What to do if your child has itchy bottom

Don’t think that only adults will experience itching down there. Some children also have this problem. But what should you do if children experience itching down there? Of course, you still need to see a doctor before treatment. What I want to remind parents here is that they must tell their children to keep their private parts clean, not to let them wear chemical fiber clothes, and certainly not to wear tight pants. If the vulva is always irritated, it will cause itching.

Consider vulvitis. Children are easily prone to vulvitis due to the irritation of urine, and the main symptoms are itching, pain or burning sensation of the vulvar skin. Local redness and swelling. In severe cases, ulcers may occur, leading to adhesion of the labia minora on both sides, causing painful or difficult urination. Sometimes it can also cause fever and leukocytosis. Pay attention to the cleanliness of the vulva and develop good personal hygiene habits. Take a sitz bath on the vulva with potassium permanganate solution twice a day and apply antibiotic ointment locally after the sitz bath. Those with fever and increased white blood cell count can take antibiotics orally or intramuscularly. Chinese herbal medicine also has certain therapeutic effects and should be actively treated. Vulvar itching often occurs in the vagina, on the outside of the labia majora, mons pubis, clitoris, labia minora, and perineum, and can spread to the vicinity of the anus. It is a type of localized pruritus. The itching is often unbearable, often occurring at night. It often worsens during menstruation or after eating spicy food. Vulvar itching often manifests as paroxysmal, but sometimes persistent, often worsening at night. Severe itching causes restlessness. Long-term itching can cause ulceration, redness, swelling, or secondary infection. Due to long-term scratching, local infiltration, hypertrophy and pigmentation may occur. The diagnosis is easy based on the clinical presence of only secondary skin lesions and no primary skin lesions. Most girls suffering from this disease are ashamed to seek medical treatment and often do not receive timely treatment. As time goes by, the itching becomes stubborn, which affects their mental health and even their study and work in severe cases.

There are many reasons for vulvar itching. In summary, the most common local factors causing this disease are:

①External stimulation. Sometimes birth control pills can also cause itching. Itching can also be caused by tight underwear, friction between underwear, and irritation from menstrual belts. Vulvar itching can be caused by not paying attention to the hygiene of the vulva, irritants from vaginal secretions, vulvar secretions, sweat, moisture, immersion, chemical fiber underwear, unqualified menstrual belts, rough toilet paper, allergies caused by vulvar and vaginal medication, and frequent washing of the vulva with soap. Vulvar itching is often accompanied by anal itching, which is related to irritation from external hemorrhoids, long-term incontinence, anal fistula, anal fissure, anal excrement and fecal residues.

② Local diseases of the vulva. Local diseases of the vulva include gonorrhea, non-gonococcal urethritis, fungal or Trichomonas vaginitis, scabies, pubic lice, ringworm, atrophic keratotic lichen, leukoplakia, enterobiasis, contact dermatitis, cervicitis, etc. Anal itching in female children is often caused by pinworms and often worsens at night. In addition, anal itching often spreads to the vulva and causes itching. Apocrine prurigo and sweat gland follicle keratosis can also cause severe vulva itching.

③Systemic diseases. Systemic diseases mainly include diabetes, anemia, leukemia, polycythemia, skin diseases, hepatobiliary diseases (such as jaundice), kidney diseases, lymphoma, etc. In addition to general itching, vulvar itching is often accompanied. According to statistics, 3.4% of 500 diabetic patients had localized itching, mainly vulvar itching.

④Mental factors. If you are worried, depressed, nervous, or irritable, you will often feel itchy vulva, and the more you scratch, the more itchy it becomes.

⑤Dietary factors. Lack of iron, riboflavin, vitamin A, vitamin E, fat, etc. in food can cause dryness, flaking and itching of the vulvar skin.

⑥ Idiopathic vulvar pruritus: The cause is unknown and is related to emotional disturbance or certain minor stimuli.

Treatment: If vulvar itching occurs, first pay attention to the cleanliness of the vulva, do not use soap to wash the vulva; try to restrain scratching and rubbing the affected area; avoid spicy food; be careful to avoid emotional depression and tension. If the symptoms still cannot be relieved, you should go to the hospital to find out the cause of the itching and treat it accordingly. During treatment, chronic lesions must be removed, so it is necessary to inquire about the medical history in detail, actively look for the causes, and make corresponding external treatments to achieve twice the result with half the effort. For example, if vulvar pruritus is caused by diabetes, the itching can often be relieved by actively controlling diabetes.