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Question Asked:

"hello doctor I noticed a sore on the inner side of my Labia minora it was painful that I can't sleep at night. I tried some mediation which I rub on it but to my surprise it is growing into a large wound please see attached photos"

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    A 40 years year old female asked:
    2 years ago
    hello doctor I noticed a sore on the inner side of my Labia minora it was painful that I can't sleep at night. I tried some mediation which I rub on it but to my surprise it is growing into a large wound please see attached photos
    Dr. Tomiwa A answered:
    2 years ago
    Goodmorning, sorry about that. Are you having any discharge? Had unprotected sexual interponerse? It seem like you are having syphilis (chancroid) which is sexually transmitted. You will need to see a doctor to have some tests done. High vaginally swab, VDRL, HIV screening. After which you will get the appropriate medications. Always endeavour to have safe sex by using condoms if you can't abstain. Take care.
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    A 40 years year old female asked:
    2 years ago
    syphilis? how is that possible. how long does it take to have such symptoms after sec. because I have not been had sec for the past 6 weeks. did you see the pictures I sent with the question?
    Dr. Tomiwa A answered:
    2 years ago
    When did the sore appear? Does you partner have similar sore on the penis? It takes about 10 to 90 days to have such symptoms after sexual contact with an individual with syphilis. It's advisable to get treated as soon as possible because the infection can also spread to other part of the body and can even affect the brain. I saw the pictures you sent. Take care
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    A 40 years year old female asked:
    2 years ago
    sorry doc I am still not convinced that it is syphilis because I have done both test for syphilis and hiv twice this year because I was traveling. the second was done at fmc bida on 28th of January 2016 and the first one beijing international travel Healthcare Centre owned by Chinese government. on the 6th of April 2016. how come none of these tests come out positive. can there be another explanation/for the wound
    Dr. Tomiwa A answered:
    2 years ago
    A chancroid is also of a possibility. It's also very similar to syphilis. It is associated with severe pain. It usually starts as a small reddish swelling around the labia before it develops into an ulcer. It's caused by a bacteria which is sexually transmitted as well. It can be associated with lymphadenopathy which could be a painful swelling at the upper part of the thigh also there could be pain while urinating. It's also treat by using antibiotics which I wouldn't be able to prescribe on this platform as you will need a prescription to buy the drug. Take care.
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    A 40 years year old female asked:
    2 years ago
    when I did the first test in January, I also did test for hepatitis and the test for result for hepatitis B came back positive and I was told to use livolin Forte silamarin. I then did a liver function test but the liver enzymes are within normal range. two of the three doctors I saw then said I should discontinue the use of silamarin which I did.my first question is should I finish the 30 days dosage I bought or not secondly I have been having fever body pains and sore throat for almost every three weeks for almost a year or more now. I can't help wondering if the hepatitis could have been the cause or are they related because at first I thought it I was treating malaria but soon the drug are not working I the switch to antibiotics they also failed me me. so one of such day in January I had the sore throat, the body pains/ headache and fever. I only used paracetamol for the headache and pains while I gargled with warm water and salt to my surprise I was completely relieved after a few days. but the episode still starts all over again after a few weeks. I also discover I got tried easily and I no longer have strength to do much. I also think when I am stressed or do some tasking work consistently I break down with this sore throat and the other symptoms. kindly explain to what you think may be the problem if it's the hepatitis B that is causing it or not. also I have checked out the sore one time at the oral clinic in fmc I was told I have deficiencies in vitamins. I was unable to do the viral load. please what is wrong with me as I am sending this message I am just getting over another of such crisis in less than three weeks
    Dr. Tomiwa A answered:
    2 years ago
    You are sending the same question over and over. I hope you have gotten the answer now. Take care and have a nice weekend
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    A 40 years year old female asked:
    2 years ago
    when I did the first test in January, I also did test for hepatitis and the test for result for hepatitis B came back positive and I was told to use livolin Forte silamarin. I then did a liver function test but the liver enzymes are within normal range. two of the three doctors I saw then said I should discontinue the use of silamarin which I did.my first question is should I finish the 30 days dosage I bought or not secondly I have been having fever body pains and sore throat for almost every three weeks for almost a year or more now. I can't help wondering if the hepatitis could have been the cause or are they related because at first I thought it I was treating malaria but soon the drug are not working I the switch to antibiotics they also failed me me. so one of such day in January I had the sore throat, the body pains/ headache and fever. I only used paracetamol for the headache and pains while I gargled with warm water and salt to my surprise I was completely relieved after a few days. but the episode still starts all over again after a few weeks. I also discover I got tried easily and I no longer have strength to do much. I also think when I am stressed or do some tasking work consistently I break down with this sore throat and the other symptoms. kindly explain to what you think may be the problem if it's the hepatitis B that is causing it or not. also I have checked out the sore one time at the oral clinic in fmc I was told I have deficiencies in vitamins. I was unable to do the viral load. please what is wrong with me as I am sending this message I am just getting over another of such crisis in less than three weeks
    Dr. Tomiwa A answered:
    2 years ago
    Silymarin has not been found to have any significant side effect and it liver protective so you could finish the dosage. The fever, body pain and sore throat could be symptoms of few conditions. Malaria could be a cause and you should see a doctor to have Malaria parasite test done and get the appropriate antimalarial drugs. Also, you could be having a recurrent tonsillitis (inflammation of the tonsils) which is most likely what you have has you said its been reoccurring for about a year now. You should see an ENT surgeon because it might need to be operated upon if antibiotics are not taking care of the symptoms. Lastly, sore around the mouth can indicate deficiency of some vitamins. So you can get Vitamin Bco and use 1 tablets twice daily for 1 week. Take care
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    A 40 years year old female asked:
    2 years ago
    when I did the first test in January, I also did test for hepatitis and the test for result for hepatitis B came back positive and I was told to use livolin Forte silamarin. I then did a liver function test but the liver enzymes are within normal range. two of the three doctors I saw then said I should discontinue the use of silamarin which I did.my first question is should I finish the 30 days dosage I bought or not secondly I have been having fever body pains and sore throat for almost every three weeks for almost a year or more now. I can't help wondering if the hepatitis could have been the cause or are they related because at first I thought it I was treating malaria but soon the drug are not working I the switch to antibiotics they also failed me me. so one of such day in January I had the sore throat, the body pains/ headache and fever. I only used paracetamol for the headache and pains while I gargled with warm water and salt to my surprise I was completely relieved after a few days. but the episode still starts all over again after a few weeks. I also discover I got tried easily and I no longer have strength to do much. I also think when I am stressed or do some tasking work consistently I break down with this sore throat and the other symptoms. kindly explain to what you think may be the problem if it's the hepatitis B that is causing it or not. also I have checked out the sore one time at the oral clinic in fmc I was told I have deficiencies in vitamins. I was unable to do the viral load. please what is wrong with me as I am sending this message I am just getting over another of such crisis in less than three weeks
    Dr. Tomiwa A answered:
    2 years ago
    Already gave an answer to this question. If you have any other clarifications to make you can send another question
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    A 40 years year old female asked:
    2 years ago
    hello doctor I am grateful for the clarification you have made concerning my questions. sorry about the questions repeating itself it's because the network was bad and it not reporting message sent so don't know if it was sent or not. responding to you suggestion I actually saw some ent doctors in march this year before I traveled to China. I was given a nasal spray instead because the x rays said I have engorged in both nasal turbinates. so encouraged to do steaming and also gargling with warm salty water. I can't make the next appointment because I am in china for my PhD study. I intend to travel back maybe July. I have used the nasal spray for two weeks only to find out that I am supposed to use it for a month. do I complete the dosage, or start all over if I can get a new nasal spray here (I still have the old one here but I may not be enough for one month) or I should just wait until I get back and see the doctor again. the doctor also mentioned that I may be suffering for allegic reaction to old house. my trouble is that I am not getting anywhere with the treatment because I still have sore throat and the other symptoms. please see the attachment
    Dr. Tomiwa A answered:
    2 years ago
    Goodmorning, sorry abt the delay in replying your message. You don't need to continue using the nasal spray if you are not having the nasal congestion again. During you next visit if the symptoms are still persistent then a surgical intervention might be needed. That is if adenotonsillitis is the found to be the cause. Take care
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    A 40 years year old female asked:
    2 years ago
    hello doctor I am grateful for the clarification you have made concerning my questions. sorry about the questions repeating itself it's because the network was bad and it not reporting message sent so don't know if it was sent or not. responding to you suggestion I actually saw some ent doctors in march this year before I traveled to China. I was given a nasal spray instead because the x rays said I have engorged in both nasal turbinates. so encouraged to do steaming and also gargling with warm salty water. I can't make the next appointment because I am in china for my PhD study. I intend to travel back maybe July. I have used the nasal spray for two weeks only to find out that I am supposed to use it for a month. do I complete the dosage, or start all over if I can get a new nasal spray here (I still have the old one here but I may not be enough for one month) or I should just wait until I get back and see the doctor again. the doctor also mentioned that I may be suffering for allegic reaction to old house. my trouble is that I am not getting anywhere with the treatment because I still have sore throat and the other symptoms. please see the attachment
    Dr. Tomiwa A answered:
    2 years ago
    Sent a reply to the message already... Take care and have a stress free day.
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    A 40 years year old female asked:
    2 years ago
    hello doctor I am grateful for the clarification you have made concerning my questions. sorry about the questions repeating itself it's because the network was bad and it not reporting message sent so don't know if it was sent or not. responding to you suggestion I actually saw some ent doctors in march this year before I traveled to China. I was given a nasal spray instead because the x rays said I have engorged in both nasal turbinates. so encouraged to do steaming and also gargling with warm salty water. I can't make the next appointment because I am in china for my PhD study. I intend to travel back maybe July. I have used the nasal spray for two weeks only to find out that I am supposed to use it for a month. do I complete the dosage, or start all over if I can get a new nasal spray here (I still have the old one here but I may not be enough for one month) or I should just wait until I get back and see the doctor again. the doctor also mentioned that I may be suffering for allegic reaction to old house. my trouble is that I am not getting anywhere with the treatment because I still have sore throat and the other symptoms. please see the attachment
    Dr. Tomiwa A answered:
    2 years ago
    I saw the attachment you sent as well. Guess your network is making the questions appear more than once again
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