A 3 year old girl has yellow discharge. Physiological and pathological discharge in girls

Yesterday evening I discovered a yellowish-brownish stain on my daughter’s (3.5 years old) panties. I examined the genitals - the discharge was visible even after washing, in color, consistency and smell - like a woman at the very end of her period, that is, a slight smell of blood, there was no other shade of smell - unpleasant. And to my surprise, I discovered that the vaginal lips were unstuck - before that there were synechiae. He says it hurt to urinate once, yesterday - at the very beginning of urination, but then it didn’t hurt. Today there is the same abundant spot, well, just like barely smeared menstruation, but today there is no mucus (yesterday there was).

Could this be the result of disunion of synechiae? (although I don’t understand how - the discharge is clearly from inside the vagina, and not from above, where the rupture could have occurred..). What else could it be?

We made an appointment with the gynecologist, but it will be in 3 days. And, of course, I want to be armed, not take unnecessary tests, traumatizing the child, and not take unnecessary medications. And in general, I’m worried. Maybe we should take some measures now, baths?

Answered by Berezovskaya E.P.

First of all, it is necessary to exclude (or confirm) trauma, including sexual trauma. Therefore, collect a detailed history of who the girl was with, whether she injured her genitals with a toy, whether someone inserted something or any objects into her vagina, whether she fell or hit her external genitalia. If a girl says that someone touched her organs, immediately see a doctor. Also exclude worms. Rule out hormonal ovarian tumor. DO NOT use ANYTHING in terms of self-medication, including baths.

Unfortunately, we didn’t achieve anything. It happened like this: At about a month old Leshkin, I noticed that he was crying before peeing, crying a lot. Because of this, he practically did not sleep, little ones often pee, and he was held in his arms all the time. Not only that, he also began to eat like crazy, in small portions, apparently bladder didn’t stretch... it became unpleasant or painful for him if he ate a lot at once. He drank 40-50 grams of milk, but every 20-30 minutes. In general, I went to the children's hospital to see a surgeon, without an appointment, with acute pain. To which they told me that he has phimosis (non-dilation of the head), it happens, be patient, it will definitely go away in 2 months. I myself began to rinse with a solution of potassium permanganate, a solution of furacillin, constantly, that is, when I pee, I will wash my pussy, change the solution, and so on in a circle. Did not help. After 2 months, I came there again with the firm intention of having the circumcision done and not torturing the child, they refused me, they said nothing could be done, they don’t do it for such little ones (although I don’t know that they do the same for Muslims on the 40th day), and the doctors don’t do it either. All. This case was not in Penza. We decided to wait until Penza. We arrived when our son was 5.5 months old. We went to Penza to see a surgeon in a blackthorn clinic, and he again ordered me to rinse it with magrantsovka. What I say doesn't help is no one's business. Of course, it didn’t help us, I asked for an ultrasound, or at least something to be done, no one cared, but apparently it could have been done for a fee, but then we got sick (both children) and were constantly sick all winter, there was no time for that. But I want to note that it became easier (he stopped yelling, he just groaned), but it was still noticeable that he was not okay, because he woke up if he was sleeping, at first he cried, a little, and seemed to try to hold it in, and then he peed and immediately calmed down. But it was easier than before. I think the antibiotics that we took for 4 courses over the winter helped in part... But it didn’t go away completely, and closer to summer I noticed a worsening, and again I started crying a lot. We went to the CNTI to see the urologist Golovanov. He sent me away politely, said that I don’t understand anything, opened his head, and it opens, and I know about it, and I already know that that’s not the point... And he started yelling that we don’t have phimosis no, that this child asks me so much that I take him to the potty (this has been since birth! Oh, how smart I am, how I was born, he knows about the potty!), and he said a bunch to me. In the end, we left with nothing. By the way, our urine tests have always been good, or is it hidden infection some kind, or they do it that way, I don’t know.... Now all we have to do is go to the hospital for an examination, we’ll come back in the fall and go to bed, I hope. Fortunately, now this has become less common (when he doesn’t pee for a long time, sleeps, for example, and endures it), then dissatisfaction is visible. Personally, I decided for myself that we have a narrowing of the urethra, and because of this, plus frequent minor infections occur. and it is mechanically difficult to pee. But no one told me this, I found it all out on the Internet and from my friends and reference books.... So there are no free good urological surgeons in Penza, and in general no one wants to get involved with kids. I honestly began to hope that since it was getting easier over time, maybe it would go away on its own... Nobody wants to treat us, they never took a smear from there, nothing. That’s why I want to go to the hospital to have a more thorough look, or I’ll look for a paid laboratory somewhere.

Normal vaginal discharge in girls should not be a cause for concern. By their number, smell and color, one can judge the presence of inflammation in the genitals, hormonal imbalance or the presence of an infectious disease.

Vaginal discharge is the norm not only in adult women and puberty girls. Inherent this feature also for little girls. Immediately after birth, a newborn girl produces physiological leucorrhoea from the genital tract, which is divided into normal (physiological) and pathological (associated with one or another abnormality or disease).

What kind of discharge is normal for girls?

Vaginal discharge is characteristic of female body of any age and they arise as a result of the normal functioning and cleansing of the organs of the reproductive system. This specific secretion contains:

• epithelial cells;
• mucus secreted by glands located in the vagina and its vestibule;
• lymph;
• leukocytes ( shaped elements blood);
• microorganisms normal microflora vagina;
• some other components.

The amount and composition of secretions depend on the state of the body and the general hormonal background.

A secret secreted by the organs of the female reproductive system is considered normal if:

• it is transparent or light;
• is mucous in nature;
• includes stringy threads or impurities of a crumbly consistency;
• does not have a specific, sharp, unpleasant odor.

In some cases, during the neonatal period (in the first few weeks of life), a girl may discharge a bloody, fairly copious secretion from the vagina, similar to menstruation. This is also accompanied by swelling of the nipples and the release of colostrum from them. This is quite normal phenomenon associated with the entry into the body of a newborn too large quantity maternal hormones: first through the placenta, and then with breast milk. This condition goes away on its own and does not require any treatment.

Approximately a month after birth, a period called “neutral” begins in the girl’s development. It lasts until about 7-8 years, and is characterized by hormonal “rest”, and the girl has practically no physiological discharge from the vagina. Upon reaching prepubertal age, the activity of the gonads is activated, and the secretion of vaginal discharge becomes more active, right up to the first menstruation. Then the discharge becomes cyclical.

Causes of discharge in girls

Pathological discharge from the genital opening in girls may occur due to infection different types , which are activated for the following reasons:

• suppression of local and general immunity by respiratory and other diseases of a bacterial and viral nature;
• improper and insufficiently frequent genital hygiene;
• urinary tract diseases;
• hormonal imbalance in the body;
• diabetes mellitus (can provoke fungal vulvovaginitis);
• transfer infectious agents from the rectum to the vagina and vulva;
• hypothermia;
• helminthic infestation;
• antibiotic treatment;
• mechanical damage to the walls of the vagina and vulva.

Little girls do not have lactic acid bacteria in their vaginas, which are characteristic of the microflora of adult women. These microorganisms are one of the stages of protection women's health, therefore, in their absence, infections develop especially quickly. In this regard, the introduction of pathological agents into the genital organs very often ends in vulvovaginitis in girls, accompanied by abnormal discharge.

Symptoms accompanying discharge in girls

Non-physiological discharge from the genital tract in little girls is most often accompanied by the following symptoms:

• itching, redness of the vulva, burning;
• the discharge has an unpleasant (fishy) odor, this may indicate bacterial vaginosis;
• discharge becomes or when infected;
• vaginal candidiasis () - distinguished by discharge from the vagina;
• Blisters, redness and sores may be present on the external genitalia, which indicates the presence of infection with the herpes virus.

In addition, in case of illness and other diseases genitourinary system, a girl may experience frequent urge to urination, pain in the lower abdomen. In particularly advanced cases, the body temperature rises. Urination becomes painful.

Diagnosis of pathological discharge

Diagnoses diseases associated with pathological vaginal discharge in girls pediatric gynecologist. After contacting this specialist, a number of examinations and tests are prescribed:

• general tests - blood and urine;
• culture (smear) from the vagina to identify bacterial agents that provoked inflammation;
• stool analysis to determine intestinal dysbiosis and the presence of worm eggs;
• examination of the genital tract for the presence of a foreign body;
• blood test for hormones;
• polymerase chain reaction (PCR), which allows you to identify the type of pathogen (mycoplasma, ureaplasma, chlamydia), as well as determine whether antibodies to these agents are present in the child’s blood.

Treatment of vaginal discharge

Treatment directly depends on the results of the child’s examination. There are such options:

• if necessary, elimination is carried out foreign objects irritating the mucous membrane of the vulva or vagina;
• after determining the type of infectious agent, local and general drug therapy. In each case, an individual approach to treating the patient is used, taking into account all the features of the course of the disease, medical history, chronic ailments and the girl’s age. For treatment, antibacterial, antifungal, antiviral drugs, as well as medications that relieve inflammation and normalize the vaginal microflora;
• if a helminthic infestation is detected, in addition to the child, all family members are also treated to prevent relapses;
• hormonal therapy for hormonal imbalance;
• All foods that can provoke an allergic reaction are excluded from the girl’s diet;
• appointed local treatment consisting of baths, washing with antiseptic solutions, decoctions medicinal herbs. Therapy may also be prescribed in the form of ointments or creams;
• The key to a speedy recovery is regular change of underwear and bed linen;
• the acute stage of the disease may require bed rest;
• if the discharge is caused by diseases of the excretory (urinary) system, appropriate treatment is carried out, more often with the use of antibiotics. In addition, a special drinking regime: the patient consumes at least 2 liters of liquid per day, including fruit drinks and decoctions that have antiseptic properties.

Prevention of discharge in girls

To avoid the appearance of pathological discharge from the genital fissure in a girl, it is necessary to adhere to the rules of prevention:

1. Proper intimate hygiene. You need to wash your genitals after each bowel movement; make sure that movements are made only from front to back, that is, from the vagina to the anus. This will prevent bacteria from entering the genital tract from the rectum. Water treatments It is not advisable to use soap. You should wash only the areas of the genital organs that are visible to the eye and do not try to go deeper with your fingers. It is also not recommended to use washcloths and sponges for hygiene of little girls, as this can damage delicate thin skin.

Older girls should wash their genitals every morning and evening.

1. Very little girls need to change their diaper as often as possible. Arrange “ventilation” of the genitals, that is, leave the child naked several times a day.
2. After washing, you need to use a soft, clean towel or diaper. The movements should not be rough, but only blotting.
3. Underwear must be changed daily, after the morning toilet. Panties should be made from natural fabrics and should not compress or drag on the body.
4. Treatment chronic diseases genitourinary system.
5. Regular testing to monitor your health.

Vagina- a self-cleaning organ and vaginal discharge (leucorrhoea) is always present at any age. Vaginal secretion consists of cells of constantly exfoliating epithelium and clear liquid that sweats through the walls of blood and lymph vessels, as well as mucus and microorganisms.

Vaginal discharge may be normal, but physiological reasons. On the 3rd–4th day after birth, a newborn girl may experience quite profuse vaginal discharge, sometimes even mixed with blood. This phenomenon is called "hormonal crisis" and is associated with a high concentration of maternal hormones in the blood.

Vaginal discharge may be accompanied by swelling of the girl’s mammary glands and the release of colostrum from the nipples. Hormonal crisis may last 2–3 weeks and be varying degrees expressiveness. It goes away on its own without any intervention. After this, a period of sexual rest begins, and all vaginal discharge will be pathological character. Both pediatricians and pediatric gynecologists know that under no circumstances should children be treated in the same way as adults.

The health of a girl’s reproductive tract directly depends on the health of the body as a whole. And if it “shot” at intimate place, then it is useless to look for the infection using laboratory methods and treat it. You can't get away with candles here.

Vaginal discharge characterizes the breakdown of the body's compensatory mechanisms. We need to look for the reason. Laboratory research, tank crops, by the way, are not very informative in childhood. As a rule, they arrive sterile, even if there is purulent discharge. Therefore, we always, first of all, treat the child at the clinic, and not through tests.

Causes vaginal discharge girls have some problems in the body:

The body can react to trivial discharge with vaginal discharge. There is only one mucous membrane in the body - it flows from the nose, and, sorry, from there.

- Allergic reaction. Light, transparent discharge, hyperemia. Allergic reaction Washing powder, chlorinated pool water, and children's cosmetics can also cause this.

- Improper hygiene. Do not dry out the mucous membrane too much. Washed and overdried mucous membranes are an excellent basis for the development of vulvitis.

- Excess carbohydrates in food. Impaired glucose tolerance leads to the development of persistent vulvovaginitis, which is difficult to treat. But simple abuse of sweets can cause a reaction in the vulva in the form of irritation, redness and discharge.

- Dysmetabolic nephropathy, or simply, the excretion of salts in the urine will cause both urethritis and vulvitis.

Or a violation of the microflora of the colon. This is the most common reason vulvovaginitis. The vulva and vagina are populated by microflora from the intestines. If there is an imbalance in the intestines, the same fate awaits the vulva. Therefore, bacteriological will greatly help in the treatment of vulvovaginitis.

If a girl experiences vaginal discharge, she should first consult a pediatrician. The doctor will evaluate the color and composition of the discharge, rule out problems associated with allergies, helminthic infestation, With improper care and imbalance of intestinal microflora, and will also bring order to the child’s diet and daily routine. Since 90% of vaginal discharge in girls is associated with these problems.

What can you do before going to the doctor?

1. Diet. Eliminate sweets, products made from high-grade flour, spicy, smoked, salty foods for 2-3 weeks.

2. Maintain hygiene rules . Do not wash or over-dry. The girl needs to be washed strictly from front to back with warm boiled water. Healthy children do not need any funds!

3. Redness and irritation of the vulva can be easily removed with a fatty product - vegetable (or kernel) oil, lanolin.

I’ll write a little about the hygiene of girls under one year old, because... this topic is relevant to every mother and now often causes fear and panic, and not all medical staff can calm the young mother; medications are often prescribed unnecessarily for the simple physiological condition of the child.
Most often the question goes like this: “At three months old, my daughter began to have copious white discharge from her pussy. There used to be, too, but not a lot, but now there are a lot. What to do? What is this?"
White discharge in a girl at 3 months, 4 months, 7 months, 8 months and 9 months is very frequently asked question, scaring mom.

According to physiology, girls produce a small amount of protective lubricant - smegma, so mother can often see white discharge in the folds of the labia. There are a few physiological periods in girls: from 3 to 4.5 months, from 7 to 9 months and at the beginning adolescence before the appearance of menstruation, in which the amount of smegma, i.e. the amount of discharge may increase significantly - this is normal and does not require treatment or intervention! The discharge will remain white or white-yellow color, without an unpleasant or pungent odor (if suddenly your daughter has itching, anxiety due to discharge, sharp or bad smell, greenish or gray tint of discharge, then you need to consult a doctor!).

What to do with vaginal discharge in girls in their first year of life?

• If there is a lot of discharge, clean it carefully. Or remove them once a day using a cotton pad (gauze pad) soaked in natural (preferably filtered) oil! When choosing an oil, pay attention to the fact that it is natural; synthetic oils such as Johnson Baby or massage oils from a pharmacy will cause harm. will clog pores and ducts sebaceous glands, will not allow the skin to breathe and will create a film. A non-refined, cold-pressed food product of which you are confident is suitable (apricot, jojoba, almond or grape seed is best, but high-quality sunflower or olive oil is also possible). Or use purified High Quality with oil purification certificate (). Regular food grade deodorized and refined oils can cause a strong local reaction).
• Continue regular genital hygiene (from the pubis to the anus). After stool, if necessary, wash with natural baby soap, but do not overuse soap and foam, just wash thoroughly with water. Wash off any remaining cream or powder if it gets on this area.
• Do not use powder on the external genital area (only on the butt).

What should not be done about discharge in girls at this age?

• Do not wash them with soap or detergent. And also remove using wet or baby wipes, because... the impregnation of the napkins contains drying and irritating substances.
• Don't try to remove the discharge too often!
• It is impossible not to remove selections at all. Smegma protects organs, but like any sebum, over time it absorbs secretions, sweat and becomes a breeding ground for bacteria and fungi, so you should not let smegma turn into old lumps, appear gray or smell, because further this will cause irritation on the skin, redness, and can lead to “thrush” or bacterial flora.
• There is no need to try to treat physiological discharge with medications, even Linex or other probiotics, if there is no suspicion of illness. If the doctor has suspicions that the origin of the discharge is not physiological, let them conduct tests before prescribing treatment. Because The microflora can be easily disrupted if probiotics are administered inappropriately or unnecessarily in the first year of life.
• Do not frequently use soap or other detergents hygiene for the child without need. Avoid using bubble bath; unfortunately, most often it is the abuse of soap and cosmetics, as well as a reaction to chemical surfactants, that leads to fusion of the labia or excessive discharge. It is better not to use synthetic cosmetics or soap - they dry and irritate and can create a film on the skin. Now there is an excellent selection of natural soaps from scratch, including baby-free soaps. essential oils(not to be confused with soap self made from the base or gel, which contain various unknown chemicals. Surfactants that are clearly not suitable for children).
• Do not use potassium permanganate and herbal decoctions for washing. For physiological discharge, they are not needed, and their use can lead to dryness and irritation.

Also, the reason for an increase in physiological secretions can be:

• To be taken by mother during breastfeeding hormonal medications or hormonal contraceptives.
• Expressed diseases thyroid gland at mom's breastfeeding.
• Abuse of soy products during breastfeeding (soy without processing and long-term natural fermentation in principle, and also very young children, children under one year old are allowed soy formula for babies, soy yogurt, tofu from 10-12 months), i.e. mother can have tofu , miso, soy sauce, soy yogurt, tempeh, but it is advisable to limit soy milk, soy asparagus, soybean oil, soy protein, soy flour, soy sausage, soy meat).