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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Pain And Vaginal Thrush In A Child

My daughter is 9 years old, in january suffered from abdo pain for 10 days and had 4 separate episodes of vomiting over the 10 days and seemed to be suffering spasms. She was fine for 5 months but it started up again 5 days ago - she has vomited once. It seems worse after eating - we have tried buscopan and colofac - the pain is mainly in the supra pubic area, she also has vaginial thrush for which we have canesten. She is very red and has had a small amount of bleeding from where the skin has broken down - could this be causing the abdominal pain and is there anything else that can treat it ie pessaries of oral tablet other than canesten?
Tue, 25 Apr 2017
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Pediatrician,  's  Response
Hello dear!
I can understand your concern. As per your symptoms,its urinary tract infection with vaginal candidiasis.I would advise to get her urine routine examination done from lab. If there is infection (pus cells in urine) go for urine culture and start syp. ciprofloxacin 250 mg/5 ml (6 ml twice daily for 1 week) along with cranberry juice twice daily. Also give her plenty of fluids like fresh fruit juices and plain water to make her urine output atleast 1.5 to 2 litres/day and the urine colour should be clear. Get her renal scan (ultrasound KUB)done if the infection is positive in urine.
Pomegranate juice is also helpful in relieving pain due to urinary tract infection.
For vaginal infection,canesten is good enough but you can also try fusidic acid and syp. VERMOX (mebendazole) 5 ml twice daily for 3 days because sometimes the itching and redness is due to pinworm infection that also causes Urinary infection.
Avid constipation by giving high fiber diet and fluids.
Avoid tight clothing.
Wipe from front to back,not back to front after pee.
Hope it will help.
Wishing your child good health :-)
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Suggest Treatment For Abdominal Pain And Vaginal Thrush In A Child

Hello dear! I can understand your concern. As per your symptoms,its urinary tract infection with vaginal candidiasis.I would advise to get her urine routine examination done from lab. If there is infection (pus cells in urine) go for urine culture and start syp. ciprofloxacin 250 mg/5 ml (6 ml twice daily for 1 week) along with cranberry juice twice daily. Also give her plenty of fluids like fresh fruit juices and plain water to make her urine output atleast 1.5 to 2 litres/day and the urine colour should be clear. Get her renal scan (ultrasound KUB)done if the infection is positive in urine. Pomegranate juice is also helpful in relieving pain due to urinary tract infection. For vaginal infection,canesten is good enough but you can also try fusidic acid and syp. VERMOX (mebendazole) 5 ml twice daily for 3 days because sometimes the itching and redness is due to pinworm infection that also causes Urinary infection. Avid constipation by giving high fiber diet and fluids. Avoid tight clothing. Wipe from front to back,not back to front after pee. Hope it will help. Wishing your child good health :-)