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Urology (Expert Forum)
pain in vaginal area
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
pain in vaginal area
by teresatmiller, Aug 27, 2004 12:00AM
I have a 3 year old daughter who we have taken to the doctor on several occassions regarding pain in the vaginal area. We are always told that we are using too much soap so we try not to use any but then she has odor issues. We really do not feel this is the issue. The problem seems to happen at nightime or nap time when she is laying down. This past week she has woken up with acute pain, we have let her sit in a warm bath with no soap which seems to help. The Dr's have tested her urine but it's always negative. Tonight she is having sudden, sharp pain and she taps (several times) her vaginal area trying to get relief. When she was a baby there was an instance of very foul odor but it cleared up the next day when we took her to the doctor-they tested her urine (catheder) as well and nothing.
She is always complaining that her pee-pee hurts...for years now. She has been potty trained since she was 2 but still has accidents-one every 2 to 3 weeks and when asked what happened she says she couldn't get to the bathroom in time. She is scared of the dark and doesn't want to go to bed so we have considered behavioral issues but she wakes up with this and her school has called up saying that she is in a lot of discomfort.
She is always complaining that her pee-pee hurts...for years now. She has been potty trained since she was 2 but still has accidents-one every 2 to 3 weeks and when asked what happened she says she couldn't get to the bathroom in time. She is scared of the dark and doesn't want to go to bed so we have considered behavioral issues but she wakes up with this and her school has called up saying that she is in a lot of discomfort.
Doctor's Answer
by Kevin Pho, MD, Aug 27, 2004 12:00AM
, Aug 27, 2004 12:00AM
You may want to consider a urinary tract infection. If this is positive, your child should be evaluated for vesicoureteral reflux, which is present in 30 to 40 percent of children diagnosed with a UTI. This disorder means that urine is flowing backwards into the kidneys, exposing them to infection.
If this is suspected, a voiding cystourethrogram (VCUG) can be considered for further evaluation.
You may want to discuss this option with your personal physician or consider a urology referral.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
If this is suspected, a voiding cystourethrogram (VCUG) can be considered for further evaluation.
You may want to discuss this option with your personal physician or consider a urology referral.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Member Comments
by yoshi, Aug 28, 2004 12:00AM
To: Pediatric Urology
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