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Re: Post Hysterectomy problem
From: anonymous@obgyn.net
Fri, 3 Dec 1999 08:49:55 -0600 (CST)
My doctor told me to put the cream on my finger and insert
vaginally feeling for the insision line at the top of the
cuff. I still have not used the cream internally. I have
used it externally and it burns for a couple minutes after
application. I had been having a discharge and spotting prior to the
silver nitrate being used. The doctor seemed
confused as whether to use it or not. He choose to use the
silver nitrate. Hope this helps your confusion which can
help me out. Thanks again.
At Thu, 2 Dec 1999, Harvey S. Marchbein, M.D. wrote:
>
>At Thu, 2 Dec 1999, Jeana wrote:
>>
>>I am a 36 year old, 3 months post op TVH (uterus only,) due to fibroids.
>>On my 7 1/2 week post-op check my surgeon used silver nitrate to an
>>area. Said I had a little reaction to one
>>of the stitches. I went to the doctor yesterday because I had endured 6
>>days of exterior itching, burning, irritation. Instinct told me it
>>wasn't a yeast infection.
>>Doctor confirmed no yeast infection. (Not my surgeon--he
>>is a 12 hour drive away.) Anyway he used silver nitrate
>>yesterday, and told me to use Hydrocortisone cream, usp 2.5% vaginally
>>along the insision line. I guess I'm afraid
>>to use it, my doctor is in his first year of general medicine and has
>>not yet gained my confidence. I don't have a choice of seeing another
>>doctor. Is this a common
>>treatment? The doctor wasn't sure why I was having the
>>irriation. Thank you for your time.
>
>I'm a little confused. Silver nitrate is the stuff in a stiptic pencil,
>a cautery agent, which helps certain tissue heal. The only way one can
>have external symptoms and still need silver nitrate is if a discharge
>from the tissue at the top of the vagina is irritating the outside
>tissue. If this is the case, hydrocortisone externally if fine
>EXTERNALLY. ON a TVH, the only incision line should be at the top of
>the vagina. That's my confusion.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
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