Discharge after using suppositories

Discharge after using suppositories very often bothers women during the treatment of diseases or after using suppositories. This can cause unpleasant sensations or even the feeling that the disease has been cured disappears. Such discharge may be normal when using this treatment, but you should know when to pay attention to such symptoms, since they may indicate the occurrence of complications. Therefore, it is necessary to know the main symptoms and complications that may occur during the use of suppositories in order to prevent their occurrence in time.

Causes discharge after using the suppositories

The use of suppositories in gynecological practice is very common, since this dosage form is the most accessible in this case in terms of local treatment of pathologies. Suppositories with different mechanisms of action and for different pathologies are used. The most common disease of the female genital organs is fungal vaginitis or "thrush". This is a pathology that is characterized by the proliferation of fungal flora of the vagina with the development of corresponding clinical manifestations. This occurs against the background of a decrease in the number of vaginal lactobacilli and Doderlein bacilli, which normally form lactic acid in the vagina when breaking down glucose and thus help maintain a slightly acidic environment of the vagina. This is one of the main local mechanisms of vaginal protection, which is impaired in women with candidiasis or fungal vaginitis. Suppositories are widely used to treat this pathology, as the most common among diseases of the female genital organs. The names of suppositories for the treatment of this pathology can be absolutely different, but the active substance of all these suppositories is antifungal drugs - ketoconazole, fluconazole, nystatin itraconazole, fungicide. They can also use combination drugs that have not only antifungal drugs but also antibiotics in one suppository, then their effect is more complex. The main names of such suppositories are "Anticandin", "Moronal", "Fungicidin", "Nystatin", "Polygynax", "Stamiin", "Fungistatin", "Neotrizol", "Vagikin". These suppositories have different compositions and different methods of application and dosage, but due to their pronounced effective local action, they are very widely used even in pregnant women. Another indication for the use of suppositories is bacterial vaginosis. This is a non-infectious disease, which in terms of frequency of occurrence in women ranks second after candidiasis. This pathology consists in the fact that the number of Doderlein bacilli decreases, and the ratio of aerobic and anaerobic flora changes, which also changes the environment in the vagina to alkaline. This is accompanied by clinical symptoms of vaginal discharge and requires the appointment of local treatment in the form of suppositories. Therefore, the use of suppositories is very wide, which in turn is important in the occurrence of complications of therapy or their clinical manifestations.

One of the symptoms during treatment with vaginal suppositories is the appearance of unpleasant discharge immediately after each use of the suppository or after complex treatment. Leucorrhoea can be of different nature and depend on the cause. Most often, the cause of discharge after suppositories can be the features of the mechanism of action of the suppository itself. In addition to the active substance, the suppository has many other components, such as powder and glucose, which contribute to better absorption of the suppository on the mucous membrane. In this case, part of the active substance is absorbed, and the other part, together with additional substances, can be excreted after each use of the suppository in the form of unpleasant leucorrhoea. A distinctive feature of such discharge is that they occur after each use of the suppository.

Another reason for the appearance of discharge after using suppositories may be secondary infection due to improper use of treatment. Then the leucorrhoea has a characteristic appearance. Also, the reason for the discharge after suppositories may be a response to this method of treatment.

It is necessary to use suppositories for treatment correctly and as intended, and if any leucorrhoea occurs, it is necessary to find its cause in order to determine whether this is a normal phenomenon or a pathological manifestation.

[ 1 ]

Symptoms discharge after using the suppositories

Symptoms after treatment with suppositories may occur during treatment, immediately after treatment, or some time after the course of treatment. The appearance of such symptoms must be clearly differentiated from pathological manifestations of the disease.

The first signs of this pathology are the appearance of discharge after each use of the suppository. The discharge is small in quantity and white in color, odorless and does not cause unpleasant sensations in the form of itching and burning. This is a normal phenomenon, since a small amount of additional substances contained in the suppository is released. This is considered a normal phenomenon that does not require treatment and is not worth worrying about.

Symptoms of discharge after using suppositories may occur at the end of the course of treatment or after its completion. In this case, you should pay attention to their color, nature and features. After all, the local action of the suppository in the presence of concomitant pathology in the uterus or cervix can cause similar symptoms that require correction of treatment or complete discontinuation of the drug. Such clinical symptoms are characterized by the appearance of bloody discharge or leucorrhoea of yellow or green color, which may indicate their ineffectiveness or re-infection. In addition to discharge, other symptoms appear in the form of discomfort, itching, burning in the vagina, urination disorders, pain when urinating. This already indicates the presence of a serious problem that must be corrected in time, so a second consultation with the doctor is necessary so that he can correct the treatment or cancel it.

Clinical symptoms of leucorrhoea after suppositories may appear after treatment, they may be of different nature and may indicate that the treatment was incomplete. After all, very often one treatment with suppositories is not enough, since complex treatment with the use of general drugs is necessary, as well as concomitant treatment of the intestine. Therefore, the use of suppositories can only be the initial stage of treatment, and then it is still necessary to restore the normal flora in the vagina.

The different nature of the discharge indicates different types of pathology, which helps in the diagnosis, differential diagnosis and treatment of the pathology.

Bloody discharge after suppositories occurs in the presence of concomitant pathology. If there is a polyp, cyst or endometriosis lesion in the vagina, then the use of suppositories can cause such leucorrhoea. This happens if the suppositories, in addition to antibiotics and antibacterial drugs, contain a small amount of hormonal components, then the reaction very often occurs in the form of bloody leucorrhoea. This happens because under the influence of the active substance, the discharge of blood from the endometriosis lesion is stimulated. In this case, this should be paid attention to, since the same treatment cannot be continued.

White discharge after suppositories is often normal, as a symptom of a reaction to the suppository itself. Therefore, if such whites appear and they do not cause any unpleasant sensations, then you should not worry. If the discharge has a curdled character, then you need to think about the ineffectiveness of the treatment and consult a doctor again.

Brown discharge after suppositories may indicate an incomplete course of treatment or a re-infection. This may be a specific urogenital flora, so special attention should be paid to such discharge. Brown discharge may also be bloody in composition, but it can change color under the influence of the suppository itself, so this should also be taken into account.

Yellow or green discharge after suppositories may be due to re-infection after treatment or improper use of suppositories. After all, suppositories should be placed at night or in the morning after all hygiene procedures, since the suppository can be a conductor of infection and bacteria from the lower parts of the vagina can move higher. In this case, re-infection occurs, which already requires the use of antibacterial agents. If the leucorrhoea has a cheesy character after using suppositories, this may indicate incomplete treatment, since the antibiotic contained in the suppository suppresses the amount of beneficial lactic acid bacteria in the vagina and this contributes to the activation of fungi. Therefore, after suppositories, it is necessary to prescribe drugs that are probiotics.

Orange discharge after using suppositories often occurs with certain medications, for example when using Viferon. This can also be normal, since these are the remains of the base or active substance, so there is no need to worry.

Every woman can have different types and colors of discharge after using suppositories, and it is necessary to determine when to worry. Generally speaking, bloody discharge and purulent discharge with an unpleasant odor indicate the presence of some pathology and require a doctor's consultation. If the discharge is not abundant and matches the color of the suppository, then this is most likely the remains of the base and you should not worry.

[ 2 ], [ 3 ]

Complications and consequences

The consequence of the appearance of discharge after using suppositories may be not only an aggravation of the pathology, but also an infectious inflammation, which has an ascending nature. In case of untimely appeal to the doctor, inflammation of the uterine appendages - adnexitis, as well as inflammation of the renal pelvis and bladder with the development of pyelonephritis and cystitis may develop.

A complication of discharge may be a protracted process in the uterus with a slow regression of symptoms, so it is necessary to closely monitor such phenomena.

[ 4 ], [ 5 ]

Diagnostics discharge after using the suppositories

Diagnostic signs of discharge after using suppositories include mainly complaints about the appearance of pathological leucorrhoea. It is necessary to clarify the anamnestic data regarding the nature of the discharge, its quantity, color, as well as the method of using suppositories for treatment.

When examining a woman in a mirror, you can see the cervix, possible concomitant diseases in the form of polyps, endometriosis foci, which can be the cause of bloody discharge after using suppositories. You can also see leucorrhoea, determine its color and nature. A microbiological study of a smear from the posterior vaginal fornix is mandatory. This smear makes it possible to determine a possible pathogen in the event of re-infection, as well as determine the effectiveness of the treatment.

For more accurate diagnostics, special instrumental methods of examination are carried out. Colposcopy is a diagnostic of the cervix with a special device that has a magnifying power of 2 to 32 times, depending on the power. Such magnification allows you to see any changes in the epithelial cover that are not determined during a normal examination in mirrors. In addition to simple colposcopy, extended colposcopy is also carried out. In this case, the area of the examined epithelium of the cervix is stained with trichloroacetic acid, iodine or Lugol's solution, and the degree of staining is looked at. Areas of altered epithelium will be pale against the background of normally stained epithelium. Such diagnostics allows you to confirm the presence of other concomitant conditions, such as metaplasia, polyp, endometriosis, cyst, which in turn can be the main or the only cause of discharge after using suppositories.

[ 6 ]

Differential diagnosis

Differential diagnostics of discharge after suppositories should be carried out by the nature and color of this leucorrhoea, which can provide a basis for assuming a particular pathology. It is also necessary to clearly differentiate the appearance of discharge after using suppositories, which are normal, from those that occur during infection, since untimely treatment of infectious pathology can cause complications. Leucorrhoea during an infectious process has a yellow or green color, an unpleasant odor and can cause unpleasant sensations in the form of itching, burning and tingling. Normally, leucorrhoea after suppositories, which is the result of the release of the remains of the drug base, does not cause any sensations. If we are talking about infection, then an intoxication syndrome will also be observed in the form of a rise in temperature and a change in the blood test.

Given these features, it is necessary to clearly distinguish the main features of the clinical course of these different conditions in order to promptly adjust therapy and prevent the occurrence of complications.

Treatment discharge after using the suppositories

Treatment of discharge after suppositories is mandatory only if it is precisely confirmed that these are pathological discharges. Then it is necessary to urgently decide on the method of treatment, which can be a medicinal or folk method. It is also necessary to decide on changing the therapy in case of confirmation of an infectious agent.

Conservative treatment of cervical metaplasia involves complex treatment using various approaches.

The regimen for this disease is general, dietary recommendations are without any special features, healthy eating is recommended. During the treatment period, it is necessary to abstain from sexual activity.

As for medications, to conduct etiological treatment it is necessary to determine the type of pathogen and its sensitivity to different antibiotics. For this purpose, a vaginal smear is examined for pathological flora with simultaneous determination of the pathogen's sensitivity to antibacterial agents.

Medicines used in case of discharge after using suppositories are aimed mainly at reducing the inflammatory process and eliminating the source of infection by eliminating the pathogen. Therefore, anti-inflammatory drugs, antifungals and antibiotics are used. The best route of administration is local therapy, which provides a good effect along with general treatment.

If the discharge is white or yellow in the form of cheesy masses, it is most likely that we are talking about candidiasis or fungal infection. In this case, it is necessary to use antifungal agents, and Nystatin is most often used, since it used to be the "gold standard" for treating candidiasis, but over time, the standards were revised due to the formation of fungal resistance to this drug. Today, they are returning to it because microorganisms have "forgotten" this drug a little and it is highly effective.

Nystatin is a drug that has an antifungal effect, which is especially pronounced against yeast-like fungi. The drug is from the group of polyene drugs, which has a pronounced effect on fungi and does not affect bacterial and viral flora. In moderate therapeutic doses, the effect of the drug is to temporarily block the reproduction of fungi, that is, it has a fungistatic effect.

Nystatin, as a pharmacological drug, is available in different forms - in tablets, ointments, suppositories, and is also part of combination drugs. Suppositories, that is, candles, are distinguished as vaginal and rectal, which are used respectively to treat vaginal and intestinal candidiasis. Tablets, ointments and candles have a similar trade name - "Nystatin", and the drug is also part of combination candles for the treatment of candidiasis with the name of the drug "Polygynax". The dosage of the drug for the treatment of discharge after using candles is the starting one and in the case of using candles - it is 250,000-500,000 per day. Suppositories must be placed twice a day, in the morning and in the evening after hygienic procedures. The course of treatment is 7-10 days, depending on the regression of manifestations. The drug is contraindicated for use, especially during pregnancy, in the presence of allergic reactions in the anamnesis or in case of allergy to additional components of the drug. Side effects are very rare precisely because of the peculiarities of pharmacodynamics, since the drug is not absorbed and does not affect systemic organs. If the dose is exceeded, dyspeptic disorders may be observed in the form of abdominal pain, nausea, malaise, vomiting. There may be local manifestations when using suppositories with nystatin in the form of itching, discomfort in the vagina, burning.

Precautions - during pregnancy and lactation, you must consult a doctor.

In case of discharge after using suppositories, which are associated with an endometrioid cyst, it is necessary to carry out hormonal treatment. For this, both single-component and complex drugs are used.

Janine is a low-dose, two-phase combined estrogen-progesterone drug that helps balance hormonal levels and suppresses the secretion of endometriotic areas. It is available in the form of 21 pills. The drug is taken from the first day of the menstrual cycle. Due to the content of estrogens and progesterone, the drug can regulate any hormonal imbalance. Take one pill per day for 21 days, then take a break for 7 days, then resume taking. Side effects can develop in the form of dyspeptic manifestations, skin allergic reactions, changes in the mammary gland in the form of pain, swelling, and bloody uterine discharge. Contraindications to the use of the drug are diabetes mellitus, thrombosis and other vascular problems, migraine, as well as pregnancy and lactation.

If the discharge is purulent and the infectious nature of such discharge is proven, then antibacterial therapy is mandatory. For this, systemic antibiotics are used, which are most capable of suppressing pathogenic organisms. In parallel with antibiotics, anti-inflammatory suppositories are used as local agents. Of the antibiotics, preference is given to broad-spectrum cephalosporin drugs.

Cefepime is a beta-lactam antibiotic from the 4th generation cephalosporin group, which has a pronounced bactericidal effect on gram-positive and gram-negative microorganisms, i.e. covers a huge range of microbes. It is produced in the form of a powder for injections of 1 gram. The drug is used in a dose of 1 gram per day, administered intramuscularly or intravenously at intervals of 12 hours. The course of treatment is 7-10 days.

Contraindications for use are allergic reactions to penicillins or other beta-lactam antibiotics. No negative effects on the fetus during pregnancy have been identified. Side effects are possible from the gastrointestinal tract, allergic manifestations, nervous system reactions in the form of headache, drowsiness, dizziness.

Non-steroidal anti-inflammatory drugs in the form of suppositories are used as anti-inflammatory therapy.

Dicloberl is a drug that has anti-inflammatory, anti-edematous, antimicrobial effect. It also relieves pain, signs of irritation and inflammation, which contributes to a better effect along with the use of an antibiotic. It is produced in the form of suppositories for local therapy of 50 and 100 milligrams. Suppositories are inserted rectally twice a day after toilet of the genitals. The course of treatment is no more than five to seven days.

Contraindications to the use of the drug are a history of allergic reactions, bronchial asthma, as well as gastrointestinal tract pathology in the form of gastric ulcer or duodenal ulcer, intestinal bleeding, hyperacid gastritis.

Side effects are possible from the gastrointestinal tract in the form of glossitis, damage to the esophagus, stomach, intestines with dyspepsia, and disturbances in the evacuation function of the intestines. Also possible are allergic manifestations of varying severity. When the drug affects the hematopoietic system, anemia, a decrease in the number of platelets and granulocytic neutrophils may occur.

When acting on the heart and vascular system, rapid heartbeat, pain in the heart area, irregular heartbeat, and lability of blood pressure may occur.

It is necessary to conduct general strengthening and immunomodulatory treatment in the form of vitamin therapy in parallel with hormone replacement therapy. Vitamins of groups A and E are recommended, and better yet, multivitamin complexes. It is also recommended to take vitamins of group B in injection form, and even better, complex vitamin preparations - Pregnavit, Complivit.

Among the physiotherapeutic methods of treatment, iontophoresis and electrophoresis, as well as radiopulse therapy, are recommended. It is also necessary to prescribe calcium preparations and preventive doses of acetylsalicylic acid.

Folk remedies for discharge after using suppositories

Folk treatment of discharge after using suppositories is of priority importance, since repeated treatment after using suppositories is often undesirable. Medicinal herbs and folk remedies are used.

The main methods of folk treatment are:

1. Garlic has a pronounced antimicrobial and anti-inflammatory effect, which allows it to be used to treat pathological leucorrhoea. To do this, squeeze the juice out of a clove of garlic and mix it with boiled water in a one-to-one ratio, then make a tampon and insert it into the vagina once a day. This can be done for 10 days for no more than 10 minutes.
2. Propolis tincture reduces inflammation and helps reduce pathological discharge in case of repeated infection, and also helps regenerate the epithelium and has a bactericidal effect. To prepare the tincture, 10 grams of propolis should be boiled in boiled water for about 20 minutes, this solution should be infused for at least an hour, after which it is used internally by a tablespoon 2 times a day.
3. Honey has a pronounced relaxing effect on the myometrium of the uterus, and also has a bacteriostatic and immunomodulatory effect. It helps to normalize cell membranes and reduces hypersecretion of the endometrium, in the case of bloody leucorrhoea after using suppositories. For treatment, one tablespoon of honey must be diluted in a liter of boiled water and douching twice a day. This course must be completed over 7-10 days.
4. Aloe leaves, which have a pronounced anti-inflammatory and regenerating effect, are squeezed into a glass and, after wetting a tampon, inserted into the vagina, repeating the procedure once a day for two weeks. In this case, the leucorrhoea should stop after 3-4 days.
5. Burdock juice is excellent for relieving irritation, swelling and has an immunomodulatory effect, which helps inhibit the proliferation of accompanying microflora. To do this, squeeze the juice out of pre-washed burdock leaves and take one teaspoon three times a day for five days, and then one teaspoon twice a day for another five days.

Herbal treatment also has its advantages, since herbal medicine, in addition to its local action, has a general calming effect.

1. Acacia shows a good effect in the treatment of discharge after suppositories of a purulent nature. To prepare the tincture, it is necessary to collect acacia flowers, dry them, pour alcohol and insist in a dark place for at least a day, and then dilute with boiled water and take one tablespoon three times a day. The course of treatment lasts one month.
2. Sage in the amount of 2 tablespoons is brewed in boiled water and infused, after which it is taken half a glass 2-3 times a day.
3. Chamomile infusion, which is prepared from three tablespoons of chamomile leaves, which are brewed in a liter of boiled water. Before taking, add a spoonful of honey and take half a glass 3 times a day.
4. Stinging nettle leaves also help restore hematopoiesis and relax the myometrium with a decrease in the amount of pathological leucorrhoea. For treatment, a herbal tea is prepared, which has a hysterotropic effect. Stinging nettle and barberry leaves are infused in boiled water and boiled for another five to ten minutes, after which they drink instead of tea up to four times a day.

Homeopathic remedies for the treatment of discharge after suppositories are also widely used, since they do not contain hormones, but are able to regulate hormonal levels, and also have anti-inflammatory activity. The main drugs are:

1. Ginekokhel is a combined homeopathic preparation that has anti-inflammatory, analgesic, and anti-edematous effects. The preparation is available in the form of drops and is used 10 drops three times a day, before which it must be dissolved in warm water. Side effects are rarely noted in the form of allergic reactions.
2. Traumeel S is an analgesic, decongestant, anti-inflammatory agent. It is highly effective against inflammatory discharges. It is available in ampoules for parenteral administration and in tablets. The dosage of the drug is one tablet 3 times a day. Precautions - not recommended for hypersensitivity. Side effects are possible in the form of redness and itching at the injection site.
3. Galium-Heel is a drug that has a pronounced immunomodulatory effect, and also improves the removal of pathological secretions and accelerates recovery. The drug is available in the form of drops and is used 10 drops three times a day. Side effects are rare in the form of allergic reactions. Contraindications for use are pregnancy and allergic hypersensitivity to the components of the drug.
4. Lycopodium is a single-component homeopathic preparation that is effective against leucorrhoea, which can be caused by right-sided inflammation of the appendages or bloody discharge from an endometrioid cyst. The preparation is available in the form of homeopathic granules of 10 g in a jar, and also in the form of a tincture of 15 ml. Take between meals, dissolve under the tongue until completely dissolved, 1 granule 4 times a day. Not recommended for pregnant women. No side effects have been found.

[ 7 ], [ 8 ], [ 9 ]

Prevention

Prevention of discharge after using suppositories consists primarily of using them correctly and observing all the nuances of treating the pathology. It is necessary to exclude sexual activity at the time of treatment, as well as use barrier methods that help to delay bacteria. If any symptoms appear during treatment with suppositories, you must immediately consult a doctor to avoid complications.

[ 10 ], [ 11 ], [ 12 ]

Forecast

The prognosis for recovery is positive in case of discharge after suppositories and timely treatment of this pathology. The prognosis for life is also favorable, since there are many methods of treating the pathology and all that is needed is timely treatment.

Discharge after using suppositories is the appearance of any leucorrhoea during treatment with vaginal suppositories, which is pathological. The main diagnostic difference between pathological discharge is its color and main characteristics. To treat such leucorrhoea, medications and folk remedies are used. The best way to avoid the disease is its prevention through proper treatment and compliance with recommendations regarding this pathology.