Infant vaginitis

Introduction to infantile vaginitis Vaginitis in infants and young children occurs mostly in young girls aged 2-9 years and is a common disease in female infants and young children. Because vaginitis is accompanied by vulvitis, it is often referred to as infantile vulva, vaginitis. basic knowledge The proportion of illness: 1.8% Susceptible people: mostly young girls aged 2-9 Mode of infection: non-infectious Complications: edema, nausea and vomiting, abdominal pain, diarrhea

Infant vaginitis cause

Environmental factors (20%):

Poor local hygiene of the vulva, mothers and caregivers do not pay attention to the child's vulva clean, improper handling after stool, or wipe the anus with contaminated paper, so that intestinal bacteria invade the vagina, causing vaginitis, HuHiman is studying 438 infants In cases of vulvovaginitis, 68% were found to be caused by the above-mentioned causes, and 80% of them were found in culture.

Foreign body infection (5%):

Foreign bodies such as peanuts, beans, hairpins, pins, small stones, etc. are inserted into the vagina, and vaginal epithelial damage is caused by foreign bodies, and secondary sensation occurs.

Disease factor (10%):

Aphid vulvovaginitis is rare in normal cases. It is introduced into the vagina by the intestinal aphids through the feces; or the stool is not handled properly, through the hands of mothers or caregivers or clothes, toys, etc. Eggs contaminate the vulva of young girls and cause inflammation.

Secondary vulvar infection (5%):

Vaginitis young girls in the upper respiratory tract infection or urinary tract infection, bacteria directly into the vagina through the dust caused by infection.

Specific infection (15%):

Specific vaginitis trichomoniasis or fungal vaginitis, rare in infants and young children, reasons: may be due to infantile vaginal pH is sputum, not suitable for mold reproduction, trichomoniasis is glycogen as food, vaginal sugar at this age It is rarely used, so it is not suitable for the growth of trichomoniasis. Bloodthirsty vaginitis is extremely rare in infants and young children.

Infant vaginitis prevention

Pay attention to the hygiene of the baby's perineum, prevent infection, and target the cause. As a parent, as long as you care more, care for your child, and educate your child to love hygiene.

Infant vaginitis complications Complications edema nausea and vomiting abdominal pain diarrhea

Vulvar urethral orifice, vaginal mucosa congestion and edema, purulent secretions, a small number of children may have nausea, vomiting, abdominal pain, diarrhea and other complications.

Infants and young children with vaginal symptoms Common symptoms Vulvar burning irritating sensation when urinating vulva burning... Vulvar swelling infant genital pain vaginal discharge increased

The main symptoms are vulvovaginal itch, increased vaginal secretions, infants and young children can not correctly tell the symptoms, often use fingers to scratch the vulva, through the fingers and scratches, further spread the infection, vulva, urethra, vaginal mucosa congestion , edema, purulent secretions, but may also be neglected by parents during the acute phase, or due to mild symptoms, to the small labia adhesions after the acute phase, there are small holes above or below the adhesion, urine from the small holes, the vagina Foreign body can cause vaginal secretions, and is blood, purulent, smelly, vaginitis caused by aphids, itchy outside the vulva and anus, and a large amount of thin yellow purulent discharge from the vagina.

Infant vaginitis examination

Because of the characteristics of infant anatomy and the inability to cooperate with doctors, the diagnosis of the knot brings certain difficulties. However, physical examination is the main basis for diagnosis. Therefore, doctors need to be patient and careful to the mother and care staff. Ask the medical history in detail. The technique should be light and agile. Sometimes, in order to obtain satisfactory results, you should try to distract the child's attention. For example, while talking with the child, the abdominal wall is relaxed. In some cases, general anesthesia is required. Under the examination of the child, several commonly used inspection methods:

(a) check the vulva

In use, the two fingers gently separate the labia majora, carefully observe the vulva, urethra and vaginal vestibule.

(two) vaginal speculum examination

The best examination instrument is Kelly air cystoscope, bronchoscope or nose can be used as vaginal speculum. The larger girl can use special small vaginal duck device. Through the above speculum, it can be more clearly See the cervix, check the vaginal epithelium and secretions, whether there are foreign bodies, at the same time, use a small cotton swab to take vaginal secretions for smear with Gram stain, but also for secretions for culture, and for drug sensitivity test, This will determine the pathogen.

(three) rectal, abdominal double examination

Use the left middle finger and forefinger to separate the bilateral labia majora. Use the right index finger (the smaller child can enter the index finger, but also use the little finger) to extend into the anus and abdomen of the child. The other hand can touch the vagina to see if there is any foreign body, the size of the uterus and In pelvic conditions, rectal examination can also assist in taking vaginal secretions by pressing the fingers of the rectum forward on the posterior wall of the vagina, the other hand holding a sterile glass tube, and squeezing the vaginal secretion while squeezing the rectum.

Diagnosis and diagnosis of infantile vaginitis

Diagnosis can be based on medical history, clinical symptoms, and laboratory findings.

Different from infantile vulvitis, the vulva, clitoris, urethra and vaginal mucosa are hyperemia, edema, and purulent secretions. When parents pay attention, they can often find purulent dryness on the underwear of infants, or have thin water. Traces of the vulva, redness, edema, and even skin exfoliation. Some children have local scratches due to itching, bleeding, etc. Some have urinary pain, frequent urination, burning sensation, but also in this acute phase. Being neglected by the parents, or because the symptoms are very mild, and the labia minora adhesions after the acute phase, the urine flow becomes fine, only to be discovered, and the genital malformation came to the doctor. The examination revealed that the labia minora adhered to the top or bottom. Leave a small hole of urine to be discharged from here, the urethral opening and the vaginal opening are covered. Careful examination reveals that the place where the labia minora adheres is thinner and more translucent.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.