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Conservative Tx for Vulvovaginitis in Children Advocated. (Avoid Soap).
AMELIA ISLAND, FLA. -- Vulvovaginitis is the most common gynecologic complaint among young children, Dr. Sue Ellen Carpenter said at an ob.gyn. update sponsored by Emory University.
Vulvovaginitis typically presents with vaginal discharge, dysuria, erythema, and pruritus. The vast majority of cases are nonspecific, said Dr. Carpenter of Emory university, Atlanta.
Initial therapy for nonspecific vulvovaginitis includes eliminating harsh soaps, bubble baths, and shampoo from the bath water. When parents see the discharge and discomfort, they tend to wash the area even more. Instead, they should have the child soak in clear water two or three times daily and use shampoo and soap in the shower, avoiding the affected area.
Advise parents to dress their child in white cotton underpants, which may be changed several times a day if necessary and loose-fitting clothing. The child should be encouraged to urinate with her legs spread widely apart.
These measures should result in resolution of 95% of the cases, she said. If the initial therapy fails or the ...
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