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|When to Call Your Doctor|
|Call 911 Now (your child may need an ambulance) If|
|Call Your Doctor Now (night or day) If|
|Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If|
|HOME CARE ADVICE FOR SOAP VULVITIS (Pending Talking With Your Doctor)|
- Definition: Â Soap Vulvitis is the #1 cause of pain with urination in young girls.
- Burning or stinging with passing urine
- Vaginal itching or irritation may also be present
- Prepubertal girl less than 10 years old
- Uses bubble bath, bathes in soapy water or washes genitals with soap
- To be sure she doesn't have a bladder or kidney infection, she usually needs to have her urine checked. The following treatment will reduce symptoms while awaiting your appointment.
- Baking Soda-Warm Water Soaks:
- Soak for 20 minutes to remove irritants and to promote healing.
- Add 2 oz. baking soda per tub of warm water (Reason: Baking soda is better than vinegar for girls not into puberty).
- During soaks, be sure she spreads her legs and allows the water to cleanse the genital area.
- Repeat baking soda soaks treatment 4 times per day for 2 days.
- Avoid Soaps: Avoid bubble bath, soap and shampoo to the vulva because they are irritants. Only use warm water to cleanse the vulva or baby oil to remove secretions.
- Increased Fluids: Give extra fluids to drink (Reason: to produce a dilute, nonirritating urine).
- Pain Medicine: To reduce painful urination, give acetaminophen every 4 hours OR ibuprofen every 6 hours as needed (See Dosage table).
- Contagiousness: Â Even if your child has a bladder infection, it is not contagious. Your child does not need to miss any school or daycare.
- Call Your Doctor If:
- Pain with urination becomes severe
- Fever occurs
- Your child becomes worse
And remember, contact your doctor if your child develops any of the "Call Your Doctor" symptoms.
Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.
Author and Senior Reviewer: Barton D. Schmitt, M.D.
Last Reviewed: 1/19/2009
Last Revised: 12/19/2008
Content Set: Pediatric HouseCalls Online
Copyright 1994-2009 Barton D. Schmitt, M.D.