Reply to What kind of OTC vaginal cream for little girl with irritation

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[quote=Anonymous]Another NP here, and I can so relate to this. It's awful. my DD had the same problem when she was in pre-K, about age 3.5-4years old. I had to take her to the doctor multiple times because her vaginal area was so red and inflamed and she would also itch and touch down there.

It almost looked like there was a red line of demarcation right around her vulva (sorry if TMI), and again, there was often a sort of cheesy/sour pungent smell in that area too. Since she was touching herself, we could smell it on her hands, and didn't want her to touch eyes, mouth, etc.

She is now 7, and the problem has completely stopped.  I think it is due to several reasons: (1) not wiping well when they pee or go #2. (2) sensitive skin/allergies. Try washing her clothes/undergarments in scent-free detergent, like Tide or All Free. (3) do not ever soap your little girl down there during bathtime, can also throw the ph off. No bubble bath. Only bathe in a very mild/gentle soap like Ivory and make sure she is rinsed/showered off completely afterward.

Our pediatrician also gave us a very mild antifungal, Nystatin (same one used when women have thrush and are breastfeeding to put on their breasts...safe for babies mouths, safe for DD's privates).

We were instructed to wash her bottom every night and make sure it is completely dry before we put on the medication and pajamas. Also, no underwear at night. To this day, she still doesn't wear udnerpants at night. Let her skin breathe.

Now that she is older and can wipe better and we follow the protocol, we haven't had an issue. FWIW, DD still has very sensitive skin and gets severe eczema and other issues, so some kids seem more prone to this.[/quote]

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