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Mild Skin Rash near Genital Area - Treatment
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Yeast infections, vulvovaginitis, UTIs and pinworms—find out what itchy, rashy symptoms to look for and how to treat common kids' genital health issues.
It may be a taboo topic around the playground, but if your kids are feeling discomfort “down there,” they’re not the only ones. From itchy bums to painful peeing, Michael Dickinson, a paediatrician in Miramichi, NB, explains that genital health issues are quite common in children, especially around pre-school age. “For the most part, they’re not serious or dangerous,” he says. “But they can cause parents a lot of anxiety.”
Some moms and dads may feel shy about discussing symptoms with their parent friends — they may worry that a problem is a sign of poor parenting, or unhygienic conditions at home. “These types of issues arise under the best of circumstances,” assures Dickinson. It’s important to know what to look for, so we decoded the most common symptoms.
Candida (yeast) exists in our intestinal tracts and in small amounts on our skin. But a warm, moist diaper can cause yeast to overgrow, resulting in an itchy, red rash . “Unlike the most common kind of diaper rash, which is caused by urine and stool irritation, this type isn’t tender to the touch,” explains Shirley Blaichman, a paediatrician and spokesperson for the Canadian Paediatric Society. Smaller lesions, called satellite spots, will also be present, appearing close to larger, more defined patches.
Who gets it Children who are still in diapers.
How to deal It can be hard to differentiate between different types of diaper rash. “If your baby has a rash that isn’t improving after a few days of applying a barrier cream, she should be seen by her doctor to determine if it’s yeast,” says Blaichman. An antifungal cream will be prescribed; it should start to work within a few days.
Extra RX Proper diaper hygiene can help keep rashes away. Change diapers often, keep the area clean, use a barrier cream at the first sign of irritation, and allow for plenty of exposure to air.
Vulvovaginitis is an irritation of the external vaginal area, accompanied by pain or itchiness. It’s often caused by constrictive clothing, poor wiping techniques or sensitivity to soap.
Who gets it Preschool-to prepubescent-aged girls. “Low estrogen levels make them most vulnerable,” explains Blaichman. Once puberty hits and their estrogen increases, the vulva thickens and protects against irritants.
How to deal “Local irritation isn’t a big concern, but does need to be addressed before it worsens,” says Blaichman. Dress your daughter in loose, cotton clothes, put her to bed without underwear or pyjama bottoms, avoid bubble baths, and ensure she’s wiping from front to back. Symptoms should resolve in a few days.
Extra RX For a soothing soak, have your daughter sit in a shallow bath of warm water mixed with 1/2 cup of baking soda.
A urinary tract infection (UTI) is a bacterial infection in the bladder. Luis Braga, a paediatric urologist at McMaster Children’s Hospital in Hamilton, explains: “UTIs are commonly caused by E. coli, which lives in our bowel but can enter the urethra [the opening of the urinary tract] from the rectum.” Older kids will express symptoms such as a frequent, urgent need to pee. In babies, look for fussiness, lack of energy and low appetite.p
Who gets it Up to 10 percent of children will have a UTI by the time they’re teens. Since a girl’s urethra is shorter and closer to her perineum than a boy’s, it can be easier for bacteria to travel to her bladder. While the bacteria normally flushes out when kids pee, it can also grow. Toddlers and schoolchildren are often so distracted that they hold in their pee, which allows bacteria to flourish. In babies, UTIs can be accompanied by fever — it’s called a febrile UTI — and this may indicate a more serious, upper urinary tract infection, in the kidneys instead of the bladder. “Thirty to 40 percent of babies with a febrile UTI are suffering from urinary reflux,” says Braga. Reflux is a condition — often congenital — that pushes the infected urine up toward the kidneys, instead of out the urethra.
How to deal Your child’s doctor will collect a urine sample to test for bacteria. If a UTI is identified, oral antibiotics can be used to treat the infection. While symptoms should subside within a few days, extra fluids will flush bacteria faster, and will dilute the urine to make peeing less painful. Doctors generally don’t test babies for reflux until a febrile UTI recurs.However, reflux usually resolves on its own by age two, and can be managed in the meantime.
Extra RX Constipation is another factor for UTIs, says Braga, since a full rectum can keep the bladder from properly draining, resulting in residual contaminated urine. Keep your child “regular” with fibre-rich foods, such as whole-grain breads, beans and berries.
Pinworms are white, barely visible parasites that live inside the rectum, and crawl out only at night to lay eggs on nearby skin, causing irritation. “They’re not dangerous in any way,” says Dickinson. “But a child who has pinworms will be very uncomfortable.”
Who gets it Anybody can catch pinworms, though it’s most common in preschoolers and in densely populated settings like daycares, where close contact facilitates the spread. After an infected child scratches his bum, he traps the worms under his nails and transfers them to shared toys — where other children pick them up and ingest them. “Since eggs can survive for two weeks outside the body, the rate of reinfestation is high,” says Dickinson.
How to deal If you suspect your child has pinworms, his doctor may ask you to collect a sample of the eggs during the night, when they are outside the body. (Use a piece of clear tape, a cotton swab or the collection kit provided by the doctor.) A one-time antiparasitic oral medication will be prescribed, usually to the whole family, and repeated two weeks later as an extra precaution. Symptoms should disappear within a week.
Extra RX Eliminate eggs from the house by cleaning toys and laundering bed linens all on the same day. Enforce proper hand-washing hygiene with your little one. Dealing with these symptoms may not be for the squeamish, and it’s likely not what you envisioned before becoming a parent, but it’s all part of the experience of raising a happy and healthy kid. A year ago, when Sarah Gordon * learned that her four-year-old daughter had pinworms, the news was so unsettling that the Toronto mom immediately burst into tears. “When I look back at my reaction, I have to laugh,” she says now. “As soon as my daughter started to feel better, it didn’t seem so bad anymore.” That’s why it’s important to keep perspective and to know that most of these problems are minor. And if it’s not something you can treat on your own, your paediatrician is there to help.
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A UTI (urinary tract infection) is a common, short-term illness that’s not only uncomfortable and painful for your newborn, toddler and/or child, but it can cause complications. With treatment (get antibiotics, not cranberry juice), your child’s UTI may clear up in a week. Learn to recognize the signs and symptoms of a UTI.


American Academy of Family Physicians. Diagnosis and Treatment of Urinary Tract Infections in Children. (https://protect-us.mimecast.com/s/hK3nCyP5KWUrWR93yuyfDBG?domain=aafp.org) Accessed 4/18/2021.
American Academy of Pediatrics. Detecting Urinary Tract Infections. (https://protect-us.mimecast.com/s/LxCyCzp5LgHMBAJzmHVLx-a?domain=healthychildren.org) Accessed 4/18/2021.
American Urological Association. Pediatric Urinary Tract Infection. (https://protect-us.mimecast.com/s/jzZSCADo0EfNoz751uXfEId?domain=auanet.org) Accessed 4/18/2021.
Merck Manual: Consumer Version. Overview of Urinary Tract Infections (UTIs). (https://protect-us.mimecast.com/s/ygDrCBBpkGi7mOENlfPQX0_?domain=merckmanuals.com) Accessed 4/18/2021.


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A UTI is an infection in your child’s urinary tract which includes their kidneys, the ureters that connect them to the bladder and the urethra where urine exits their body. Bacteria (germs) get into their urinary tract through the skin around their rectum and genitals or through the bloodstream from any part of their body (which is much less common).
Because it may not be obvious when a child has an infection, especially if they’re too young to voice their symptoms, UTIs in children sometimes go unnoticed. Urinary tract infections need to be treated immediately to prevent the infection from spreading and damaging the kidneys.

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UTIs are classified into two categories:
The urinary tract gets rid of extra fluids and waste. The kidneys, ureters, bladder and urethra are the organs that make up the tract. The kidneys filter blood and make the urine, the urine travels through the ureters to the bladder which stores the urine and then the urine passes through the urethra and out of the body.
Urinary tract infections in children are common. Before age seven, one of 12 girls and one of 50 boys will have a UTI.
An infection in the bladder stays in the bladder, while a UTI can infect the entire urinary system. Many of the symptoms are similar, but a child is more likely to look sicker when they have an infection above the bladder.
UTIs are most common in immunosuppressed children (kids who have a weaker immune system) and children who have been on antibiotics for a long period of time for other issues. If your child recently went through an organ transplantation, they are also more vulnerable to a urinary tract infection. Children can also be born with abnormalities of their urinary tract that make them more likely to get an infection.
Adults are also vulnerable to urinary tract infections .
No. Urinary tract infections can’t be transmitted to you or anyone else.
Yes. A fever is a symptom of a UTI. Fevers are not necessary to diagnose a UTI and are more common with infections outside the bladder.
Yes. A UTI can cause pain in your kid’s back or side. The pain is typically located below their ribs and is worsened when something hits your child’s back then when they are at rest.
Yes. Children with a UTI can sometimes get diarrhea.
The rumor that cranberry juice can help resolve a UTI does have some scientific proof. However, the evidence shows that it primarily helps women with repeated UTIs, not children. Drinking fluids will help clear a UTI, so lots of water or other beverages can be very helpful.
Normal urine is sterile (there are no bacteria or other infectious organisms) and contains fluids, salts and waste products. An infection occurs when microorganisms cling to the opening of the urethra (the hollow tube that carries urine from the bladder to the outside of the body) and begin to multiply. Most infections arise from Escherichia coli (E. coli) bacteria that normally live in the digestive tract.
Different bacteria can cause a urinary tract infection. The seven most common bacteria include the following:
These organisms live in your child’s gut, reproductive system or on their skin.
The following are the most common signs and symptoms of a UTI. However, each child may experience these differently. Signs and symptoms in babies may include:
Signs and symptoms in older children may include:
It’s more difficult to diagnose because symptoms are less specific, and waiting too long to get treatment may lead to a kidney infection.
Not necessarily. Most children who get UTIs don’t have other urinary tract problems.
After interviewing you about your child’s history and performing a physical examination, the healthcare provider may order the following tests:
Treating a urinary tract infection requires antibiotics that can either be delivered intravenously (through a needle into your child’s veins) or orally (they swallow the pills or liquid). Their healthcare provider may also prescribe medications for their fever and/or pain. Common antibiotics include:
Your child’s primary care physician will likely be able to treat your child’s UTI. If there are any complications, you may be referred to an urologist or nephrologist (healthcare providers who specialize in the urinary tract).
They may feel better in a day or two and the infection should be gone in about a week.
Do your best to keep your child’s urinary skin areas very clean, and teach them to do the same. This is particularly important for girls. Teach them to wipe front to back to avoid contaminating the urethra from the anus.
This is a temporary infection with little risk of complications. With treatment, your child’s UTI should only last about a week. However, they can get an infection again even if they have a normal urinary tract.
About 3% of children who get a urinary tract infection may have kidney problems in the future, including scarring. Complications of renal scarring include:
Your child may need to be hospitalized for the following reasons:
Urinary tract infections need to be taken care of right away. Call a healthcare provider if your child:
Quickly getting treatment for your child’s UTI decreases the risk of kidney problems and the risk that the infection could spread.
Although a urinary tract infection isn’t a life-threatening condition, it may result in a hospital stay or lead to complications that can affect your child’s quality of life. Be sure to have them checked out by their healthcare provider as soon as they show symptoms. Always make sure that your child takes all of their prescribed medication. Even if they seem better, you should still have them take the medication until the treatment is complete.
Last reviewed by a Cleveland Clinic medical professional on 04/19/2021.

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.
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Posted on July 6, 2020 August 10, 2021 by Susan Taylor

Posted on July 6, 2020 August 10, 2021 by Susan Taylor

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