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5 yr old and vulvar rash

KRTKRT member
in Pre-School and Daycare

I have no idea if anyone else's DD has this issue. 

I'm at a loss with what to do for DD as she gets a vulvar rash occassionally and usually I can put diaper cream on it and it is cleared up by morning.  Last night she complained after going to the bathroom so I looked at it and she was incredibly inflammed and irritated - worst I have seen.  I ended up putting my son's Triple Paste on really thick 2x after bath and before bed and even put a pantiliner in her underwear so it didn't make her underwear a mess during the night. I put a light application of rash ointment on this morning before daycare.

I have repeatedly gone over wiping with her.  She is very tiny (only 31 lbs) and has trouble holding herself up and reaching from behind to wipe so she will push the toilet paper through to the back from the front or dab.  I emphasized she can't wipe back to front and she definitely doesn't do this.  I am concerned that she is not getting the urine wiped away enough and that the urine is causing the irritation.  I also have to really push fluids with her as she doesn't drink a lot and her urine can get pretty concentrated.  I make sure she is washed well every night at bath time with a mild/sensitive soap.

I am at a loss on what else I can do.  She got really upset last night when I said, "DD, you really have to make sure you are wiping well."  She took this as she did something wrong (she can be sensitive at times)  I explained I wasn't upset with her but felt bad that she was in pain and that by making sure she drinks enough liquids and wipes well, she won't get irritated.

Any thoughts on what else I can do/another method I can teach her?

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Re: 5 yr old and vulvar rash

  • KathrynMDKathrynMD member

    I would try putting a light layer of lotrim on it every night and see if that helps.

    I'd run a washcloth over her before bed and then do a little lotrim.  I wouldn't "wash it well" every night as that may be irritating it too. 

    When we do lotrim, I let DD do some too and that's the best way to get her to let me do it.  She normally gets her belly button or knee and I get her vulva.

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  • Kitten80Kitten80 member
    I would stop washing it nightly with any soap and most nights just do warm water.  Maybe let her have some panty free time?  Like nightgown or loose shorts during play before bed.  Hope you find a solution soon!

     

     

     

     

     

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  • funchickenfunchicken member
    If she's using TP, I'd switch to flushable wipes.  She could be getting little bits of toilet paper stuck to her, or she might be wiping too hard.  My pedi suggested using flushable wipes, and we haven't had a problem in months. 
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  • Jsthomas618Jsthomas618 member
    my pedi also suggested flushable wipes and I've been having DD sleep without underwear. Its been much better.
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  • KRTKRT member

    Thank you all so much for your suggestions - much appreciated. I will give these a try. 

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  • Littlejen22Littlejen22 member
    Nightly baths with no soap down there.
    Jen - Mom to two December 12 babies Nathaniel 12/12/06 and Addison 12/12/08
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  • ppantsppants member
    Kids can get strep in their groins. I'd have the dr take a look at it
    Wendy Twins 1/27/06. DS and DD
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  • groovygrlgroovygrl member

    It depends on what it looks like but if it is minor and going away etc, then I'd go w/ what hte others have said though I personally just stick w/ aquaphor to help repel moisture. DD also does not sleep w/ underwear (by her choice, she actually hates sleeping w/ underwear on)

    GL. fwiw I never wiped front to back after peeing growing up as a kid (didn't know I was supposed to & my mom probably never thought about it either) but never went 'far' back when wiping... I encourage DD to do it front to back and tell her about germs from her bottom and that we don't want them to get on the toilet paper but I'd rather have her rub the area & dab and get dry than end up all irritated b/c at her age she can't quite work out the front to back thing and doesn't get the urine.

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  • lovely40lovely40 member
    My DD is so sensitive that there can NOT be ANY amount of soap in her bathwater at all. Even the sensitive soap. We let her play in the bath and then let the water drain out and she stands up and we turn the shower on while we wash hair etc... but we never use soap on her private area. We haven't had a problem since we stopped using soap. Good luck!
    DD 4yo DS 1yo
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