VAGINAL YEAST INFECTIONS
(also known as fungus) is normally present on most body surfaces, especially wet
ones. The normal bacteria, acid
content, sugar content, temperature and other factors keep the yeast from
growing out of control. When these factors are changed, then the yeast can grow
too much and cause problems. The most common causes of this are:
TREATMENT and PREVENTION
The basic goal of treatment is to restore the normal
environment to keep the yeast under control and anti-fungal medications. Please
recognize that the following treatment measures may not result in a cure until
any antibiotics are finished, but they should prevent worsening. DO NOT
STOP THE ANTIBIOTICS WITHOUT CONSULTING YOUR PHYSICIAN FIRST.
cotton panties, and refrain from wearing tights or non-breathable clothing
(or cut a hole in the crotch to let the area breathe)
dry the vaginal area after baths and urinating by spreading the labia (folds
of skin that cover the vaginal opening), patting the area with toilet tissue
or a towel, and fanning the area with your hand or a hair drier on low.
IRRITATION OF THE VAGINA
from front to back when cleaning after stooling or urinating. Girls need
to be continually reminded of this usually until just before puberty.
showers instead of bathes. Even sitting in a shallow pool of bath water
without bubble bath has been shown to irritate the vagina.
use bubble bath.
3. MEDICAL TREATMENT
Soda Baths twice a day may restore the normal acid-base balance and help
soothe the area. Add 2 oz of baking soda per tub.
over the counter (non-prescription) clotrimazole 2% Cream (Brand names =
Lotrimin, Gynelotrimin, Femcare, Mycelex) after cleaning and drying the
area. We have found clotrimazole to be more effective than miconazole
(Monistat). The clotrimazole is over the counter, but many stores keep it
behind the pharmacistís counter, therefore you may have to ask the
pharmacist for it. Apply the clotrimazole cream to the entire visible
vaginal area at least once a day until the symptoms resolve. It may take a
few days to see a change and up to 7 to 14 days for a cure. Occasionally,
the yeast infection may return soon after you stop the medication. In these
cases, use the medication for 2 to 3 days after the symptoms completely
resolve. Use the vaginal cream and not the vaginal inserts. You do not need
to put the cream deep inside, only the area you can easily see by gently
spreading the outer skin apart.
there is burning with urination, cover the irritated area with Vaseline
after applying the clotrimazole. This will keep the urine off of the
irritated area and is easy to remove.
TO CALL THE OFFICE
there could have been any trauma to the area
there is a foul smelling, green or greenish-brown discharge
there is any bleeding
there is a fever
there is any belly pain or vomiting (except if its mild and the child has a
there is no change at all in 3 to 5 days
the symptoms are present more than 14 days after starting treatment