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Doctors Lounge - Gynecology Answers
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| ANGELS7
- Thu Feb 04, 2010 5:52 pm |
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My 9 yr old daughter has Prader Willi Sydrome. Her hygiene skills are not the best, and wince I am not with her all day, I can not assist in wiping and toileting issues. She has strong, foul odor and due to her age, even under reccomendation from Dr. Tim Krous her pediatrician, I can not find a gynocologist to see her. Is there any OTC meds that will help? Douching is not an option, due to age I am sure. I have tried medicated personal wipes, sprays...What do you suggest to help with this issue, should I be concerned about internal issues due to poor hygiene?
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| Debbie Miller, RN
- Mon Jul 12, 2010 6:53 pm |
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 Hello,
I think you need to be sure she is bathing daily but douching and other products should not be necessary. Odor is usually due to infection - yeast or bacteria - so it should be checked by a doctor. A family physician should be fine for this; no need for a gynecologist. Unless there is underlying infection, the hygiene issue is more aesthetic than a health concern. Cleanliness does help prevent disease and girls can be more prone to urinary tract infections so you don't want excessive bacteria that could travel up the urethra. I would concentrate on teaching skills for daily living but still make sure there is no infection involved.
Best wishes.
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