5-year-old girl's underwear is yellow

The phenomenon of yellowing underwear is generally more likely to occur in adults, but this is not exclusive to adults. Some children may also have yellowing underwear. If the 5-year-old girl's underwear is yellow, apart from stains caused by yellow urine, it is very likely that she has vulvovaginitis in young girls. There are other manifestations of vulvovaginitis in children caused by inflammation. We can learn about vulvovaginitis in young girls and make a judgment based on the child's situation.

Causes

Common pathogens include Staphylococcus, Streptococcus and Escherichia coli. Trichomonas or Candida can also cause infection. The pathogen can be transmitted through clothing, bathtubs, etc. of sick mothers, childcare workers or kindergarten children. It can also be caused by poor hygiene, unclean vulva, frequent contamination by feces or direct contact with dirt. In addition, vulva injury or scratches, especially pinworm infection, can cause inflammation. It can also be caused by mistakenly placing foreign objects in the vagina.

Clinically, the mothers of the children often find purulent secretions on their diapers or underwear, or the children cry and make noises due to pain when urinating and seek medical attention. The main clinical symptoms are vulvar pain, itching and increased secretions. The mucous membranes of the vulva, clitoris, urethral orifice and vaginal orifice are congested, edematous, and have purulent secretions. There are often purulent dry scabs or watery marks on the underwear, and the vulva becomes red and swollen, and even the skin peels off. There are local scratches, bleeding and other phenomena. In severe cases, the labia minora may become adhered and the urine flow may become thinner. Examination may reveal that the adhesion area of ​​the labia minora is thinner and more translucent.

treat

Specific infections should be ruled out first, and the secretions should be sent for examination for Trichomonas and fungi. If necessary, culture can be performed to identify the pathogenic bacteria and give appropriate antibiotics. Apply potassium permanganate in an appropriate proportion for local sitz bath, apply antibiotic ointment externally, and keep the vulva clean and dry.

Keep the baby's vulva clean and dry. When using diapers for babies, it is best to choose pure cotton, which is soft and breathable. It is best not to use diapers when you are not going out. Change diapers promptly after urination and defecation, and clean the vulva 1 to 2 times a day, paying special attention to cleaning and gently drying the labia and skin folds. Try not to let your child sit or lie on the floor, and as early as possible, stop them from wearing open-crotch pants, tight pants, or high socks made of synthetic fibers; clothes should be soft, loose, and comfortable. Cleanliness after urination and defecation should not be neglected. After defecation, use clean toilet paper to wipe from front to back. In addition, children's bathtubs, towels, etc. should be used by designated persons only to avoid cross infection with adults.