Womens Health

Streptococcus infection

My friend's 9 year old daughter has been through a number of diagnoses for her bladder-control and painful urination problems, from kidneys to urinary tract infections, but now the doctor is treating her with antibiotics for "vaginal strep"...? Does anyone know of this condition, especially as it might relate to a pediatric patient?

Streptococcus infections of the vagina or even urinary tract are less common than other types of infections such as E.coli in the urinary tract, or bacterial (a mixture) vaginosis in the vagina, but they certainly occur.

Streptococcus bacteria is usually picked up on the skin from the outside but one type of streptococcus, group D enterococcus, is commonly found in the GI tract.

This GI enterococcus would be much less common in a pediatric patient than an adult, but if she is having chronic problems of some type such as bowel problems, then strep might be more likely to occur to a young girl.

Bleeding after urinary tract infection

I am a 37 R old woman, smoker, non-drinker, no history of diabetes, thyroid, or heart disease. I have not been sexually active for three years and I am not on any hormones.

Last month I had a normal period and 10 days after completion I began to bleed lightly but steadily from the vaginal area. I saw my family MD a bit over a week later and had a pap (results not yet back). I was told I had a severe bladder infection but I had not really noticed any symptoms. This was two weeks ago and the bleeding has gotten heavier.

Then four days ago I bled from the rectum not during or after a bowel movement. I had a rectal exam two weeks ago, so I don't think I have hemorrhoids. The blood is light to bright red, never rusty or brownish like a period and I have no pain. Occasionally the blood is a dark red but usually only when I arise.

The rectal blood was also bright red. The vaginal bleeding has been consistent for 23 days. I have in this same time frame lost a noticeable amount of weight and have developed dark circles around my eyes. I have also in the past few days become quite short of breath.

I know these symptoms could be due to anemia from bleeding but could they also be part of the disorder accompanying the bleeding? I don't have insurance but I am not eligible Medicaid so I don't want to waste money if it isn't really necessary .

Any advice you can offer will be greatly appreciated!

I cannot give you advice that will keep you away from the doctor. You have to have your blood count checked as soon as possible because of the amount of bleeding.

Hormone therapy may be used to stop or slow down the vaginal bleeding but the most worrisome is the rectal bleeding. It still may be related to hemorrhoids even though you had and exam shortly ago.

I would suggest getting bock to your doctor to let him know and at least get your blood count checked. He may be willing to prescribe hormones and recheck the rectum or he may want to refer you.

Table of Contents
1. Urinary tract problems
2. Burning sensation
3. Vaginal strep
4. Rare: strep viridans
5. E. Coli
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