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Vulvovaginitis in young girls

  Vulvovaginitis in young girls refers to inflammation of the vulvar skin and vaginal mucosa in infants, prepubescent girls, or young girls before puberty. Vaginitis in young girls often coexists with vulvitis. Due to the inability of young girls to express the discomfort of vulvar itching, increased vaginal discharge, or frequent urination, symptoms often manifest as restlessness, crying continuously, or scratching the vulvar area with their hands. Treatment mainly involves maintaining cleanliness and dryness of the vulva, reducing friction; applying antibiotics locally and systemically; if there is any foreign object, it can be removed under sedatives or anesthesia.

Table of Contents

What are the causes of vulvovaginitis in young girls
What complications can vulvovaginitis in young girls easily lead to
What are the typical symptoms of vulvovaginitis in young girls
How to prevent vulvovaginitis in young girls
5. What laboratory tests are needed for pediatric vulvovaginitis
6. Dietary taboos for pediatric vulvovaginitis patients
7. Conventional methods of Western medicine for the treatment of pediatric vulvovaginitis

1. What are the causes of pediatric vulvovaginitis

  Common pathogens include Staphylococcus, Streptococcus, Escherichia coli, and others. Trichomonas or Candida can also cause infection. Pathogens can be transmitted through the clothes, bathtubs, hands, etc. of the infected mother, caretakers, or kindergarten children.

  It can also be caused by poor hygiene, unclean vulva, frequent contamination by stool, or direct contact with dirty objects. In addition, vulvar injury or scratch, especially when infected with pinworms, can cause inflammation.

  In addition, it can also be caused by mistakenly placing foreign objects in the vagina.

2. What complications can pediatric vulvovaginitis lead to

  A large amount of purulent secretion can cause itching of the vulva in infants, which can cause the child to cry and be restless or scratch the vulva with hands. During the examination, the vulva and clitoris are red and swollen, and there may be ulcerated areas on the surface. The mucosa of the urethral opening and vaginal opening is congested and edematous, the labia minora can be adherent, and the vagina has purulent secretion. The vaginal secretion can be taken for smear examination or sent for culture to find the pathogen, and attention should be paid to whether there are foreign bodies in the vagina.

3. What are the typical symptoms of pediatric vulvovaginitis

  Mostly due to the irritation of secretion, causing itching and burning discomfort of the vulva in children, crying and crying, restlessness, or scratching the vulva with hands. The mucosa of the urethral opening and vaginal opening is congested and edematous, the labia minora may be adherent, and the vagina has purulent secretion, which can be more or less, and may have an odor. During the physical examination, a rectal examination should be performed to exclude vaginal foreign bodies and tumors.

4. How to prevent pediatric vulvovaginitis

  To prevent pediatric vulvovaginitis, first pay attention to vulvar hygiene, take regular baths, change underwear frequently; do not touch the vagina with hands or foreign objects; do not let girls wearing open-crotch pants sit on the ground or crawl on the ground to play, and it is best to change to loose and easy-to-remove pants after the age of 2; do not share towels and bathtubs, and do not take children to crowded swimming pools.

5. What laboratory tests are needed for pediatric vulvovaginitis

  Use a cotton swab to take a vaginal secretion examination for Trichomonas, Candida, and at the same time, pay attention to whether there are foreign bodies in the vagina; check for pinworm eggs in the stool.

  Vaginal secretion examination: Vaginal secretion is the fluid secreted by the female reproductive system, also known as leukorrhea. The general physical examination is to observe the color and nature of vaginal secretion. However, in fact, the examination of vaginal secretion is the routine examination of leukorrhea in the hospital. It is a common gynecological examination, which can judge whether the leukorrhea is abnormal through the 5 tests of vaginal pH value, vaginal cleanliness, vaginal microorganisms, ammonia test, and clue cell examination, and is a physical examination related to female physiological hygiene.

6. Dietary taboos for pediatric vulvovaginitis patients

  First, dietary therapy for pediatric vulvovaginitis

  1. Double Shell Decoction

  Preparation: Take 8 grams of Sericostoma ceylonicum, 15 grams each of Haocu, Guanshyaoyuan, Lujiangshuang, and Jinyingzi, and 10 grams of Baizhu. Boil in water and take once.

  Annotation: Warms the kidneys and strengthens the spleen, consolidates essence and stops vaginal discharge. It is used to treat bacterial vaginitis, with symptoms of kidney deficiency, such as increased vaginal discharge, thin and clear, accompanied by low back pain, knee weakness, dizziness, tinnitus, loose stools, and others.

  2, White Nut Chicken Soup

  Preparation: Kill a chicken (about 500 grams) alive, remove the feathers and internal organs, clean it; clean 30 grams of lotus seed meat, 15 grams of glutinous rice, and a little pepper. Put 10 white nuts, lotus seed meat, glutinous rice, and pepper into the chicken cavity, seal the opening, place it in a steaming basin with a cover, steam over low heat for 2-3 hours until the chicken is tender, season and serve (can be eaten in 2-3 doses, drink the soup, eat the meat, white nuts, etc.).

  Annotation: Benefit the spleen and kidney, consolidate and stop leukorrhea, mainly used for bacterial vaginitis with symptoms of both spleen and kidney deficiency, such as emaciation, yellowish complexion, shortness of breath, fatigue, soreness in the loins and knees, increased leukorrhea, whitish and tasteless leukorrhea, and sticky texture.

  3, Portulaca Oleracea Drink

  Preparation: Clean 50 grams of fresh portulaca oleracea, soak in cold water again, cut into small pieces, blend in a blender, squeeze the fresh juice, add 25 milliliters of honey, mix well, simmer over water, and serve in two doses.

  Annotation: Clear heat and detoxify, eliminate dampness and stop leukorrhea, mainly used for bacterial vaginitis with symptoms of damp-heat or internal excess of heat-toxin. Portulaca oleracea, also known as melon vine, is sour and cold in nature, functions to clear heat and detoxify, transform dampness and stop leukorrhea, and has certain inhibitory effects on Shigella, S. dysenteriae, S. flexneri, F. tularensis, F. dysenteriae, E. coli, and Staphylococcus aureus. Portulaca oleracea can resist inflammation, so it has a therapeutic effect on increased leukorrhea caused by inflammatory diseases of the reproductive tract.

  4, Garlic Carp

  Material Preparation: Clean and remove the internal organs of a carp, add 50 grams of garlic, and cook together, then eat.

  Annotation: According to 'Ancient Formula for Modern Use', 30 grams of garlic can be used to wash the affected area.

  5, Onion and Pork Kidney

  Ingredients: 50 grams of onion, 1 pork kidney

  Preparation: Mash the onion into a paste, process the pork kidney as usual, cook and eat together. Alternatively, the onion paste can be used to wash the affected area.

  6, Walnut and Tofu

  10 walnuts, peeled. 2 pieces of tofu, boiled and served as usual with walnuts.

  7, Chinese Toad Skin and Black Plum Decoction

  Ingredients: 12 grams of Chinese toad skin, 30 grams of black plum

  Preparation: Boil the above two ingredients with an appropriate amount of water, remove the dregs and take the juice, add sugar when taking.

  Usage: Take twice a day, on an empty stomach in the morning and evening, once a day, for 5 consecutive days.

  Annotation: Clear heat, eliminate dampness, and kill parasites, mainly used for trichomonal vaginitis, symptoms include yellow and smelly leukorrhea and vaginal itching.

  8, Cockscomb Flower and Egg Soup

  Ingredients: 30 grams of cockscomb flower, 2 eggs

  Preparation: Wash the cockscomb flower; boil 2 eggs, remove the shells. Put all the ingredients in a pot, add an appropriate amount of water, boil with high heat, then simmer with low heat for about 1 hour, season and serve.

  Annotation: Eliminate dampness and stop leukorrhea, mainly used for trichomonal vaginitis with excessive dampness and turbidity, symptoms include fatigue, increased leukorrhea, whitish and smelly leukorrhea, thin and watery in texture, or difficulty in urination, and pruritus vulvae.

  9, Stemona Root and Black Plum Decoction

  Ingredients: 15 grams of stemona root, 30 grams of black plum, and an appropriate amount of sugar

  Preparation: Boil the roots of stemona and black plum with an appropriate amount of water, remove the dregs and take the juice, then add sugar to boil it.

  Usage: Take while hot, in 2-3 doses, once a day, for 3-5 consecutive days.

  Annotation: Clear heat, eliminate dampness, and kill parasites, mainly used for damp-heat type trichomonal vaginitis, symptoms include yellow and thick leukorrhea with an unpleasant smell, and obvious vaginal itching.

  10. Verbena and Pork Stomach Soup

  Method: Clean 30 grams of verbena and cut into small pieces; slice 60-100 grams of pork stomach. Boil water, add the pork stomach and verbena, and boil. Remove the dregs and take the juice, once a day.

  Annotation: Detoxify and kill parasites, clear heat and promote diuresis. Mainly used for all types of candidal vaginitis.

  11. Herring Roe and Euryale Ferox Soup

  Preparation: Soak 100 grams of herring roe and 50 grams of dried cuttlefish in water until soft and clean. Cut into 3-4 segments with their inner shells. Wash 20 grams of Euryale ferox seeds. Clean 100 grams of lean pork. Put all the ingredients in a pot, add an appropriate amount of water, bring to a boil with high heat, then simmer over low heat for 2 hours, and season with salt to taste. Drink freely.

  Annotation: Nourish Yin and clear heat, astringe the essence and stop leukorrhea. Mainly used for candidal vaginitis with symptoms of kidney Yin deficiency or Yin deficiency with heat, with symptoms such as increased leukorrhea, pale yellow color, thin consistency, or leukorrhea with yellow and red mixed, thick and paste-like consistency, or accompanied by vaginal heat and tingling, severe cases with heat pain, restlessness, insomnia, dry mouth, and dry, hard stools.

  12. Rhizoma Cimicifugae, Stemona Root, and Garlic Soup

  Preparation: Boil 15 grams of rhizoma cimicifugae, 15 grams of stemona root, and 10 cloves of garlic in water, remove the dregs, and take the juice. Add a suitable amount of sugar and mix well. Take twice a day, for 3-7 days per course.

  Annotation: Excrete dampness, detoxify, and kill parasites. Mainly used for candidal vaginitis with symptoms of damp-heat congestion.

  13. Rhizoma Cimicifugae and Herba Epimedii Drink

  Preparation: Boil 15 grams of rhizoma cimicifugae and 15 grams of herba epimedii in water, remove the dregs, and take the juice. Add a suitable amount of sugar when taking, twice a day, for 5-10 courses consecutively.

  Annotation: Detoxify and promote diuresis, kill parasites and relieve itching. Mainly used for candidal vaginitis with symptoms of damp-heat congestion.

  14. Porridge Plant and White Fungus Egg Soup

  Preparation: Break 3 eggs and take the egg whites. Mix 60 grams of fresh porridge plant and 7 white fungus kernels, and beat them into a paste. Mix with egg whites and serve with boiling water. Take on an empty stomach, once a day, for 4-5 days per course.

  Annotation: Clear heat and resolve dampness, stop leukorrhea. Mainly used for bacterial vaginitis, with symptoms of damp-heat descending, yellow and thick leukorrhea, and yellow urine.

  15. Osmanthus Flower Porridge

  Preparation: Add 30 grams of osmanthus flower to an appropriate amount of water, bring to a boil, remove the dregs, and take the juice. Add 500 grams of rice and cook into porridge. Eat the porridge when it is done, once a day. Take 7 days consecutively in each course.

  Annotation: Clear heat, promote diuresis, and stop leukorrhea. Mainly used for bacterial vaginitis, with symptoms of yellow, smelly leukorrhea.

  16. Winter Melon and White Fungus Drink

  Preparation: Wash 30 grams of winter melon seeds and 10 white fungus kernels, then put them in a pot with 1 and a half cups of water to boil. Boil and eat. Drink frequently as tea, but do not take it for a long time.

  Annotation: Clear heat, promote diuresis, and stop leukorrhea. Mainly used for bacterial vaginitis, with symptoms of yellow, smelly leukorrhea.

  17. White Fungus Kernel and Egg

  Preparation: Grind 1 white fungus kernel into powder, make a small hole in 1 egg, and put the white fungus powder into the egg. Seal the hole with wet bamboo paper and steam until cooked. Peel off the shell. Take 1 each time, and take it on an empty stomach in the morning and evening, for a week continuously.

  Annotation: Strengthen the body and replenish Qi, astringe the essence and stop leukorrhea. Mainly used for unsteady Chong and Ren Channels, prolonged leukorrhea due to Qi deficiency.

  18. Chrysanthemum Leaf and Egg

  Preparation: Wash 60 grams of chrysanthemum leaves and chop them. Mix with 2 beaten eggs, and stir-fry in a pot without salt or oil. Add half a bowl of water when it is about to be cooked, bring to a boil, and take it all at once.

  Annotation: Relieve liver depression, strengthen the body and build the middle, mainly for leukorrhea caused by liver depression and spleen injury.

  Second, what is good for the body of young girls with vulvovaginitis

  Pay attention to dietary nutrition; eat more fresh vegetables and fruits to keep the bowels smooth; drink more water; prevent urinary tract infections.

  Third, what is bad for the body of young girls with vulvovaginitis

  1. Avoid spicy foods:Spicy foods (such as chili, ginger, scallion, garlic, etc.) are easy to cause dryness and heat when eaten in large quantities, causing internal organs to accumulate heat and toxins, resulting in symptoms such as swollen gums, ulcers in the mouth and tongue, short and red urine, burning sensation in the anus, and itching and pain in the perineum, which can worsen the symptoms of this disease.

  2. Avoid seafood irritants:Fishy and smelly products such as mandarin fish, yellow fish, hairtail fish, black fish, shrimp, crabs, etc., can promote damp-heat, and eating them can worsen vulvar pruritus, which is not conducive to the regression of inflammation, so they should be avoided.

  3. Avoid sweet and greasy foods:Greasy foods such as lard, fatty pork, butter, beef fat, mutton fat, etc., and high-sugar foods such as chocolate, candy, sweet pastries, cream cakes, etc., have the effect of promoting dampness and heat, which can increase the secretion of leukorrhea and affect the treatment effect.

7. Conventional methods of Western medicine for the treatment of vulvovaginitis in young girls

  To prevent vulvovaginitis in young children, first pay attention to vulvar hygiene, bathe regularly, change underwear frequently; do not touch the vagina with hands or foreign objects; do not let girls in diapers sit on the ground or crawl on the ground to play; it is best to change to loose and easy-to-remove closed crotch pants after the girls are 2 years old; do not share towels and bathtubs, and do not take children to crowded swimming pools.

  Daily Suggestions

  1. Do not wear open crotch pants, wear breathable clothing and pants, and change them frequently to maintain hygiene.

  2. Wash the vulva after defecation to prevent feces from being wiped clean and contaminating the perineum.

  3. When cleaning the vulva of young girls, be gentle and do not use cleaning fluid or soap.

  4. Pay attention to prevent infection when swimming, and you can take a sitz bath with PP powder before and after swimming.

  5. Separate the hygiene products of adults and children to avoid cross-infection.

  6. Mothers should actively treat their own reproductive system infectious diseases to prevent transmission to their children.

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