Excited

- Do you like being consoled during your tough times?
-I like to be alone to cry, but around or talking with others at tough times to decompress as long as there won't be tears.

- Are you sensitive to external stimuli like smell, noise, light etc?
Yes, extremely jumpy at sudden noises and strong sense of smell.

- Do you have any typical habit or gesture like nail biting, causeless weeping, talking to one self etc?
-Nail biting, talking self down when anxious, sighing when anxious

- How do you feel about your friends, family, your children and especially your husband / wife?
-Very close with family and best friends and want to remain in close contact with them.

11. What are your fears and do you dream of any situation repeatedly?
-Fear of future and of making mistakes, fear of others not liking me, fear of doing things wrong, fear of ghosts.
-Dream of trying to get home but being unable to scale small hill to get there. Dreamt of being sacrificed by group of men with knife, but getting away just in time and running to hide in closet next door, waiting for them to find me

12. What do you crave for in food items and what are your aversions?
Crave – stewed greens, grains, quinoa, rice, tea
Aversions – cold foods, raw foods, salads

13. How is your thirst: Less, Normal or Excessive?
Less

14. How if your hunger: Less, Normal or Excessive?
-Normal

15. Is there any kind of food which your body can’t stand?
-Excess amounts of cheese

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
-Less than normal sweat. Most often under arms, between breasts.

17. How is your bowel movement and stool type?
Varying, but recently regular, soft, and large 1x per day in morning after breakfast

18. How well do you sleep? Do you have a particular posture of sleeping?
-Sleep well unless something is scheduled for following morning and I have insomnia. Unable to sleep due to swirling thoughts and 'pressure' to fall asleep. Sleep on right side usually, sometimes left.

19. Do you think you are able to satisfy your sexual desires in general?
-No. Normal sex drive out of desire to please, but difficult to arouse/frigid, without not making partner aware. Feelings of embarrassment over body and need to perform are common interruptive thoughts.

20. How do you think you are different from others, if at all?
-I think I'm more observant, highly attuned to what others are thinking/feeling, more empathetic, more self-aware (too much), more concerned with how I'm being perceived, more disorganized and anxious, more shy

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
-Ambien in the past for insomnia, but didn't continue use.
-Monistat and fluconizole for vaginal symptoms with no effect

22. What major diseases are running in your family?
-Diabetes, high cholesterol, Alzheimer's, heart disease, anxiety

23. Describe, how do you look like? Describe your overall appearance
Age: 22
Sex: Female
Weight: 114 lbs/51.7 kg.
Height: 5'3''/161.5 cm
Light brown, hair hazel eyes, fair, skin with yellow undertones. Petite frame with some freckles on face.

Thank you so much for your help with this!!
 
  bluecina on 2012-07-25
This is just a forum. Assume posts are not from medical professionals.
Hi,

The following additional information is required to help you. Therefore, please do the best you can in providing a detailed and accurate data.

1. ID or Your Name:
2. Age
3. Sex
4. Single/Married
5. weight
6. Height ….
7. country
8. climate
9. List of your complaints

10. Since how long are you suffering from each complaint

11. Diabetic or non-Diabetic
12. Desire sweets/sour/salt
13. Thirst
14. Tongue and Taste
15. Current Blood Pressure (without medicine and with medicine)

16. What exactly is happening?

17. How do you feel?
18. How does this affect you?

19. How does it feel like?
20. What comes to your mind?
21. One situation that had a
big effect on you?

22. How did that feel like?
23. What sensation do you experience in that situation?

24. What are you showing by that gesture of your hand (Habits or Actions)?

25. Important Question.
Current and previous remedies/medicines you are taking or took in the past?

26. Family Background
27. Educational Qualifications of the patient
28. Nature of work, what do you do for living?

29. Desires, likes and dislikes for food
30. Name of foods which increase your problem

31. Important Question.
Mind-behavior, anger, irritability, hurry,
impatient…and so on.. How are you different from other persons, public speaking or not, you can describe all of the details about your behavior, love and affections.

32. Aggravation (increases-time, season,)&
Amelioration (Decreases)

33. Attached here your photographs of the affected area. (if required/optional)
34. Location of the disease
35. Side of the problem (Right or Left), (Upper or Lower part of body)

36. Color of the secretions/discharges e.g
urine, stool, sputum, Saliva etc.

For Females Only
37. When is the period during the month approx
date?

37. When is the period during the month approx date?

Any monthly cycle issues? Regular, early, late, before problems, after problems,
pain, any other discharges?

38. Are you pregnant? If yes, please give pregnancy start date? Any current issues?

Regards
Nawaz
 
nawazkhan last decade
1. ID or Your Name: Margaret
2. Age 22
3. Sex Female
4. Single/Married - Single
5. weight 114 lbs/51.7 kg.
6. Height ... 5'3''/161.5 cm
7. country - United States
8. climate - temperate during summer, cool at night, often rainy
9. List of your complaints
-Recurring episodes of vulvitis with extreme itchiness, swelling, redness on inner labia. Often coincides with menses.
-Skin sensitivity to sun w/extreme itching if suddenly exposed after a long period of time without increased exposure. Pins and needles sensation and itchiness all over body worse by heat, better by cool, wet compresses.
-Panicky anxiety with unfamiliar things, change, and new people out of desire to not make mistakes and have others like me
-Not able to allow mind to relax enough to enjoy intercourse. Experience dryness and lowered libido.
-Right inner tip of nostril scabs over. Sometimes small amount of blood in mucus of right nostril.
-Knee pain with regular running on pavement- especially right knee
-Right ankle joint cracks often throughout day. Right shoulder joint crackles with weight applied.

10. Since how long are you suffering from each complaint
-Vulvitis- first episode July 2009 and no episodes since April 2012. Reoccured in May, and now July.
-Skin sensitivity first episode was Aug 2006, next was twice in 2009 June and August, and in February 2012.
-Anxiety since 12-13 years old- mostly social anxiety.
-Lower libido since March 2011 (?)
-Tip of nostril started May 2012 and is still going on
-Knee pain occurred in last week of June 2012 through second week of July 2012
-Joint cracks have occurred since young age, maybe 11 years old? Shoulder crackles with push ups or use of small weights started 2011.
-Insomnia starting 3 years ago 2009. Lay awake going over day's events or insignificant details swirl and prevent me from falling asleep even if very tired. If anxious about next day, sometimes I won't sleep at all.

11. Diabetic or non-Diabetic - Non-diabetic, with paternal family history of diabetes
12. Desire sweets/sour/salt - Sweet
13. Thirst - Less
14. Tongue and Taste - Appetite normal
15. Current Blood Pressure (without medicine and with medicine) - without medicine 100/70

16. What exactly is happening?
Usually concurrent with menses, I notice redness, itching, and swelling on vulva starting at vaginal opening and moving up labia minora. Sulphur 30c has provided relief from itching. Past episodes have sometimes lasted 2 weeks, ending with extreme dryness and peeling of labia minora. 4 days after end of menses, I experienced these symptoms again after a bout of anxiety upon coming home from 2nd day of new job. Itched myself raw and started to see a little blood. Much anxiety over major life changes and how I'm performing at new job, where I experience a lot of self-doubt.

17. How do you feel? Embarrassed, frustrated with self, exasperated from efforts to please others and self at same time, frustrated with inability to relax.

18. How does this affect you?
-It affects me socially around new people, I'm unable to enjoy the present moment and I'm too busy worrying about what to say next, how they're perceiving me. Symptoms are troublesome to communicate to partner, so I haven't, knowing that I've been tested and all tests have been negative.

19. How does it feel like?
-Unable to bear, don't want to have to expect this every month

20. What comes to your mind?
-Just want to live at peace with no self-doubt and anxiety. Like myself as a person and I want to trust in myself. Want to get rid of these physical manifestations.

21. One situation that had a
big effect on you?
-In middle school when I was 12, my group of friends decided they didn't like me anymore and wouldn't talk to me. I had to re-find friends and caused worse shyness and anxiety over meeting new people. This experience has stuck with me and made me overanalyze how others perceive me.

22. How did that feel like?
-Extremely upsetting and isolating

23. What sensation do you experience in that situation?
-Fear and anxiety shoots sick feeling in my stomach experienced as a quick drop, before feeling adrenaline in my body. Swirling head jumbled with thoughts in disorganized manner.

24. What are you showing by that gesture of your hand (Habits or Actions)?
-Nail-biting except for pinky and ring finger on right hand after constitutional dose of nat. mur in Nov 2011. Bite all other nails and often pick at cuticles and nails

25. Important Question.
Current and previous remedies/medicines you are taking or took in the past?
Homeopath has prescribed constitutional Calc. carbonica when I was a young child for recurrent ear infections/ruptured ear drums. Received 200c of nat muriaticum in past for strong emotions or melancholy. Ignatia 30c for acute mourning such as before a big move from home. Sulphur 30c for acute itching

26. Family Background
Father had anxiety and died of suicide, his father had diabetes. Mother has high cholesterol, her mother had a stroke, high cholesterol, and Alzheimer's.
27. Educational Qualifications of the patient
-4 year bachelor's degree, just graduated
28. Nature of work, what do you do for living?
-Nurse

29. Desires, likes and dislikes for food
Desires: dark chocolate, sweets, cheese, breads/pastries
Likes: grains, stewed vegetables greens, hot tea, soups, fruit
Aversions: raw greens and vegetables, salads

30. Name of foods which increase your problem - coffee, sweets (?)

31. Important Question.
Mind-behavior, anger, irritability, hurry,
impatient…and so on.. How are you different from other persons, public speaking or not, you can describe all of the details about your behavior, love and affections.
-Always hurried, hate running late for something. Generally very positive and lighthearted when comfortable with people and surroundings. Different from others in that I feel I'm more observant, highly attuned to what others are thinking/feeling, more empathetic, more self-aware (too much), more concerned with how I'm being perceived, more disorganized and anxious, more shy.
Hate public speaking and will avoid it at all costs.
Very affectionate in love relationships and desiring of a long-term loving relationship with a partner, but timing hasn't been right. Adore my close friends and family, but not very affectionate with them. Only comfortable with hugs when saying hello and goodbye after extended periods.

32. Aggravation (increases-time, season,)&
Amelioration (Decreases)
-Love warmth of sunshine and to be outside, but aggravated by cold. Always feeling chilled even with a slight drop in temperature. Extremely aggravated by hunger. Can't go long periods without eating.

33. Attached here your photographs of the affected area. (if required/optional)
34. Location of the disease - Vulva
35. Side of the problem (Right or Left), (Upper or Lower part of body) Both sides but more swollen on left

36. Color of the secretions/discharges e.g urine, stool, sputum, Saliva etc.
-think creamy whitish strong-smelling discharge around labia minora and inside majora during episodes. Discharge otherwise is normal

For Females Only
37. When is the period during the month approx date? - Shorter cycle, so it varies, but has been mid to late month the past 3 months.

37. Any monthly cycle issues? Regular, early, late, before problems, after problems, pain, any other discharges?
-22-25 day cycles, constipation before menses, more agitated and anxious before period with insomnia usually occurring a day or two before onset of menses. Experience vaginal dryness with less discharge from what I normally used to have.

38. Are you pregnant? If yes, please give pregnancy start date? Any current issues?
-No

Thank you again for your help.
 
bluecina last decade
Please hold your horses as I am studying your case.
 
nawazkhan last decade
Hi,

Please take Kreosotum 30C, 4 drops mixed in 1/4 glass of mineral water, 3 times a day, for 5 days.

Report progress in a couple of days.

Please also get hold of Alumen 30C, Pulsatilla 30C and Arum Triphyllum 200C.

Many prayers for your good health.
 
nawazkhan last decade

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