A 13-year old girl came in alone one day complaining of pain and itchiness down below accompanied by a malodorous whitish discharge for the last two weeks. She was otherwise healthy and very well-dressed for a little girl of her age. In fact she came to the clinic in the evening three days earlier and was treated for urinary tract infection and given antibiotics and was told to return by the attending doctor if symptoms persist.
Generally, at this age , you would be most concerned with these kind of signs and symptoms. Unless there is a structural abnormality, it is uncommon for a normal pubesant girl to suffer from this condition. She was also too young to be involved in the so-called adult activities. For the sake of completeness, she was asked on these matters for which she vehemently denied.
Lastly, she was asked about any new thing that she had been using for the last one month. After cracking he head, she told of her new practice of washing herself down there with a solution,attractively packaged, every morning and evening, cleaning herself squeky clean. No wonder all the good flora were wiped off, causing her to be easily infected by some opportunistic organisms like
Candida albican and later secondarily infected by bacteria, hence the pain and the odour she was experiencing. The remedy is simple... stop douching girl! You are too young to use the "concoction". She was later advised to start taking plenty of live-culture yogurt to help normalise her irritated mucous membrane down below.
I have also seen similar conditions in young women who had used the product aggressively to cleanse themselves. They came in with pain and discomfort in the affected area. Signs and symptoms subsequently stopped after they discarded the practice of douching themselves.
When asked who suggested the use of douching solution, the girl, full of innocence, replied she saw an advertisement on the product and decided to use it on herself.... where is her mother? I was asking the question to myself.
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