Vulvovaginitis toddler bleeding

Toilet paper is the most common foreign body found in the vaginas of children; small toys, hair bands, and paper clips are also frequently found [2,3].

●Clinical manifestations – Medical history of foreign body placement is usually lacking. The prevalence of non-specific vulvovaginitis ranges between 25% and 75% of cases in prepubertal girls ⁴⁾.

It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. The doctor will want to make sure that there is no infection or skin problem that needs treatment.

They can learn to wash their hands before and after and use a hand mirror so that they can put the cream exactly where it is needed. Therefore, the second dose is to prevent re-infection by adult worms that hatch from any eggs not killed by the first treatment. The goal is to let your child feel comfortable with the examination and make sure they do not have a painful or frightening experience.

After the examination, the doctor will tell you what the best treatment is.

Do not use soaps, bubble baths or perfumed products on your child. It is important to remember that the most common cause of vaginal discharge in children with vulvovaginitis is skin irritation. The vulva is the outside area of the female genitals; the vagina connects the vulva and the uterus. Sometimes children with vulvovaginitis have a slight discharge from the vagina, which will stain the underpants and produce a strong odor.

Parents often first become aware of the problem when their child complains about the redness and soreness of the skin, which is the most common sign of vulvovaginitis.

Most often, vulvovaginitis is caused when the vulvar and vaginal skin become irritated.

The gynecological history and physical examination and techniques for obtaining cultures in these children are reviewed separately. Any of these drugs are given in one dose initially, and then another single dose of the same drug two weeks later. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient.

This topic will discuss common vulvovaginal disorders in this population. Escherichia coli was shown in the urine culture of 3 patients with vulvovaginitis (6.70%). (See "Vulvovaginitis in the prepubertal child".)

VAGINAL FOREIGN BODY

Foreign bodies in children can cause acute and chronic recurrent vulvovaginitis and may be associated with bleeding.

Your child should change out of wet or tight-fitting clothing as soon as possible. The vulva (the area around the opening of the vagina) also might be irritated, in which case it is called vulvovaginitis.

What Are the Signs & Symptoms of Vaginitis?

Often, girls with vaginitis (va-jih-NYE-tiss) have:

• itching, burning, or pain
• redness, soreness, or swelling around the opening to the vagina
• discharge (fluid) coming from the vagina, or stains on their underpants (can sometimes be tinged with blood)
• pain or burning when peeing

What Causes Vaginitis?

Vaginitis is common in girls of all ages. It’s especially common before puberty, when the lining of the vagina and the skin of the vulva are very thin.

The evaluation of the specific condition, abnormal uterine bleeding in adolescents, bleeding during pregnancy, and the differential diagnosis of vaginal bleeding in adults are discussed separately:

●(See "Abnormal uterine bleeding in adolescents: Evaluation and approach to diagnosis".)

●(See "Approach to the adult with vaginal bleeding in the emergency department" and "Causes of female genital tract bleeding".)

●(See "Evaluation and differential diagnosis of vaginal bleeding before 20 weeks of gestation" and "Overview of postpartum hemorrhage".)

CAUSES

The causes of vaginal bleeding are divided into premenarchal and postmenarchal with the exception of trauma, which is a cause of vaginal bleeding for pre- and postmenarchal children and adolescents [2,3].

Adding non-allergenic skin softeners to the water will help soften and soothe the vulvar skin. Moisture or dampness around the vulva can also lead to vulvovaginitis – this is made worse by tight clothing or being overweight.