I had an episiotomy during childbirth about 3.5 years ago, and since then, a large piece of flesh was accidentally cut. It took a really long time to heal. Around 1.5 years after delivery, I noticed a small gland about the size of a cumin seed, and that's where the pain started. It has grown a lot, and now it's about 2 inches long. The pain is constant and gets worse after my menstrual cycle. Could you advise on what might be going on and which consultant I should see? I'm a bit worried.

Dr Shubham Chauhan

General Practitioner

• MBBS
• 4+ Yrs

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Dog Bite from Fully Vaccinated Dog

General Guidelines

1. Low risk: Since your dog is fully vaccinated, the risk of rabies transmission is low.
2. Post-exposure prophylaxis (PEP): However, it's essential to take precautions to minimize the risk of rabies transmission.

Recommended Actions

1. Wash the wound: Immediately wash the bite wound with soap and water.
2. Apply antiseptic: Apply an antiseptic cream or solution to the wound.
3. Monitor your dog's behavior: Keep a close eye on your dog's behavior for the next 10-14 days. If your dog shows any signs of illness or unusual behavior, seek veterinary attention immediately.
4. Consult a doctor: As a precautionary measure, consult a doctor to assess the risk of rabies transmission. They may recommend:

a. Observation: Monitoring your condition for a few days to ensure no symptoms develop. b. PEP: Administering post-exposure prophylaxis (PEP) as a precautionary measure, although this is unlikely given your dog's vaccination status.

Rabies Vaccination

1. Unlikely necessary: Given your dog's full vaccination status, rabies vaccination for you is unlikely necessary.

Answered 04/07/2025