Painful swollen vag lip. Painful Swollen Vaginal Lip in Children: Causes, Symptoms, and Treatment
What are the common causes of genital symptoms in young girls. How to identify and treat soap vulvitis in children. When to seek medical attention for vaginal symptoms in girls.
Common Causes of Genital Symptoms in Young Girls
Genital symptoms in young girls before puberty can be concerning for parents. Understanding the potential causes is crucial for proper care and treatment. Here are some of the most common reasons for vaginal and vulvar symptoms in children:
- Soap vulvitis
- Poor hygiene
- Yeast infections
- Labial fusion
- Pinworms
- Vaginitis
- Vaginal foreign objects
- Bladder infections
- Skin rashes
It’s important to note that while these are common causes, any unexplained or persistent symptoms should be evaluated by a healthcare professional to rule out more serious conditions.
Understanding Soap Vulvitis: The Most Common Culprit
Soap vulvitis is the most frequent cause of genital itching and discomfort in young girls. This condition occurs when the sensitive vulvar area becomes irritated by soap or other cleansing products. Why is soap vulvitis so common in children?
- The vulva is highly sensitive to the drying effects of soap
- Bubble baths are a primary cause of irritation
- Shampoo or soap residue in bathwater can trigger symptoms
- Washing the genitals with soapy washcloths can lead to irritation
Soap vulvitis typically affects young girls before puberty, as the vulvar area becomes more resilient to soap after hormonal changes occur. Recognizing the signs of soap vulvitis can help parents take appropriate action to alleviate their child’s discomfort.
Identifying Symptoms of Vaginal and Vulvar Irritation
Recognizing the symptoms of genital irritation in young girls is crucial for prompt treatment and relief. What signs should parents look out for?
- Vaginal discharge
- Bleeding
- Pain in the genital area
- Itching of the vulva
- Discomfort when urinating
- Redness or swelling of the genital area
These symptoms can vary in intensity and may be caused by different factors. It’s essential to observe the duration and severity of symptoms to determine whether medical attention is necessary.
When to Seek Medical Attention for Vaginal Symptoms
While many genital symptoms in young girls can be managed at home, certain situations require prompt medical evaluation. When should parents contact a healthcare provider?
Call Doctor or Seek Care Now:
- Suspicion of sexual abuse
- Vaginal bleeding
- Severe genital pain
- Child appears very ill
Contact Doctor Within 24 Hours:
- Vaginal discharge
- Presence of fever
- Pain or burning during urination
- Suspicion of a vaginal foreign object
- Signs of infection in the genital area
Contact Doctor During Office Hours:
- Vaginal itching persists for more than 3 days despite home care
- Recurrent vaginal itching
- Mild genital rash lasting more than 3 days with home treatment
By recognizing these situations, parents can ensure their child receives appropriate medical care when necessary.
Home Care for Soap Vulvitis and Mild Genital Irritation
Many cases of genital irritation in young girls, especially soap vulvitis, can be managed effectively at home. What are some recommended home care strategies?
- Avoid using soap on the genital area
- Clean the genitals with warm water only
- Discontinue the use of bubble baths
- Implement proper hygiene practices
- Use baking soda baths for symptom relief
For baking soda baths, add 2 ounces (60 mL) of baking soda to a tub of warm water and have the child soak for 10 minutes. This can help remove germs and promote healing. It’s important to note that these home care measures are specifically for young girls before puberty.
Preventing Recurrent Genital Irritation in Children
Preventing future episodes of genital irritation is key to ensuring a child’s comfort and well-being. How can parents reduce the risk of recurrent symptoms?
- Use gentle, fragrance-free soaps for body washing
- Avoid bubble baths and scented bath products
- Teach proper wiping techniques (front to back) after using the toilet
- Encourage wearing breathable cotton underwear
- Ensure regular bathing and proper genital hygiene
- Address any underlying conditions, such as constipation
By implementing these preventive measures, parents can significantly reduce the likelihood of their child experiencing recurrent genital irritation.
Other Causes of Genital Symptoms in Young Girls
While soap vulvitis is the most common cause of genital symptoms in young girls, it’s important to be aware of other potential causes. What other conditions can lead to vaginal or vulvar symptoms in children?
Yeast Infections:
Although rare before puberty, yeast infections can occur in girls who wear diapers or have recently taken antibiotics. They may also be more common in girls with diabetes.
Labial Fusion:
This condition occurs when the vaginal lips or folds become stuck together, potentially trapping soap or stool and causing irritation.
Pinworms:
These parasites can sometimes travel into the vagina, causing intense itching due to their secretions.
Vaginitis:
Bacterial infections of the vagina, often caused by Strep bacteria, can lead to a yellow discharge.
Vaginal Foreign Objects:
Young girls may occasionally insert small objects into their vagina during normal exploratory behavior, leading to discharge or discomfort.
Bladder Infections:
Common in young girls due to their short urethra, these infections typically cause pain or burning during urination.
Understanding these potential causes can help parents and healthcare providers identify and address the underlying issue more effectively.
The Importance of Proper Genital Hygiene for Young Girls
Maintaining proper genital hygiene is crucial for preventing irritation and infections in young girls. Why is genital hygiene so important, and what are the best practices?
- Prevents the buildup of bacteria and irritants
- Reduces the risk of urinary tract infections
- Helps avoid skin irritation and discomfort
- Promotes overall genital health
To ensure proper genital hygiene, parents should teach their daughters to:
- Wipe from front to back after using the toilet
- Clean the genital area with warm water only during baths
- Avoid using soap, wipes, or other products on the vulva
- Change out of wet bathing suits or sweaty clothes promptly
- Wear breathable cotton underwear
By instilling these habits early on, parents can help their daughters maintain good genital health throughout childhood and beyond.
When to Suspect More Serious Causes of Genital Symptoms
While most genital symptoms in young girls are benign, it’s crucial to be aware of signs that may indicate a more serious underlying condition. What red flags should parents and healthcare providers watch for?
- Unexplained vaginal bleeding
- Severe or persistent pain
- Signs of trauma to the genital area
- Sudden changes in behavior or emotional state
- Recurrent symptoms despite appropriate treatment
- Discharge with a strong, foul odor
If any of these signs are present, it’s essential to seek immediate medical attention. In some cases, these symptoms may indicate more serious conditions, including potential sexual abuse. Healthcare providers are trained to evaluate these situations sensitively and thoroughly.
The Role of Parents in Managing Genital Health in Young Girls
Parents play a crucial role in maintaining their daughter’s genital health and addressing any issues that arise. How can parents best support their child’s genital health?
- Educate themselves about normal genital anatomy and common issues
- Teach proper hygiene practices from an early age
- Monitor for any changes or symptoms
- Respond calmly and matter-of-factly to any concerns
- Seek medical advice when necessary
- Create an open, comfortable environment for discussing health issues
By taking an active role in their child’s genital health, parents can help prevent problems, address issues early, and promote overall well-being. It’s important to approach these topics with sensitivity and age-appropriate language to ensure the child feels comfortable and supported.
Understanding the Difference Between Normal and Abnormal Vaginal Discharge
Vaginal discharge can be a source of concern for parents of young girls. How can one differentiate between normal and abnormal discharge?
Normal Discharge:
- Clear or slightly cloudy
- No strong odor
- Small amount
- May vary slightly with the menstrual cycle (in girls who have started menstruating)
Abnormal Discharge:
- Yellow, green, or gray color
- Strong or foul odor
- Accompanied by itching, burning, or pain
- Thick or chunky consistency
- Blood-tinged (when not related to menstruation)
If a young girl experiences abnormal discharge, it’s important to consult a healthcare provider for proper evaluation and treatment. The cause could range from a simple infection to a more serious condition requiring medical intervention.
The Impact of Hormonal Changes on Genital Health in Girls
As girls approach puberty, hormonal changes can significantly affect their genital health. What changes can parents and girls expect, and how do they influence susceptibility to various conditions?
- Increased vaginal secretions
- Changes in the pH balance of the vagina
- Greater resilience to soap and other irritants
- Increased risk of yeast infections
- Potential for more noticeable vaginal odor
Understanding these changes can help parents guide their daughters through this transitional period. It’s important to emphasize that these changes are normal and to provide education on how to maintain genital health during and after puberty.
The Psychological Impact of Genital Symptoms on Young Girls
Experiencing genital symptoms can be distressing for young girls, potentially affecting their emotional well-being and body image. How can parents address the psychological aspects of these issues?
- Maintain a calm and supportive demeanor when discussing symptoms
- Normalize the experience and reassure the child that many girls face similar issues
- Avoid using language that might cause shame or embarrassment
- Encourage open communication about bodily changes and concerns
- Consider seeking professional help if the child shows signs of significant distress or anxiety
By addressing both the physical and emotional aspects of genital health issues, parents can help their daughters navigate these experiences with confidence and resilience.
The Role of Diet and Lifestyle in Maintaining Genital Health
While proper hygiene is crucial, diet and lifestyle factors can also play a role in maintaining genital health in young girls. What dietary and lifestyle choices can help prevent issues?
- Adequate hydration to promote urinary health
- A balanced diet rich in fruits and vegetables
- Limiting sugary foods and drinks
- Wearing breathable, cotton underwear
- Avoiding tight-fitting clothes that can trap moisture
- Encouraging regular physical activity
By promoting overall health through diet and lifestyle choices, parents can help support their child’s genital health and reduce the risk of various issues.
The Importance of Regular Check-ups for Girls’ Genital Health
Regular pediatric check-ups play a crucial role in monitoring and maintaining girls’ genital health. Why are these check-ups important, and what typically occurs during them?
- Early detection of potential issues
- Opportunity to discuss any concerns or symptoms
- Monitoring of normal development
- Education on proper hygiene and self-care
- Building a comfortable relationship with healthcare providers
During these check-ups, pediatricians may perform a brief external genital examination, discuss any symptoms or concerns, and provide guidance on maintaining genital health. These visits also allow for age-appropriate education about puberty and reproductive health.
Addressing Concerns About Sexual Abuse in Young Girls
While most genital symptoms in young girls are benign, it’s important to be aware of signs that could indicate sexual abuse. What signs should parents and healthcare providers be vigilant about?
- Unexplained injuries to the genital area
- Sudden changes in behavior or emotional state
- Age-inappropriate sexual knowledge or behavior
- Recurrent urinary tract infections
- Persistent pain in the genital area
- Difficulty sitting or walking
If there is any suspicion of sexual abuse, it’s crucial to seek immediate medical attention and report concerns to the appropriate authorities. Healthcare providers are trained to handle these sensitive situations and can provide necessary support and resources.
Future Developments in Pediatric Genital Health Care
The field of pediatric genital health care continues to evolve, with ongoing research and developments aiming to improve diagnosis, treatment, and prevention of various conditions. What advancements can we expect in the future?
- More refined diagnostic tools for identifying specific pathogens
- Development of gentler, child-friendly treatments for common conditions
- Improved understanding of the vaginal microbiome in young girls
- Enhanced educational resources for parents and children
- Integration of telemedicine for easier access to pediatric gynecological care
These advancements hold the promise of improving care for young girls experiencing genital symptoms, potentially leading to faster diagnoses, more effective treatments, and better overall outcomes.
Vaginal Symptoms-Child
Is this your child’s symptom?
- Genital symptoms in young girls (before puberty)
- Vaginal symptoms include discharge, bleeding and pain
- Vulva symptoms include itching and pain when passing urine
- Vulva itching and irritation from soap is the most common problem
- Symptoms not caused by an injury
Symptoms Covered in this Topic
- Vaginal symptoms include discharge, bleeding and pain
- Vulva symptoms include itching and pain when passing urine
- Genital area skin symptoms include itching, pain, rash and swelling
Causes of Genital Symptoms in Young Girls
- Soap Vulvitis. The vulva is the area outside the vagina. Soaps can cause this area to be red, sore and itchy. Bubble baths are the most common cause of genital itching.
- Poor Hygiene. Not rinsing the genitals at all can also cause itching. Any stool left on the vulva is very irritating. This can happen with loose stools or back to front wiping. It’s also seen in children who leak stool because they are blocked up. Traces of sand or dirt may do the same.
- Yeast Vulvitis. Yeast infections of the female genital area are rare before the teen years. They do occur in girls who are still wearing diapers. They can happen after a course of antibiotics. They can also happen in girls with diabetes.
- Labial Fusion. (Also called labial adhesions.) This is when the vaginal lips or folds are stuck together. The vaginal opening looks closed off. Labia that are closed more than half way can collect soap or stool. The main symptom is itching in this area.
- Pinworms. Sometimes, an adult pinworm will travel into the vagina. The pinworm’s secretions are very irritating. This leads to intense itching.
- Vaginitis. Vaginitis is a bacterial infection of the vagina. The main symptom is a yellow discharge. The most common cause in young girls is Strep, the same one that causes bad sore throats. Vaginal discharge from STIs (sexually transmitted infections) is rare before the teen years.
- Vaginal Foreign Object. Young girls may put an object (such as a bead) in the vagina. This can be part of normal behavior as young girls explore their bodies. It will cause a bad-smelling discharge. If the object is sharp, the discharge will be blood-tinged.
- Bladder Infection. These are common in young girls because the urethra is so short. The main symptom is pain or burning when passing urine.
- Skin Rash. Most skin rashes are from contact with some irritant. The irritant is often on dirty hands. The cause is from not washing them before using the toilet.
- Serious Cause: Sexual Abuse. Suspect for any symptoms that are strange or not explained.
Soap Vulvitis
- Soap is the most common cause of genital itching in young girls. It can also cause the area to become red and sore. This is called soap or chemical vulvitis.
- The vulva is very sensitive to the drying effect of soaps.
- Sitting for a long time in a bubble bath is the main cause.
- Shampoo or soap in the bath water can also cause redness and itching. So can washing the genitals with a soapy washcloth.
- In young girls, the inner female genitals should only be washed with warm water. The skin around the genitals can be washed with soap.
- Soap vulvitis only occurs in young girls before puberty. Breast buds are the first sign of puberty. This diagnosis is easy if young girls are using bubble bath.
When to Call for Vaginal Symptoms-Child
Call Doctor or Seek Care Now
- Could be from sexual abuse
- Vaginal bleeding
- Severe genital pain
- Your child looks or acts very sick
- You think your child needs to be seen, and the problem is urgent
Contact Doctor Within 24 Hours
- Vaginal discharge
- Fever is present
- Pain or burning when passing urine
- Vaginal pain
- Vaginal foreign object suspected
- Genital area looks infected (such as spreading redness, draining sore)
- You think your child needs to be seen, but the problem is not urgent
Contact Doctor During Office Hours
- Vaginal itching lasts more than 3 days using this care advice
- Vaginal itching is a frequent problem
- Mild rash of genital area lasts more than 3 days using this care advice
- You have other questions or concerns
Self Care at Home
- Soap vulvitis suspected as cause of itching
- Mild skin rash of genital area
Seattle Children’s Urgent Care Locations
If your child’s illness or injury is life-threatening, call 911.
Care Advice
Soap Vulvitis – Treatment
- What You Should Know About Soap Vulvitis:
- Genital itching in young girls is most often caused by soap (especially bubble bath). The vulva area is sensitive to the drying effect of soap.
- Only clean the genitals with warm water.
- After puberty, soap can be tolerated.
- Here is some care advice that should help.
- Baking Soda Baths – Young Girls Only:
- Soak for 10 minutes to remove germs and to help with healing.
- Add 2 ounces (60 mL) baking soda per tub of warm water.
- Reason: Baking soda is better than vinegar for young girls.
- During soaks, be sure she spreads her legs. This allows the water to cleanse the genitals.
- Repeat baking soda soaks 2 times per day for 2 days.
- Steroid Cream for Itching:
- Put a tiny amount of 1% hydrocortisone cream (such as Cortaid) on the genitals.
- No prescription is needed.
- Use after soaks for 1 or 2 days. Do not use more than 2 days.
- Prevention – Do Not Use Soaps:
- Do not use bubble bath, soap and shampoo in the bath water. They can cause the genitals to be red, sore or itchy.
- Only use warm water to cleanse the genitals.
- Baby oil can be used to remove any dried body fluids.
- After puberty, soap can be used.
- What to Expect:
- If soap is the cause, symptoms should go away within 2 days.
- Call Your Doctor If:
- Itching lasts over 48 hours using this care advice
- Vaginal discharge or bleeding occurs
- Passing urine becomes painful
- You think your child needs to be seen
- Your child becomes worse
Mild Skin Rash near Genital Area – Treatment
- What You Should Know about Genital Rashes:
- Rashes can be caused by skin irritants. The hand may touch the genital area when passing urine. Rashes are commonly from an irritant that was on the hands.
- Examples are a plant (such as an evergreen) or chemicals (such as bug repellents). Fiberglass, pet saliva or even food can also be irritants.
- Most small rashes can be treated at home.
- Here is some care advice that should help.
- Clean the Area:
- Wash the area once with soap to remove any irritants.
- Steroid Cream for Itching:
- For itchy rashes, use 1% hydrocortisone cream (such as Cortaid). No prescription is needed.
- Do this 2 times per day for a few days.
- Antibiotic Ointment for Infections:
- For any cuts, sores or scabs that look infected, put on an antibiotic ointment. An example is Polysporin. No prescription is needed.
- Use 2 times per day until seen.
- What to Expect:
- Small rashes from irritants should go away in 2 days with treatment.
- Prevention of Rashes:
- Teach your daughter to wash her hands if they are dirty.
- Have her clean her hands before touching her genital area.
- Call Your Doctor If:
- Rash spreads or gets worse
- Rash lasts more than 3 days
- Fever occurs
- You think your child needs to be seen
- Your child becomes worse
And remember, contact your doctor if your child develops any of the ‘Call Your Doctor’ symptoms.
Last Reviewed: 10/09/2021
Last Revised: 09/30/2021
Copyright 2000-2021. Schmitt Pediatric Guidelines LLC.
Pain in the Vulva or Pelvis, Sexual Side Effects of Menopause
The vagina is not the only site of discomfort that can put a damper on sex. Pain in the vulva (the external part of the genitals, including the labia and clitoris) or in the pelvic region can do the same. Although vulvar and pelvic pain can and do occur in women at midlife and beyond, pain in these areas is also common before menopause.
Vulvar pain. The main causes of vulvar discomfort are:
- Vulvodynia, a chronic condition involving pain (stinging, burning, irritation, or rawness) in the vulva. The pain may come and go and may occur with or without touching or pressure. All or only a portion of the vulva may be affected. There are usually no visible signs. Vulvodynia almost always involves pain with intercourse, which may last from minutes to days. Studies suggest that about 3% to 15% of women suffer from vulvodynia. Treatments include self-care measures (such as wearing all-cotton underwear or washing the vulva with water only), medication, relaxation exercises, and (in severe cases) surgery.
- Vulvar vestibulitis (focal vulvodynia), or extreme sensitivity in a narrow band of tissue just outside the opening of the vagina. It can be identified by touching the hypersensitive area with a moist cotton swab, which will cause pain in a woman with this condition.
- Reactions to perfumed soaps or other hygiene products, such as douches, lubricants, or vaginal sprays. These reactions, which are referred to as “contact dermatitis,” typically cause itching, burning, and pain and may involve a rash and swelling. They usually resolve after use of the irritating product is stopped, although topical or oral medications can be used if needed. Menstrual pads and other absorbent pads can also be a source of irritation, but so can chronic dampness.
- Vulvar masses such as genital warts or benign cysts, which are not usually painful but can cause discomfort if large.
- Skin conditions such as eczema, psoriasis, lichen sclerosus, or ulcers.
Pelvic pain. Chronic pelvic pain is mainly a condition of reproductive-age women, affecting about 15% to 20% of women ages 18 to 50, but peri- and postmenopausal women are not immune to it.
Although chronic pelvic pain is not well understood, it is defined as pain in the pelvis, the front of the abdomen, the lower back, or the buttocks that lasts more than 6 months, has no clear anatomic cause, and is severe enough to cause disability or lead to medical care. It is believed to have many contributing factors and is often hard to distinguish from other medical conditions. The best way to treat it is an area of controversy. Chronic pelvic pain is of interest here because it often results in pain or pressure during sex.
In some cases, pelvic pain can be clearly traced to bands of internal scar tissue (adhesions) that form after injury or infection in the pelvic or abdominal region. This scar tissue can make sex painful and make it harder to achieve orgasm.
Any pain felt deep inside the body during intercourse may be a red flag for an underlying medical problem and should be evaluated by a healthcare provider. Possible underlying conditions that could cause pelvic pain during sex include pelvic inflammatory disease (usually caused by a sexually transmitted infection), endometriosis (a condition that is normally diagnosed before menopause), pelvic adhesions (described above), bowel or bladder disease, and ovarian cysts.
Swollen, Sore, Itchy Vagina After Sex? Here’s Why | Glamour
Every once in a while, you may notice that things seem a little different below the belt after you have sex. An itchy vagina after sex? Yeah, we’ve all been there. When something feels off or painful, it’s natural to wonder if everything is okay, or if it the change warrants medical attention. (We all want our vaginas and vulvas to stay healthy, right?) To find out what’s worth a trip to the doctor, we asked ob-gyns to weigh in on the some of the more common vaginal changes women experience after sex—specifically, what to look out for and why most of these changes are really nothing to worry about. Here is what they told us you might notice.
You have an itchy vagina after sex.
Post-coital itchiness could be due to a few things, says Maureen Whelihan, M.D., an ob-gyn at the Center for Sexual Health and Education in West Palm Beach, Florida, and Charlotte, North Carolina. It could be irritation from friction while you were getting busy, a sensitivity or allergy to the lube you used, or an issue with latex condoms.
The first one is no big deal and will gradually subside. But if you find that this is happening often, try switching out your lube to a hypoallergenic variety or use nonlatex condoms, and see if it makes a difference. If not, talk to your ob-gyn.
You have a swollen vagina after sex.
A little swelling is really common after sex—it’s actually a sign of arousal that can linger even after sex is over. “The spongy structures that go up each side of the penis and fill with blood, creating an erection, also occur in women,” says Whelihan. In women, those structures sit behind your outer lips, or labia majora. “When they fill with blood during arousal, the vulva appears puffy and swollen,” Whelihan explains. They should depuff on their own, but a hot compress can speed things up if it bothers you.
Your vagina burns when you pee.
If your vagina is burning after sex—especially when you pee—it’s tempting to assume something is seriously wrong. (If you’ve ever had a urinary tract infection, you know the panic that creeps in when you think you might have contracted one) The burning could be due to micro-abrasions (i.e., little cuts) that women can get during sex, says Jessica Shepherd, M. D., an assistant professor of clinical obstetrics and gynecology and director of minimally invasive gynecology at the University of Illinois College of Medicine at Chicago. This can happen for a variety of reasons: Maybe your partner’s pubic hair was abrasive or things got a little rough. Whatever it is, Shepherd says, it will usually go away on its own.
In the meantime, be sure to pat, not wipe, when you use toilet paper to prevent injuring your vagina more. (Note that a teensy bit of blood may occur with these abrasions and is not cause for concern). If it’s super uncomfortable to pee, Whelihan recommends pouring some lukewarm water over your vulva while you go to dilute the acid in your urine that causes the sting.
You’re really dry down there.
This could be a sign that you were never really all that lubricated to begin with, Shepherd says. There’s no reason not to use lube—it pretty much always makes things more comfortable.
You can use a lube such as coconut oil after sex too—if the dryness is irritating, a little lube can help soothe things. Overwashing your vagina or using chemical wipes can also cause dryness, Whelihan says, so ease up on those habits if this becomes a problem for you.
You bleed a little.
Light vaginal bleeding can occur for some women after sex, says Mary Jane Minkin, M.D., clinical professor of obstetrics, gynecology, and reproductive sciences at Yale School of Medicine, and can be the result of a number of common issues (including dryness). Rougher sex can cause slight vaginal tearing, which could also lead to a woman seeing some spotting.
Bleeding isn’t necessarily a red flag. “For one episode, I wouldn’t worry,” she says. If it is recurrent, Minkin suggests consulting your gyno.
When to see your gyno.
While most of these post-sex issues are totally normal, sometimes a trip to the doctor is in order. The golden rule of thumb, according the experts: If a problem persists more than a day or two, call your doc.
Other red flags: You suddenly start bleeding after sex, you develop a fever, or you have painful urination that gets worse, Shepherd says. When in doubt, call the doc.
Specialty Gynecology | TriHealth
The physicians at the Good Samaritan Women’s Center for Specialized Care regularly treat these conditions:
- Vulvodynia
- Vulvo disorders
- Vulvitis
- Pelvic pain
- Painful intercourse
- Vaginal infections
- Vaginal cysts
- Congenital disorders
- Uterine fibroids
- Genital warts
- Genital herpes
- Uterine bleeding
- Abnormal Pap tests
Vulvodynia
Vulvodynia means “painful vulva,” a lasting pain in the area around the opening of your vagina. The pain can be constant or intermittent and described as:
- Burning
- Soreness
- Itching
- Stinging
- Rawness
- Painful intercourse (dyspareunia)
- Throbbing
A similar condition is called vulvar vestibulitis, which may cause pain only when pressure is applied to the area surrounding your vaginal opening. Another condition, called pudendal neuralgia, causes pain in the buttocks, vulva, urethra and the area between your anus and genitals.
Experts believe that as many as one in six women experience vulvodynia, yet many never report it to their doctor. Your doctor has many options for treating this condition. They include medication, physical therapy, biofeedback and estrogen cream. After a thorough examination and discussion, your doctor will recommend the treatment that is best for you.
Vulvo Vaginal Disorders
There are numerous disorders associated with the vulva – the area where your external genitals are located. The most common symptoms of disorders in this area are:
- Burning
- Itching
- Soreness
- Throbbing
- Extreme tenderness
- Lesions in the vulva
The symptoms you experience will help your doctor determine the vulvo vaginal disorder that is present. The discomfort from these disorders can be unbearable. Your doctor will be able to determine if your condition is being caused by something that is easily treatable. If so, the appropriate treatment will be prescribed.
Sometimes the reason for vulvar disorders cannot be determined. Possibilities include a damaged nerve, hormonal changes, allergy or muscle tightness. If your doctor is unable to treat the cause, he will show you how to manage your pain.
Vulvitis
Vulvitis is an inflammation of the outer genitals. It can be caused by allergies, long-term skin conditions, or infections. Symptoms may include:
- Burning or itching
- Cracked skin
- Vaginal discharge
- Redness and swelling
- Thickening of the skin
Your doctor will examine the affected area and may test for infection. If prescribed medication is not effective, a biopsy of the skin may be needed to rule out other conditions.
Pelvic Pain
Pain in a broad area below your abdomen is called pelvic pain. You may have it during your period, during intercourse or bowel movement, or whenever you are seated. The pain can be intermittent or steady; severe or a dull ache. It can feel like a pressure deep within your pelvic area.
If the pain is severe enough to disrupt your day, you should see your doctor. Finding the cause of pelvic pain is tricky. If the reason for the pain is found, treatment will focus on eliminating the cause. If not, treatment will focus on managing the pain.
Painful Intercourse
If you experience pain during or soon after sexual intercourse (called dyspareunia), you are not alone. There are many possible reasons for the pain. Your doctor can help you pinpoint the cause. Possibilities include:
- Intercourse too soon after surgery or childbirth
- Vaginal dryness or infection
- Menopause
- Reaction from a latex condom or diaphragm
- Irritation from soaps, douches or other hygiene products
- Sexually transmitted diseases
- Urinary tract infections
- Endometriosis
- Involuntary contraction of the vaginal muscles
- Diaphragm that fits poorly
- Hemorrhoids
- History of sexual abuse
- Certain medications
Depending on the cause, your doctor may recommend treatments that you can administer at home. Other treatment options include medications and/or therapy. Be sure to notify your doctor if the pain is accompanied by bleeding, vaginal discharge, genital lesions or irregular periods.
Vaginal Infections
Most women experience an inflammation of the vagina at some point during their lifetime. The inflammation can be accompanied by one or more of these symptoms:
- Vaginal itching or irritation
- Foul-smelling vaginal discharge
- White, thick or greenish-yellow discharge
- Pain during intercourse
- Painful urination
- Abnormal bleeding
There are several types of vaginal infections. A pelvic exam often can help your doctor determine the type of infection. Your doctor also may take a sample of your discharge in order to confirm the diagnosis. Treatment – usually a medication – will depend on the type of infection you have.
If you suffer repeatedly from infections, a discussion with your doctor can help. All of the following can play a role:
- Sexual habits
- Soaps, douches
- Medications
- Diabetes
- Hormonal changes
- Damp or tight-fitting clothing
By exploring the reasons for your infections, your doctor can help you determine why they occur, and how to prevent future infections.
Vaginal Cysts
A sac of fluid on or under the lining of the vagina is a vaginal cyst. These cysts can be as small as a pea or as large as an orange. They can result from trauma to the vagina, or following an obstetric or gynecologic procedure.
Other than a soft lump within or protruding from the vagina, cysts often have no symptoms. Their presence can cause pain during sexual intercourse or when inserting a tampon.
Upon examination, your doctor may want to take a biopsy of the cyst to rule out cancer. Depending on the location of the cyst, an x-ray may be needed to confirm its presence. Once confirmed, your doctor may simply want to watch the cyst for changes. Removing the cyst via surgery usually is not necessary unless the cyst is causing severe discomfort.
Vaginal Congenital Disorders
Our physicians are experienced at treating all types of vaginal congenital disorders, including:
- Gartner duct cysts
- Adenosis – mucus secreting glands in the vagina
- Vaginal septum
- Absence of the vagina
Uterine Fibroids
Fibroids are tumors that grow in the wall of the uterus, usually during middle age. They can grow as a single tumor, or there can be many of them in the uterus. They can be very tiny or as large as a grapefruit. Rarely are they cancerous.Most fibroids are harmless and cause no problems. Sometimes fibroids can cause:
- Heavy bleeding or painful periods
- Full or heavy feeling in the pelvis
- Frequent urination
- Painful intercourse
- Lower back pain
- Complications during pregnancy
- Infertility (rare)
Treatment options for fibroids range from drugs that shrink fibroids to surgery. Your doctor will recommend a treatment plan that is best for you.
Genital Warts
Genital warts can itch or bleed and interfere with bowel movements, urination, and sexual intimacy. Removing warts reduces the risk of passing the virus to partners.
Genital warts are caused by the human papilloma virus (HPV). They usually are sexually transmitted. They also can be seen in infants who have been delivered vaginally to mothers with HPV in their genital tracts. These warts may appear externally in the vaginal area, or inside the vagina or anus. By removing a wart and examining it in a lab, your doctor can confirm diagnosis.
Treatment options include:
- Surgical removal of warts (with laser, by freezing with liquid nitrogen, simple excision or removal with electric needle)
- Chemical application over multiple visits to destroy warts
- Medication
Your doctor will determine the best treatment for you based on the number of warts, their specific location, and other factors. Recurrences are always possible. New treatments are continually being investigated. Ask your doctor about the latest findings.
Genital Herpes (Herpes Simplex)
Genital herpes is a viral infection that can be spread through sexual contact. It causes sores and blisters around the genitals, or anus. It can be spread through direct contact with thesesores, but also can be spread even if you do not see a sore.
You may have painful attacks with many sores, or only mild symptoms. In addition to sores and blisters, symptoms may include:
- Swollen glands
- Fever
- Chills
- Muscle aches
- Fatigue
- Nausea
- Stinging feeling during urination
The first bout with genital herpes may last two to four weeks. Recurrent infections usually are less painful and heal more quickly.
Oral medications can shorten the length of an outbreak and reduce discomfort. Daily oral medications can reduce the frequency of outbreaks, and the chance of spreading the disease to someone else. Your doctor can help determine the treatment that is best.
Abnormal Uterine Bleeding
There are many reasons why you may experience abnormal bleeding. It can be caused by a hormone imbalance, changes in ovulation, thickening of the uterus, or cancer.
To determine the cause, your doctor likely will order tests. Your age will help determine which tests are needed. Treatment will depend on tests results. It can range from medications to surgery.
Abnormal Pap Tests
An abnormal Pap test sometimes detects cancer cells in the lining of the vagina. If a repeat Pap test also is abnormal, your doctor likely will want to conduct further tests to identify the reason.
For information on cancers of female organs, go to the Gynecologic Oncology (please link to this section) section of this Web site.
What Is Vulvodynia? Symptoms, Causes, Diagnosis, Treatment, and Prevention
No one treatment works for everyone. If you are experiencing vulvar pain, talk to your doctor about what treatments might work best for you.
Medication Options
Other Treatment Options
Your provider may refer you to a pain specialist. A pain specialist may use a technique called biofeedback, which relieves pain with electrical stimulation. (1,7)
Physical therapy or pelvic floor therapy to help address pelvic floor dysfunction may help to relieve vulvodynia in some women. (6)
Surgery may be an option for people with some types of vulvar pain. During the surgery, your doctor will remove tissue from the painful area of the vulva. Surgery isn’t recommended for most people with vulvodynia. (5)
Alternative and Complementary Therapies
There are a number of steps you can take at home to help ease vaginal or vulvar pain. If you have vulvodynia, avoiding products that may be irritating to the area may help to reduce or relieve symptoms. (1)
- Avoid tight-fitting underwear, pantyhose, and pants (1)
- Wear 100 percent cotton underwear (1)
- Do not wear underwear while sleeping (1)
- Don’t douche (1)
- Clean the vulva with water only (avoid vaginal wipes, deodorants, bubble baths, and scented soaps) (1)
- Use lubrication during sex (but avoid lubricants with flavor or those that produce a warming/cooling sensation) (1)
- Apply cool packs to the vulvar area to reduce pain and itching (1)
- Avoid scented pads or tampons (8)
- Avoid exercises or activities that put pressure directly on the vulva, such as bicycling and horseback riding (1)
- Take 5- to 10-minute sitz baths in warm water, then moisturize the area with a thin layer of petroleum jelly (1)
In addition to home remedies, some studies suggest that low-risk modalities such as yoga and acupuncture may be helpful in reducing pain from vulvodynia. While there may not be a lot of evidence to show effectiveness, it may be worth discussing with your doctor whether these techniques make sense for you. (8)
Genital Herpes Condition, Treatments, and Pictures for Teens – Overview
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Images of Herpes Simplex Virus (HSV), Genital
Overview
Genital herpes is a sexually transmitted disease (STD) caused by infection with the herpes simplex virus (HSV). There are 2 major strains of this virus: herpes simplex virus type 1 (HSV-1) and herpes simple virus type 2 (HSV-2). In general, genital herpes is caused by HSV-2, and “fever blisters,” or herpes on the face or lips, is caused by HSV-1.
HSV-2 can cause small, open, tender sores to develop on the genitals or in the buttocks. Though the virus is very contagious to others, only 20% of people who are infected will develop sores. The sores are usually described as an “outbreak,” with the first outbreak occurring within weeks of exposure to the virus and subsequent outbreaks over a person’s lifetime usually occurring less and less frequently. The sores themselves often crop up in the same place on the body. The sores are very contagious and are spread by skin-to-skin contact. Most people (up to 80%) never have an outbreak of sores, but they are still contagious and may spread the disease to others.
There is no cure for genital HSV. The only way to protect yourself is to know your sexual partners and to wear condoms. However, many people are unaware that they are infected with HSV. A doctor can check for HSV infection by doing a test on an open sore, or if there is no sore, by ordering a test on the blood. This is not a standard STD test, so make sure to ask your doctor if you have concerns. A pregnant woman with genital HSV can transmit the disease to her baby during delivery, which can be fatal for the baby. Make sure to discuss your sexual history with your doctor if you are pregnant. Your doctor can also help provide treatments to lessen the severity of outbreaks and may help you identify triggers (such as stress or illness) that may bring on outbreaks.
Who’s at risk?
HSV infections can occur in anyone of any age, sex, or race. It is quite common, and up to 1 in 5 American teens and adults may be infected with HSV-2. Because it is easier for the disease to pass from men to women than from women to men, more women than men are infected. The 2 groups of people most commonly infected with HSV-2 are newborn babies, who are infected during childbirth, and sexually active teens and adults. Because only a minority of people who are infected will develop sores (approximately 20%), the majority of people who are infected are unaware of their status but are still contagious. Remember to always practice safe sex.
Signs and Symptoms
In females, the most common locations for HSV-2 infections include:
- External genitalia
- Labia majora and minora
- Vagina
- Cervix
- Around the anus
In males, the most common locations for HSV-2 infections include:
- Head and shaft of penis
- Scrotum
- Thighs
- Buttocks
- Around the anus
Shortly after exposure to the virus, a newly infected person may develop fluid-filled blisters (vesicles) or pus-filled bumps (pustules), occurring singly or in a group. These vesicles and pustules are usually quite fragile, so many people never notice them but instead see tiny (2–4 mm) ulcers. These painful ulcers subsequently become scabbed over. The scabs eventually fall off, leaving a red area that fades. The first (primary) outbreak typically lasts 1–3 weeks.
In mild cases of primary HSV infection, an individual may develop 1–2 lesions, or the newly infected person may notice no symptoms at all. The lymph nodes in the groin may or may not be swollen. In severe cases of primary HSV-2 infection, people may develop fever, headache, muscle pain, painful urination, and discharge from the vagina or urethra.
Repeat (recurrent) HSV infections are often milder than the primary infection, though they look alike. However, some people never develop the symptoms of a primary HSV infection and may mistake a recurrent infection for a primary infection. A recurrent infection typically lasts 7–10 days. People who are prone to recurrent outbreaks tend to get them 3–4 times per year, though some may have 10 or more outbreaks per year.
Many people with recurrent HSV infections report that the skin lesions are preceded by sensations of burning, itching, or tingling (prodrome). About 24 hours after the prodrome symptoms begin, the actual lesions appear as one or more small blisters or open sores, which eventually become scabbed over.
Triggers of recurrent HSV infections include:
- Fever or illness
- Sun exposure
- Hormonal changes, such as those due to menstruation or pregnancy
- Stress
- Trauma, such as that caused by dental work or cuts from shaving
- Surgery
- Friction to the area, such as that caused by sexual intercourse or tight-fitting clothes
Self-Care Guidelines
Acetaminophen or ibuprofen may help reduce fever, muscle aches, and pain caused by the HSV sores. Applying cool compresses or ice packs may relieve some of the swelling and discomfort. Wear loose-fitting clothes that will not irritate your skin.
Because HSV infections are very contagious, it is important to take the following steps to prevent spread (transmission) of the virus during the prodrome phase (burning, tingling, or itching) and active phase (presence of blisters or sores) of HSV-2 infections:
- Avoid sharing towels and other personal care items.
- Wash your hands with soap and water if you touch an active lesion.
- Avoid sexual contact (including oral, vaginal, and anal sex) during both the prodrome phase and the active phase.
Unfortunately, the virus can still be transmitted even when the affected person does not have active lesions. Therefore, safe sex practices, such as using a condom, should be used between outbreaks, even if no sores are present.
When to Seek Medical Care
If you develop tender, painful sores in or around the genitals, see a physician as soon as possible because treatment for HSV is much more effective if started early.
Recurrent outbreaks rarely require immediate medical attention. However, because some people have milder forms of genital HSV, you should also see a doctor for any recurring rash in the groin area, even if you think it is from bug bites, jock itch, or any other condition.
If you have an underlying medical condition such as cancer or HIV, if you have undergone organ transplantation, or if you are pregnant, you are at higher risk for more serious complications. Seek medical advice as soon as possible.
Treatments Your Physician May Prescribe
Most HSV infections are easy for physicians to diagnose. On occasion, however, a swab from the infected skin may be sent to the laboratory for viral culture, which takes a few days to grow. Blood tests may also be performed.
Untreated HSV infections will go away on their own, but medications can reduce the symptoms and shorten the duration of outbreaks. There is no cure for HSV infection.
Treatment for primary HSV infection includes the following oral antiviral medications:
- Acyclovir pills
- Valacyclovir pills
- Famciclovir pills
These medications are usually taken for 7–14 days.
More severe primary HSV infections may require additional medications:
- Oral antibiotic pills if the areas are also infected with bacteria
- Oral antifungal pills if the areas are also infected with yeast
- Topical anesthetic cream, such as lidocaine ointment, to reduce pain
Treatment for recurrent HSV infections includes the same oral antiviral medications:
- Acyclovir pills
- Valacyclovir pills
- Famciclovir pills
People who experience early signs (prodromes) before recurrent infections may benefit from episodic treatment by starting to take medication after the onset of tingling and burning but before the appearance of blisters and sores.
Other people have recurrent infections that are frequent enough or severe enough to justify suppressive therapy, where medications are taken every day in order to decrease the frequency and severity of attacks.
Trusted Links
Clinical Information and Differential Diagnosis of Herpes Simplex Virus (HSV), Genital
References
Bolognia, Jean L., ed. Dermatology, pp.1099, 2062-2063, 2167. New York: Mosby, 2003.
Freedberg, Irwin M., ed. Fitzpatrick’s Dermatology in General Medicine. 6th ed, pp.1236-1239. New York: McGraw-Hill, 2003.
Swollen Genitals in Newborns
The newborn infant has a range of normal appearances which also embraces the external appearance of the genital region.
Male neonates have a patent processus vaginalis in 90% of cases. This is a free pathway which communicates between the peritoneal cavity and the scrotum, allowing fluid, blood or air to move between them.
Scrotal Hematoma
The scrotum may be enlarged with blood in male neonates. This may be due to traumatic delivery, high birth weight, bleeding disorders, infections or hypoxia. Imaging is essential to exclude intra- or retroperitoneal haemorrhage extending into the scrotum. They are usually managed conservatively.
Scrotal Hydrocele
A hydrocele is due to fluid accumulating around the testicles, within the tunica vaginalis. If the fluid moves between the scrotum and the abdomen through a patent processus vaginalis, it is called a communicating hydrocele. Imaging differentiates between simple, complex and chronic hydroceles. Occasionally pyoceles may result from infection of the fluid or because of the spread of infection from elsewhere in the body.
Inguinal Hernia
These are masses which appear in the inguinal canal due to the passage of bowel through the patent processus vaginalis. Imaging is useful in diagnosis and surgical management is usually required.
Others
Free air in the abdomen, as occurs with a perforated bowel or necrotizing enterocolitis, can enter through the patent processus vaginalis into the scrotum.
Meconium periorchitis and abnormalities of the lymphatic system may also cause scrotal enlargement.
Birth-Associated Phenomena
Both male and female infants may develop swollen and red genitals during their passage through the birth canal. This is thought to be due to increased levels of hormones, or due to a prolonged labor. Fluid may also accumulate in some areas with loose tissue, such as the female vagina and labia, as well as in the face. Pregnancy leads to elevated levels of estrogen which acts upon these tissues, inducing edema and growth. The drop in hormone levels following delivery means that these infants are no longer subject to hormonal effects, which causes the swelling to recede over a couple of weeks at most.
Course and Treatment
Asymptomatic vaginal or scrotal swelling does not need any treatment. Simple observation is enough. At times, a small amount of clear white or pink fluid, or even a little blood, may leak from the vagina for the first few days of life – this is a normal result of the withdrawal of maternal hormones that were freely passing through the placenta and are now absent. This usually stops on its own and is not a matter of concern.
References
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914382/
- https://medlineplus.gov/ency/article/001911.htm
- https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=P02691
Further Reading
90,000 Oral cancer is advancing? .. Forewarned, then forearmed!
Date of publication: .
The urgency of the problem of early diagnosis of oncological diseases of the oral mucosa is due to their extensive geographic distribution and an increase in the frequency of occurrence. Tumors of the mouth and pharynx account for about 1.5% of all tumors in humans. So in the countries of South Asia, South America, in parts of France and in most of Central and Eastern Europe, oral cancer is one of the three most common types of cancer.According to the estimates of the National Cancer Institute, about 22.5 thousand cases of cancer are detected annually in the United States, about 5 thousand cases die. However, if treatment is started early, the chances of recovery are 90%.
Currently in our country there is a clear tendency towards an increase in the incidence of oral cancer.
What is oral cancer?
Oral cancer is a malignant neoplasm that affects the lips (usually the lower lip), tongue, inner surfaces of the cheeks, as well as the back of the pharynx, tonsils and salivary glands.It is more common in men than women and usually affects people over 40. The main risk factor is smoking combined with alcohol abuse.
Cancer of the tongue accounts for about 2% of all human malignant neoplasms and ranks first among the neoplasms of the oral cavity. Men get sick twice as often as women. The most affected age is 40-70 years.
Lip cancer almost exclusively occurs in men (95.1%), affecting mainly patients aged 40-60 years.Outwardly, lip cancer looks like a small formation, or a seal area protruding above the surface of the lip, ulceration forms in its center. There is a formation on the red border of the lower lip to the side of the midline. The tumor has a dense consistency and gradually increases in size, acquires an irregular shape. Often, the tumor grows in the form of a papilloma or a crack, is covered with scales, and bleeds. The tumor may initially appear in the form of an ulcer that goes deep into the tissue of the lip, with infiltration (transition) to nearby tissues, and rapid metastasis.
The processes preceding the development of a tumor are called precancerous, and in relation to cancer, precancerous.
Factors contributing to the development of precancer of the oral mucosa.
- Smoking. The mucous membrane of the lips and mouth of a smoker is systematically exposed to the combined effects of negative factors. Mechanical – friction, thermal – high temperature of tobacco smoke (50-60 * C) and chemical – various harmful substances (ammonia, aniline, hydrogen sulfide, nicotine, phenol, benzopyrene, phenanthrene, creosote, etc.). The mucous membrane becomes inflamed, dries, cracks. Under these conditions, its cells acquire the ability to excessive division, and a tumor may form on the lip. According to the WHO, mortality from cancer of the oral cavity and esophagus in smokers is 30 times higher than among nonsmokers.
- Putting nasa under the tongue, a mixture of small tobacco, ash, cottonseed, sesame or mineral oil (as well as the use of betel gum, that is, a mixture of irritation of the mucous membrane.
- Mechanical trauma to the mucous membrane, especially the tongue, sharp edges of carious teeth, destroyed fillings or orthopedic structures, tooth roots, tartar. Damage and irritation of the lip by various objects held in the mouth “out of habit” (nails, bolts, wire, etc.)
- Alcohol abuse (chemical burns with alcohol), addiction to too hot food and drinks (tea, coffee, milk, etc.), hasty food intake without sufficient grinding with teeth.
- External adverse atmospheric influences. Among them – the sun’s rays, sudden changes in temperature and humidity.
- Age-related changes in the mucous membrane in old age contribute to its slight vulnerability and slow healing.
Identification and elimination of precancerous conditions is the most important task of the dentist. How do precancerous conditions arise? Any disease is always an expression of the organism’s struggle against harmful environmental factors.A normally functioning organism, possessing a tremendous ability to compensate, ensures the correct functioning of defense mechanisms throughout the course of the disease. The functions of the body are constantly balanced with the changing conditions of life that arise during the course of the disease; this determines the recovery of a person. One of the manifestations of this is tissue regeneration (restoration). It is aimed at eliminating tissue defects formed in connection with the influence of external stimuli. However, due to a constantly acting extreme stimulus, especially an intermittent one, the protective functions of the body are depleted and then perverted.At the same time, tissue growth can be atypical in nature, characteristic of a pathological process that is already precancerous.
In the prevention of precancerous diseases of the oral mucosa and the red border of the lips, elimination of the action of various kinds of chronic trauma (physical, chemical, mechanical), observance of oral hygiene, sanitation, rational prosthetics, elimination of dentoalveolar deformities, treatment of long-term inflammatory diseases of the mucous membrane play a leading role the membranes of the oral cavity and the red border of the lips, protection from direct sunlight, the fight against bad habits.
In people over 45 years old, especially smokers and often consuming strong alcoholic beverages, conditions are created for the occurrence of cancer of the oral mucosa. Therefore, during a preventive examination, the dentist is always wary of the appearance of ulcers, cracks, swelling, discoloration on the tongue, lips, cheeks or in the area of the salivary glands.
The most common symptoms of oral cancer include:
- Sore tongue, non-healing ulcers, red or white patches in the mouth
- pain and / or difficulty swallowing
- unilateral sore throat
- swelling in the neck, foreign body sensation in the mouth
- persistent or growing hoarseness
- nasal congestion on one side or bloody nasal discharge
If at least one of the above symptoms persists for 3 weeks, you should immediately consult a doctor.
Lip cancer in the photo
Tongue cancer in the photo
Questionnaire for the detection of oncological diseases of the oral cavity, pharynx at an early stage
Heilit: causes, symptoms, classification, prevention and treatment
Co-author, editor and medical expert – Dmitry Dmitrievich Volosov.
Number of views: 124 703
Date of last update: 27.08.2021
Average reading time: 8 minutes
Content:
Symptoms of heilitis
Causes of heilitis
Classification of heilitis Methods of prevention
Application of METROGIL DENTA®
Cheilitis, which is also often called seizures, is a disease of the lips, manifested in their paleness, the formation of cracks and a bright red border in the area of their closure.Sometimes the cheilitis that forms on the lips can spread to the skin of the face. According to statistics, in most cases, the disease affects people with hypovitaminosis (vitamin deficiency) B2. In fact, doctors do not use the definition of “cheilitis” as a diagnosis, since it is collective and combines several independent diseases of the lips of various origins.
Antibacterial dental gel METROGIL DENTA ® , which eliminates bacteria in the oral cavity, fights inflammation perfectly.
Learn more about the healing gel for gums
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Symptoms of cheilitis
The main symptoms of the disease include the following:
- Lips are cracked, flaky, and swelling can form on them.
- Deep cracks appear in the corners of the mouth, also called “seizures”.
- The red border of the lips, which is almost indistinguishable in a normal state, is clearly defined and inflamed in a patient with cheilitis.
- Bubbles, gray or yellow crusts may appear on the lips.
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Causes of cheilitis
Exposure to unfavorable weather conditions.
The disease often develops as a result of exposure to unfavorable climatic factors, which include ultraviolet radiation, too low or high air temperature. For this reason, cheilitis often affects people whose work is associated with regular exposure to the fresh air.
Development of an allergic reaction.
One of the reasons for the development of cheilitis is an increase in the sensitivity of the lips to various irritants, mainly of chemical origin.
In this case, the area of the red border of the lips is more often affected and less often the mucous membrane. If you do not consult a doctor in a timely manner and do not undergo treatment, the disease can also spread to the skin surrounding the lips. Most often, the disease develops due to the use of lipsticks. This is explained by the fact that their composition includes the eosin dye and specific fluorescent substances. Denture plastics, aromatic fillers in toothpastes, etc. can also act as irritants.e. Basically, the disease affects women aged 20-60 years.
Presence of an underlying disease.
Cheilitis on the lips can be a symptom of some kind of disease and manifest itself against the background of neurodermatitis or atopic dermatitis. Eczematous cheilitis are formed with various eczema, macrocheilitis – with neuritis of the facial nerve in combination with a folded tongue. The most common cause of the disease is dermatoses. The skin of the lips, mucous membrane and red border can also become inflamed in systemic and infectious diseases (psoriasis, tuberculosis, lichen planus, erythematosis, etc. )etc.).
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Classification of cheilitis
Primary (independent)
This lip disease is caused by acquired or congenital enlargement of small salivary glands and their infection. Most often it affects people over 30 years old. It should be noted that the upper lip is affected 2 times less often compared to the lower one. At the beginning of the development of the disease, patients are worried about peeling and slight dryness of the lips. If left untreated, pain may appear due to cracks and erosion.
- Exfoliative
This disease affects only the red border of the lips and is accompanied by peeling.
In most cases, women suffer from this disease. With a dry form, scales form on the lips, a sensation of dryness and burning appears, with an exudative form, swelling and abundant crusts form, making it difficult to eat and speak.
- Contact allergic
This disease is caused by a delayed-type allergic reaction to various irritants when they come into contact with the red border of the lips. In most cases, women over the age of 20 suffer from a similar disease. Signs include redness of the lips, the appearance of swelling, burning, and severe itching. With repeated contact with an irritant, the disease worsens. If you do not start the treatment of cheilitis in a timely manner, the lip becomes covered with small bubbles, after opening which cracks and erosion appear.
- Meteorological
This disease is caused by hypersensitivity to ultraviolet radiation, wind or cold.In most cases, it affects men between the ages of 20 and 60. The exudative form is characterized by itching, burning lips, and the appearance of erosion. Small bubbles can appear, after opening which crusts form. With a dry form, erythema of the lips is observed, small white-gray scales appear. In the absence of treatment, abrasions and erosion may form in the future.
Secondary (symptomatic)
It is believed that this type of disease is one of the manifestations of atopic dermatitis. Patients complain of a slight swelling of the red border of the lips, while the adjacent areas of the skin are involved in the inflammatory process. Also, the manifestations of the disease include damage to the corners of the mouth. When the acute inflammation begins to subside, the lip begins to peel off. As a result of the dryness of the corners of the mouth, cracks form. In the absence of complex treatment, peeling of the skin of the face is possible.
This disease develops against the background of eczema, as a result of which the superficial layers of the skin become inflamed. In the acute stage, patients complain of reddening of the lips, burning and itching.In this case, each lip swells, erythema and pathological changes in the skin are observed. If there is no comprehensive treatment, the disease becomes chronic. In this case, acute inflammatory phenomena (hyperemia, edema) decrease, inflammatory infiltration develops, nodules and scales may form.
- Hypovitaminous
This disease in most cases develops against the background of group B hypo- or avitaminosis. Symptoms of cheilitis include burning and dryness of the tongue, lips and oral mucosa.If the disease is not treated, vertical small cracks appear on the red border of the lips, which often bleed. The tongue can grow in size, and teeth imprints are often visible on it.
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Prevention methods
Thorough oral hygiene
To prevent cracking, you need to protect the skin and mucous membranes from adverse effects. To do this, you should get rid of the habit of licking lips and corners of the mouth, use medical cosmetics for dry skin and hygienic lipsticks.To prevent the infection from getting on the skin of the lips from the oral cavity, it is necessary to brush your teeth at least twice a day, as well as to treat caries and inflammatory gum diseases.
Change in diet
If seizures begin to appear in the corners of the mouth, it is necessary to limit the use of spicy, sour and salty foods that irritate the mucous membranes and skin. Non-acidic fruits and vegetables, as well as foods containing iron and riboflavin (beef, liver, dairy products, cabbage, potatoes, peanuts, almonds, etc.) can be added to the daily diet.).
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Application METROGIL DENTA
®
METROGIL DENTA ® is used in the complex treatment of most infectious and inflammatory diseases of the oral cavity, since it has a direct antibacterial effect on pathogenic microorganisms that contribute to the development of inflammation. METROGIL DENTA ® does not mask the symptoms of the disease, but helps to eliminate the cause of inflammation (pathogenic bacteria). METROGIL DENTA ® helps to cope with the treatment of cheilitis in adults from the age of 18.
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The information in this article is for reference only and does not replace professional medical advice. Consult a qualified professional for diagnosis and treatment.
How to get rid of painful acne at home (video)
Try yourself to relieve pain and acne.
The most uncomfortable type of acne is a pimple, which develops deep in the skin, forming a red, swollen, and painful bump.
To treat this scourge at home, follow the advice of the experts of the American Academy of Dermatology. Check out this link for an additional video.
1. Wash the pimple area at least twice a day and always after sweating. Sweating can worsen acne, so don’t delay with the water treatment.
2. Use your fingertips to apply cleanser to the pimple.The use of a washcloth, mesh sponge is strictly prohibited.
3. Treat your skin gently. Use alcohol-free care products. Do not use skin irritants.
4. Cleaning the skin can make the situation worse. Avoid the temptation to rub your pimples.
5. Rinse face with warm water only.
6. If pimples are squeezed or damaged, it will take longer to heal and increase your risk of acne scars.
7. Keep your hands away from your face. Frequent touching of pimples throughout the day can exacerbate the problem.
8. Stay out of the sun and tanning salons. Sunburn damages the skin. The use of tanning beds increases the risk of melanoma, the deadliest form of skin cancer, by 75%.
See a dermatologist if:
your acne is getting in the way of your life;
the methods you tried didn’t help;
acne leaves scars or darkening of the skin.
If you have any questions or concerns about skin care, you should make an appointment with a dermatologist.
Earlier, “Kubanskie Novosti” told how to get rid of mouth ulcers at home.
Acne on the gums: causes, complications, treatment
Acne on the mucous membrane is an important signal of the body, they should not be treated as acne on the skin. If a pimple appears on the gum, it cannot be squeezed out or pierced on its own, as this can be fraught with serious consequences. On the mucous membranes, a favorable environment for the life and reproduction of microorganisms: both normal flora and pathogenic bacteria. The inflammation can develop into an abscess, the presence of which in the oral cavity threatens with complications.
The problem should be shown to a doctor who will determine the type of acne and its cause. Depending on the diagnosis of a specialist, treatment can include both rinsing and gum treatment, as well as immediate surgical intervention.
Causes of occurrence
Acne on the gums of the teeth can be different: both small rashes, similar to acne, and large sacs with purulent contents (fistulas).
Common causes of their occurrence:
- poor hygiene;
- Vitamin deficiency due to improper nutrition;
- bad habits;
- weakening of immunity due to diseases and prolonged use of drugs;
- Allergy to food or hygiene product.
- viral diseases;
- Diseases of the teeth and gums.
One of the viral diseases that cause acne on the gums is herpes.In the course of stomatitis, aphthae often appear – sores that can be mistaken for acne. Rashes can also be a signal of the presence of advanced caries, periodontitis, periodontitis and other pathologies that, in a severe stage, cause loosening and even loss of teeth. Large formations containing pus may indicate chronic periodontitis, as well as osteomyelitis, a disease that affects the jaw bone.
Types
It will not be possible to independently determine the nature of a pimple that has jumped on the gum, unless you are a dentist.However, you can use the method of elimination to roughly determine what type it belongs to.
The following types of formations are found:
- Transparent acne. Often accompanied by swelling of the mucous membrane, itching and swollen lymph nodes, which together are a sign of herpetic stomatitis caused by the herpes virus.
- White pimple on the gums. It is a white or yellowish bump. In the absence of other symptoms of inflammation and normal general health, it can be a simple wen.
- Multiple acne, accompanied by a white coating on the mucous membrane. If itching and swelling are attached to them, then most likely this is a defeat by the Candida fungus. This yeast-like fungus prefers to invade mucous membranes and can also cause soreness and muscle weakness.
- Bloody or purulent pimple on the gums. It can be a consequence of bacterial stomatitis, which is often preceded by damage to the mucous membrane in the mouth (due to braces, fish bone, etc.). An infection gets into the wound or scratch, and stomatitis develops.
- Cyst. It looks like a lump on the gum, representing a dense bag of periodontal tissue, inside of which pus is contained. May be aching or have little or no symptoms. The cause may be advanced gum inflammation, tooth decay, or diseases such as pulpitis and periodontitis. The size of the tumor can reach several centimeters, its color is red, but when you press on the lump-like growth, the tissue turns white. It is not worth pushing and pressing again, you need to see a doctor faster, since pus can destroy bone tissue over time.
- Flux. This is an inflammatory process in the periosteum called periostitis. It manifests itself as a red or pronounced white pimple on the gums, in combination with edema. With the flux, not only the gum swells, but also the cheek.
- Abscess. This is the next stage of a dangerous formation – cysts, flux or a running purulent pimple on the gums. In this case, the pus melts the tissue and forms a cavity. As a result, fistulas may appear – channels for the excretion of pus, which look like pimples or holes ready to break through, expelling purulent contents.
Possible complications
Advanced gum inflammation can lead to a weakening of the fixation of the teeth, and, consequently, to loosening and falling out. But even this is not the main complication. If a pimple on the gums has become purulent, then such an inflammatory process threatens bone tissue. Osteomyelitis may occur, the advanced stage of which leads to deformation of the jaw and necrosis. In a particularly advanced situation, blood poisoning may occur, then the infection will spread throughout the body.In addition, purulent foci in the head area are especially dangerous – the infection can quickly enter the brain.
Therefore, it is so important to consult a doctor before starting treatment of formations on the oral mucosa. The opinion of a qualified specialist is especially important if a pimple on the gum is found in a child, because the child’s body is especially vulnerable.
Treatment at home
If the rash is caused by stomatitis or Candida fungus, the dentist can prescribe home treatment: regular rinsing of the mouth, treating the mucous membrane with special means, taking medications.If a pimple on the gums was caused by a virus, then antiviral therapy will be prescribed.
In addition to the use of pharmacy products, the patient will need to follow general recommendations, namely to adhere to a diet and a certain temperature of food during treatment.
It will be necessary to exclude from the diet:
- hot and cold foods;
- solid food;
- Spicy, sweet and sour foods and drinks;
- fried food.
The entire menu should be at room temperature or slightly warmer.Nothing should unnecessarily irritate the mucous membrane, so you will have to give up soda and spicy sauces for a while. The patient is waiting for the unloading period on mashed potatoes, various cereals and other products approved by the doctor.
If a pimple on the gum turns out to be a wen, then the doctor will first prescribe observation, since the seal can gradually dissolve without surgical intervention. In some cases, when the wen grows contrary to expectations, it is surgically removed.
For stomatitis of different origins, various drugs are prescribed.With candidiasis – antifungal agents, with herpes – antiviral drugs. To reduce pain and inflammation, antiseptic rinses and gels containing lidocaine and an anti-inflammatory effect are used.
If the inflammation is severe, the doctor may prescribe a course of certain antibiotics.
Treatment in the clinic
With a purulent cyst, flux, and even more so an abscess, you will need the help of a dentist-surgeon. The operation includes anesthesia, removal of a diseased tooth, if it has become a source of infection, cleansing the cavities from pus and antiseptic treatment.With osteomyelitis, the periosteum is often opened to eliminate purulent masses. After the operation, the patient will be prescribed a course of antibiotics and antihistamines. In addition, treatment may include taking immunostimulating medications to help the body weakened by the infection heal.
In order not to bring the disease to such a stage, it is necessary to consult a doctor in time. It is especially important to immediately contact the dentist if a pimple is found on the gum in a child and not to start self-medication without an official diagnosis and doctor’s recommendations.
Retention cyst of the lower lip
Retention cyst of the lower lip
Is a common pathology of the oral mucosa. It is a neoplasm of a benign nature in the shape of a ball. Pathology usually develops due to blockage of the duct of the small salivary gland. The reason for this may be the most common trauma or inflammation.
Cyst occurs equally in women and men.Its appearance does not depend on age. The cyst is characterized by the ability to grow very quickly in size, which affects the daily lifestyle of a person. That is why doctors recommend removing it.
Main causes of cyst appearance
A neoplasm is most often formed as a result of mechanical damage and trauma to the lip. These include burns, bumps and biting. As a result of constant injury to the gland, the excretory canal becomes clogged, the secret begins to linger, and a small tubercle forms.Gradually, it fills with liquid and increases in size. The inflammatory process after injury can also lead to the formation of pathology. A retention cyst of the lower lip can occur in a person at any age. Neoplasm is often a consequence of the congenital development of the embryonic components of the so-called glandular cells.
In addition to traumatic effects, atrophy of the excretory ducts can be the cause of the cyst.Usually, such a violation is caused by a tumor that directly compresses the duct, or a scar. The latter narrows the canal, and the accumulated secret gradually expands the glandular lobe.
How to recognize a pathology?
The retention cyst of the lower lip is a connective tissue capsule with a viscous content inside. Outwardly, it resembles a small ball. Education is painless, but it can cause discomfort when talking or eating.The cyst is prone to rapid growth and can reach up to 2 cm in diameter. The mucous membrane above it usually does not undergo significant changes. Sometimes it takes on a bluish tint, which is explained by the accumulation of contents. The ball is covered by connective tissue, and inside it is a clear liquid that resembles saliva. On palpation, the formation is soft. When eating, the capsule is easily damaged, due to which its inner contents are poured out, but after the cyst is refilled. As a rule, the formation consists of one chamber, but cases of multi-chamber cysts are known.
Confirmation of diagnosis
Recognition of a retention cyst is not difficult for a qualified technician. When pressed with a finger, the formation disappears, but after a while it reappears. A more accurate diagnosis can be made after an ultrasound examination. During the procedure, the doctor evaluates the structure of the cyst, its size and contents. By probing the canals, the width of the duct and the presence of salivary calculus are determined.Only after a complete examination can the specialist recommend treatment for the retention cyst of the lower lip.
The need for differential diagnosis In order to accurately diagnose and subsequently prescribe a competent treatment, it is important to be able to recognize this pathology among other benign neoplasms. The following types of cysts of the salivary gland are distinguished: submandibular; parotid; small salivary gland.Ranula is localized over the sublingual-maxillary muscle. There are known cases of penetration into the submandibular region. This formation is large in size. It can displace the frenum of the tongue, thereby preventing a person from fully eating and conducting conversations. The cyst of the submandibular gland is characterized by slow development. During palpation, it is easy to detect a rounded formation. When this cyst grows, it can cover the upper areas of the mouth. In such a situation, bulging of the formation in the sublingual part is usually observed.Parotid pathology is rare. The main reasons for its formation include mechanical damage, inflammation and blockage of the ducts. It is the same factors that provoke the formation of another anomaly of the oral cavity called the retention cyst of the lower lip (photo is presented in this article). The development of pathology at the initial stage is not accompanied by pronounced symptoms. As a result of mechanical damage, a so-called extravasal cyst can form.This formation differs in that granulation tissue is formed around it.
What treatment is required?
This pathology is treated by a dentist. After confirming the diagnosis, there are two possible solutions to the problem. The specialist can send the patient home, believing that the formation will resolve on its own. The second option involves surgical removal of the retention cyst of the lower lip.
The operation itself lasts no more than 30 minutes and involves the use of local anesthesia.The doctor’s assistant twists the lower lip and holds it firmly. The dentist makes several incisions along the mass, releases the cyst from its internal contents, and sutures. According to many patients, the operation itself under the supervision of an experienced surgeon is almost painless. The main troubles begin during the rehabilitation period, when the retention cyst of the lower lip is already beginning to heal gradually. The operation can be carried out using a laser. However, his help is rarely used due to severe bleeding and a high risk of perforation of the glandular membrane.
Postoperative period
After surgery, patients are advised to daily treat the affected area with a special antiseptic solution and monitor their condition. Some say that the first days after the operation are the most difficult. Talking, eating – all these simple actions cause painful discomfort, but after about a month everything returns to normal. It should be noted that the duration of the rehabilitation period directly depends on the size of the education.Many patients report visual lip distortion and slight numbness even months after surgery. In order to avoid negative consequences, it is recommended to remove the pathology at the initial stage of its formation.
90,000 Fistulas on the gums – what is it, how to treat a fistula on the gums
What is it
Outwardly, the fistula looks like a small white pimple on the gum. Sometimes its formation can be accompanied by painful sensations and swelling of the gums in the area of its appearance.
After the fistula has completely appeared, the pain usually disappears and the only factor of discomfort is swelling and occasional pus or bloody discharge.
Causes and Symptoms
Fistula is not a separate disease, but rather a symptom or sign of severe inflammation in soft tissues. It can develop against the background of a general weakening of the body.
Before the appearance of a fistula, the gums may turn red, swell and cause pain, there may be slight pain during chewing load on the teeth in the area of inflammation.
Diagnostics
To identify the cause of the fistula, the dentist will definitely take you an X-ray. First, the doctor inserts a special gutta-percha pin into the fistulous passage and while it is there, a picture is taken. With this, you can find out about the size of the canal in the soft tissues and to which inflammatory focus it leads. This procedure is absolutely painless and is used in children, they develop fistulas quite often, which can lead to problems with permanent teeth.
Treatment
The most common cause of a fistula is inflammation at the apex of the tooth root. It occurs due to improper root treatment or periodontitis. In this case, the canals are treated to eliminate sources of infection, and if this is not possible, an operation is performed to resect the apex of the tooth root.
In the event that inflammation occurs in the periodontal tissues that surround the tooth, then the periodontal pockets of the canals are cleaned using ultrasound, the Vector apparatus or curettage.
Cracks in the teeth can also cause a fistula, since the micro-movement of parts of the tooth causes inflammation. In this case, it is very important to identify the crack, since there is only one treatment in this case – removal. The doctor removes all fillings or crowns, if any. And with the help of a microscope, he treats the tooth with a special substance – an indicator that changes color on the crack.
Conclusion
In the event of a fistula on the gum, it is better not to delay a visit to the dentist.Since after it closes, it is much more difficult to diagnose and treat. The longer you put off going to the clinic, the more inflammation will develop and you will not be able to cope on your own.
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90,000 Doctors explained why the arm can hurt after COVID-19 vaccination
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Doctors explained why the arm can hurt after COVID-19 vaccination
Doctors explained why, after vaccination against COVID-19, the arm can hurt – RIA Novosti, 13.07.2021
Doctors explained why the arm can hurt after COVID-19 vaccination
Unpleasant sensations in the arm after coronavirus vaccination are associated with the fact that the concentration of the drug at the injection site causes a reaction of the skin and muscles. About this in … RIA Novosti, 13.07.2021
2021-07-13T15: 39
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MOSCOW, July 13 – RIA Novosti. The unpleasant sensation in the hand after the coronavirus vaccination is associated with the fact that the concentration of the drug at the injection site causes a reaction of the skin and muscles. Russian doctors spoke about this in an interview with URA.RU. In addition, he added, during an injection, a physician may touch a nerve ending, and this also causes painful sensations. Physician Larisa Alekseeva agreed with her colleague’s opinion, noting that each person has a different threshold of sensitivity.”If the injection is given correctly, then nothing will hurt.” … Residents of the country have access to “Sputnik V”, in some polyclinics there are “EpiVacCorona” and “KoviVak”. Sputnik Light is recommended for revaccination.
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