Recently, the mother of the 4-year-old girl Doudou (pseudonym) is very anxious, and she has hardly slept in the past 2 months. Because when she changed her daughter's underwear every day, she always found a little blood on her panties.
The anxious doudou mother took her child to a number of large general hospitals in Changsha and Wuhan, but found no abnormalities. After being introduced by a friend, the mother took her daughter to Zhuzhou Maternal and Child Health Hospital for treatment.
After carefully inquiring about the medical history, Wang Jiqing, vice president of the hospital, felt that the child was not like ordinary vaginitis, combined with sex hormone related examinations, which ruled out the possibility of precocious puberty. After examination, the child's hymen was intact, but when Wang Ling, director of the ultrasound department of the hospital, found that there seemed to be an abnormal echo in the vagina after abdominal ultrasound examination, after discussing and consulting with several senior doctors in the department, it was determined that there was an extra "thing" in the posterior wall of the lower vagina, but it was impossible to determine what it was. Wang Jiqing suggested that Xiao Doudou be hospitalized first, and hysteroscopic surgery was performed under anesthesia to remove the foreign body.
After further improving the relevant examinations, the general women and gynecologists of the hospital formulated a detailed surgical plan for Doudou, and successfully removed a small ball of cotton under hysteroscopy, without affecting the hymen and vagina of Doudou. After careful care after the operation, the young patient was happily discharged from the hospital and went home.
Vaginal foreign bodies are harmful, how should parents take care of their children
A foreign vaginal foreign body in a girl should be removed in time once it is found. If the foreign body remains for too long, it will cause vaginitis, vaginal adhesions, and even pelvic inflammation.
Vaginal foreign bodies are a situation often encountered in the clinic, because things are fragmented and many careless parents may ignore. Here to remind parents, when caring for children, you must pay attention to the following points:
1. Change clothes for your child and wear loose cotton underwear.
2. Avoid exposing the genitals and try to avoid wearing open crotch pants.
3. Cultivate good hygiene habits in children.
4. Conduct sex education in a timely manner to teach children to understand privacy and protect privacy.
If the baby has the following situation, parents should be vigilant and go to the gynecology department of the regular hospital in time
1. Vulvar redness or itching
2. There are many secretions
3. There is a peculiar smell or bleeding of secretions on the panties
4. Vulvar inflammation cannot be cured for a long time
5. Abnormal walking
The problem of vaginal foreign bodies cannot be ignored
The genital organs of young girls are not perfect, the vaginal mucosal epithelium is thin, the folds are few, the vaginal wall is smooth, the stretch is small, the vaginal epithelium lacks glycogen, the PH value is high, and because the female estrogen level is low, the natural defense function is poor, so once a foreign body is stuffed into the vagina, it is very prone to infection, and serious cases can lead to vaginal damage, adhesions, foreign body wrapping, displacement, and even perforation and other serious consequences.
Gynaecological examination is difficult due to the young age, poor coordination ability, and hymenal barrier. Routine physical examination can find foreign bodies in the middle and lower parts of the vagina, and digital examination can effectively improve the diagnosis rate, especially hard foreign bodies, but the foreign body is small and soft and not easy to be found. Children with a high suspicion of a vaginal foreign body but a negative examination require further imaging tests, such as ancillary ultrasound, x-ray, or MRI, and ultimately hysteroscopy to confirm the diagnosis and avoid damage to the child's body.
In fact, vaginal foreign bodies are not uncommon in daily life, and are mostly found in young girls aged 3-10 years, most of which are due to the ignorance of young girls, driven by curiosity, and unintentionally place foreign bodies into the vagina when playing, or they may be stuffed by others. In the spring and summer, parents often wear open crotch pants for their babies, which may cause foreign bodies such as particles to enter the child's vagina or bacterial infections to cause inflammation. Therefore, when taking your baby out, it is best to wear diapers or small panties with cotton and good breathability for your child. In the early days of young children, it is necessary to educate children to understand privacy, protect privacy, and tell parents as soon as they are touched.
(Peng Jianqin, Zhou Yanzi)