Monilial Vaginitis, Child

Vaginitis in an inflammation (soreness, swelling and redness) of the vagina and vulva.

CAUSES

Yeast vaginitis is caused by yeast (candida) that is normally found in the vagina. With a yeast infection the candida has over grown in number to a point that upsets the chemical balance. Conditions that may contribute to getting monilial vaginitis include:

  • Diapers.

  • Other infections.

  • Diabetes.

  • Wearing tight fitting clothes in the crotch area.

  • Using bubble bath.

  • Taking certain medications that kill germs (antibiotics).

  • Sporadic recurrence can occur if you become ill.

  • Immunosuppression.

  • Steroids.

  • Foreign body.

SYMPTOMS

  • White thick vaginal discharge.

  • Swelling, itching, redness and irritation of the vagina and possibly the lips of the vagina (vulva).

  • Burning or painful urination.

DIAGNOSIS

  • Usually diagnosis is made easily by physical examination.

  • Tests that include examining the discharge under a microscope

  • Doing a culture of the discharge.

TREATMENT

Your caregiver will give you medication.

  • There are several kinds of anti-monilial vaginal creams and suppositories specific for monilial vaginitis.

  • Anti monilial or steroid cream for the itching or irritation of the vulva may also be used. Get your child's caregiver's permission.

  • Painting the vagina with methylene blue solution may help if the monilial cream does not work.

  • Feeding your child yogurt may help prevent monilial vaginitis.

  • In certain cases that are difficult to treat, treatment should be extended to 10 to 14 days.

HOME CARE INSTRUCTIONS

  • Give all medication as prescribed.

  • Give your child warm baths.

  • Your child should wear cotton underwear.

SEEK MEDICAL CARE IF:

  • Your child develops a fever of 102° F (38.9° C) or higher.

  • Your child's symptoms get worse during treatment.

  • Your child develops abdominal pain.