What is baking soda used to treat fungal vaginitis?

The baking soda used to treat fungal vaginitis generally refers to sodium bicarbonate solution, which is mainly used for vulvar douching or sitz baths to assist in relieving symptoms. Fungal vaginitis is mainly caused by Candida albicans infection and manifests as vulvar itching, tofu-like leucorrhea and other symptoms. It needs to be treated with antifungal drugs.

1. Sodium bicarbonate solution

Sodium bicarbonate solution is a weakly alkaline solution that can change the acidic vaginal environment and inhibit the growth of Candida. When using, dilute 5% sodium bicarbonate solution at a ratio of 1:10 and then take a sitz bath or rinse, 1-2 times a day, for 3-7 consecutive days. This method is only used as an auxiliary treatment and cannot replace antifungal drugs. It is contraindicated for those who are allergic to sodium bicarbonate, and excessive concentration should be avoided during operation, which may cause mucosal irritation.

2. Clotrimazole vaginal tablets

Clotrimazole vaginal tablets can directly act on the vaginal area and exert a bactericidal effect by destroying the fungal cell membrane. Suitable for simple fungal vaginitis, common dosage forms include clotrimazole vaginal tablets 500 mg for a single dose or 100 mg for 3 days. Local burning sensation may occur after taking the medicine. Pregnant patients need to be evaluated by a doctor before use.

3. Miconazole nitrate suppository

Miconazole nitrate suppository kills Candida by inhibiting the synthesis of ergosterol. The commonly used dosage form is 400 mg for 3 days or 200 mg for 7 days. Menstrual periods should be avoided during use, and spouses should take oral antifungal drugs at the same time to prevent cross-infection. Some patients may develop allergic reactions such as rashes and need to stop taking the drug and seek medical treatment immediately.

4. Fluconazole capsules

Fluconazole capsules are systemic antifungal drugs that interfere with fungal growth by inhibiting cytochrome P450 enzymes. A single oral dose of 150 mg can treat uncomplicated infections. Severe cases require repeated administration after 72 hours. People with abnormal liver function should use it with caution, and it is forbidden to use it in combination with terfenadine and other drugs, as it may cause adverse reactions such as arrhythmia.

5. Nystatin vaginal suppository

Nystatin vaginal suppository kills fungal cell membrane sterols by binding to them and is suitable for recurrent infections. Usually, one pill is taken every night for 14 days. Category B drugs during pregnancy should be used with caution. The drug is not absorbed orally and can only be administered locally. Combining it with probiotics to regulate the flora can reduce the probability of recurrence.

During the treatment of fungal vaginitis, you should avoid sexual intercourse, choose cotton breathable underwear and change it daily. The diet needs to reduce the intake of high-sugar foods and supplement yogurt containing lactic acid bacteria in an appropriate amount. After symptoms are relieved, the full course of treatment must still be completed, and patients who relapse need to be diagnosed with diabetes and other triggers. When vulvar itching is severe, cold compress can be used to relieve it, and scratching is prohibited to prevent secondary infection. You should consult your doctor before using all drugs and adjust the plan based on the results of drug sensitivity tests.