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Urinary Pain
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Young girls sometimes complain of burning or pain when they urinate (dysuria), and although this can sometimes be a sign of a urinary tract infection, it is more commonly caused by irritation of the skin in and around the vaginal area (vulvovaginitis) or at the opening of the urethra (urethritis). This irritation can also cause vaginal itching and frequent urination (frequency).
- Urinary Tract Infection: (UTIs) or bladder infections are a common type of infection, occurring in about 1-2% of children (more commonly in girls). A UTI is the abnormal growth of bacteria in the urine. The symptoms usually include a fever, pain or burning with urination (dysuria), lower abdominal pain, chills, back pain, urinating more frequently (frequency), strong smelling urine, blood in the urine, vomiting, irritability and/or your child may start wetting herself. In children younger than 2-3 years old, the only symptom of a UTI may be fever, and they are less likely to have classic symptoms. Up to 5% of younger children who have a fever and no other symptoms are found to have a UTI
- Vulvovaginitis: Young girls sometimes complain of burning or pain when they urinate (dysuria), and although this can sometimes be a sign of a urinary tract infection, it is more commonly caused by irritation of the skin in and around the vaginal area (vulvovaginitis) or at the opening of the urethra (urethritis). This irritation can also cause vaginal itching and frequent urination (frequency). Before puberty, the skin around the vaginal area can be very sensitive, and it can easily become red and inflamed when it comes in contact with common irritants, such as soap or shampoo. Bubble baths are also a common irritant that can cause itching in the vaginal area. Another cause of vulvovaginitis is poor toilet hygiene, which is usually secondary to not wiping or wiping incorrectly after urinating.
- Foreign body: sometimes a foreign body, such as a piece of toilet paper, can be trapped in the vagina, causing discharge, pain or itching.
- Hematuria: or having blood in the urine, can either be microscopic (visible only with a microscope) or gross (visible with the naked eye). This can cause difficulty urinating and pain in some children. You should call your doctor immediately if you can see blood in your child's urine.
- Labial adhesions: occur when the labial skin becomes irritated and sticks together. It is most common in young girls and is usually not a cause of concern. Severe cases require treatment with a topical estrogen cream and gradual separation of the labia. Labial adhesions can sometimes cause urinary pain or difficulty urinating.
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