Discussions By Condition: I cannot get a diagnosis.

itchy bottom

Posted In: I cannot get a diagnosis. 6 Replies
  • Posted By: Anonymous
  • October 10, 2007
  • 02:24 PM

my 4 yo girl has over the last 4 month had a itchy vagina.
I have taken her several times to the doctor and hospital as she must have scratched and a small un-noticable cut hurt so she did not want to wee.
After urine tests which found nothing we used nappy creme and all was fixed.
Now shw has an itchy bottom.
I tried to shine a light to see if there are any worms (?) but nothing that I can see.
The itchy bottom has been around for the last week.
She wears a nappy at night by undies during day and goes to the toilet ok.
Can anyone suggest anything?
Thanks

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6 Replies:

  • Maybe it's an allergy to the nappy, like the soap you are using on them or in her bath. Is she protected from strange men? Well, you could increase her water. Maybe her urine is too strong in the nappy. Could be a yeast or bacteria. I would have her urine analyzed for bacteria.
    Monsterlove 2921 Replies
    • October 11, 2007
    • 05:37 AM
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  • Does she play in a sand-box? Give her a long T-shirt and no panties and let her run around like that over the weekend.
    rad-skw 1605 Replies
    • October 11, 2007
    • 09:31 AM
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  • The pin worm (Enterobiasis vermicularis) causes itchy bottoms and you dont always see the worms.The female worms just pop their ends out of the anus to lay their eggs and someone shining a flash light at them, makes the rush back in again. The eggs are really tiny and sesame seed shaped and you will not be able to see them with the naked eye.The worms can get lost occasionally and end up in the vagina and causevery nasty itchiing in that area.You could try doing the scotch tape test, where you put a bit of scotch tape sticky side against the anus, then you pull it off and examine it under a microscope.I think it is best to worm children if they are having itchy bottoms. OCM work well and the orange flavor tablets are easy to chew and swallow.Good luck
    chrismia 159 Replies
    • October 11, 2007
    • 05:11 PM
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  • Statistically the most likely cause is mild yeast infection. Second most common would be pinworms. Another thing to consider is peri-anal strep (the same bacteria that causes "strep throat" ,the group A beta-hemolytic strep) can cause itching in the "diaper area." Classically it is associated with a bright red rash, but this can be absent. Docs seem to be reluctant to test for it (not sure why) but I have had several patients in the past year with itching, treated by other pediatricians (unsuccessfully) for pinworms and for yeast infection, who had positive strep tests when I swabbed the area. All responded quickly to appropriate antibiotics. Best of luck!!! ncdoc
    Anonymous 42789 Replies
    • October 12, 2007
    • 04:11 AM
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  • Sorry if this is a duplicate post. Most likely causes would be yeast infection (easily treated with over-the-counter antifungal, like Lotrimin AF-- apply 4 times daily to affected area, but not inside vagina or rectum). Second most likely cause would be pinworms, as other poster stated. Third consideration would be streptococcal disease- the same bacteria that causes strep throat. Other thoughts- don't use bubble bath, and also make sure her bottom is very well-rinsed after a bath.
    Anonymous 42789 Replies
    • October 12, 2007
    • 04:50 AM
    • 0
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  • Eureka, I found it! Something that helps and it’s so simple and logical. I’ve suffered from rectal itch and then hemorrhoids most of my life and then on a trip to Thailand I discovered the bathroom sprayer. Some call it a bidet sprayer, I call it Heaven on Earth as it has completely solved my problem. It eliminates the need for rubbing with toilet paper and then washing with soap which just made it worse because it irritates and take away you own natural oils that you need. I bought mine at and it was amazingly easy to install. Enjoy, Jeff
    jeffsamuels9 3 Replies
    • December 22, 2008
    • 02:48 AM
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