Vulvovaginitis is redness, soreness, and tenderness of the vagina and surrounding area. It is fairly common in girls, especially age 3-6. It is most often due to overgrowth of normal bacteria due to hygiene problems, but it can also be due to irritants such as bubble baths. Occasionally, it can be due to pinworm infection with rectal itching also present. Yeast infections are uncommon in girls before puberty.
The most common symptoms of vulvovaginitis are: itching and redness in and around the vagina, discharge coming from the vagina, and discomfort when urinating. Summertime heat and humidity, tight clothing, and insufficient wiping after urination or bowel movements can increase the risk for you child. Some children are sensitive to certain soaps and bubble baths.
Most cases of vulvovaginitis improve with simple treatment. A daily Sitz bath in warm water without bubble bath usually will quickly relieve the problem. Have your child wear cotton underpants and loose fitting clothing. Teach your child good hygiene and make sure she knows to wipe front to back after BM’s, away from the vagina.
If your daughter’s vulvovaginitis seems more severe or doesn’t go away, call our office for an appointment to evaluate the problem. A visit is also necessary if there is fever or frequent urination in order to check for urinary tract infection.
