Reader Question: The Private Stuff: Treating & Cleaning

Bath Time Toddler

My daughter is almost 5 years old and toilet trained, and still wearing easy-up diapers at night.  She has been complaining about pains in her genital area, and the skin inside the lips are red. 

She does not have a fever. Our pediatrician said that she has a yeast inflection, so he asked me to apply the antifungal cream from Canesten.  It gets better and the pains stop for a few days.  Then it happens again. 

I have tried Sudocrem and Vaseline, as well as the clotrimazile cream.  And I read the answer of bladder infection on page 218 (Chapter 12) of Toddler 411 2nd Edition. 

My question is how to clean the genital area.  I am thinking that it may be caused by the area not being cleaned enough during the shower and she showers everyday. I have asked different people their thoughts and some say that just padding water into the area is sufficient. Others say I need to open the lips first, and then pad water to that area.

Please let me know what is the right way to clean it.  Many thanks!

Hello,

Thanks for writing in. I agree that your daughter most likely has vaginal irritation and not an infection. The biggest culprit here is probably the pull-up she is wearing at night. Pull-ups are not as absorbent as regular diapers because they are supposed to encourage kids NOT to pee in them as they will have a wet sensation.

So, because they are not as absorbent, kids (particularly girls) who pee in them every night will have prolonged periods of moisture in their genital area which can lead to diaper rash or vaginal irritation. If she is not ready to be dry at night (and many 5-year-olds aren’t) then just go back to diapers at night–and most of the skin issues will go away.

As for cleaning a girl’s genital area, using water on a wash cloth in the shower is just fine, or you can use a very gentle cleanser like Cetaphil. Sometimes regular soaps can be irritating to the area.

Hope that helps!

 Dr. B

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