I have been dealing with this problem on and off for years now with my 6 year old, although it has been worse this year than it ever has before. there is no discharge, no smell and no redness on the outside (vulva), but on close inspection it is red inside the vagina. When she has an attack of it, she wakes up practically having a fit during the night because she is in so much pain. her whole body shakes and she cries her eyes out. It is so painful to watch your child in so much pain and not know what is causing it.
she also complains of soreness and itchiness during the day sometimes. i took her to the children's emergency one night when she was 4 years old, and they just told me it was vulvovaginitis. i don't think this was a good diagnosis, as the vulva was not inflamed, it was inside the vagina that was red. so i decided it was vaginitis, which is inflammation of the vagina.
vaginitis can be caused by many things. it can be an infection or an irritation/sensitivity.
This is what i do, and what has helped us so far:
when she has an episode in the night, i.e. when she wakes up in agony, i put her straight into a lukewarm bath with a cup or so of white vinegar added to it. This seems to give her some relief. I also give her paracetamol (panadol). after patting her gently dry and letting the area air out a bit, i put some barrier cream there (sudocream). I put lots and all around the hole and everywhere. it seems to help. Then i put her back to bed and give her an icepack to put between her legs, as she says it helps a bit too. and of course i comfort her and stay with her until the pain starts to ease. she is a very heavy sleeper, so it must be very painful that it wakes her up in the night.
the other things i have done to try to eliminate other possible causes: i have bought her 100% cotton underwear, i don't use any soap products in the bath, i put a couple of handfuls of epsom bath salts in the bath, i give her a probiotic supplement on most days, i regularly give all my children worm tablets (about once a month), i have changed to soap-free laundry detergent, i get her to sleep with no underwear or pants on.....we are also careful with the wiping (i tell her to just pat it dry gently and she knows how to wipe her bottom properly) and i wipe it for her when she is at home just to make sure that this is not the cause.
we don't have juice or soda drinks in the house. recently i have been trying to cut down on the sugar intake, as i believe this could be a culprit, especially after reading all the posts here. i even spoke to all the grandparents about it, as they all like to spoil her with treats.
i have spoken to her carefully about whether anyone has ever touched her down there (as this condition can also be a result of abuse), however i am 100% certain that this has not happened after talking to her about it in a delicate manner.
i am about to see a paediatrician, as we have just had a couple of tests (a urine test and a vaginal swab) that came back negative, so there is no infection or UTI.
one of the comments i found helpful here was the one about the urologist. after talking to her about her toilet habits, i found out that there are rules in her classroom about when she is allowed to go to the toilet. i found out she was holding on all day long, because she would "forget" to go when she was supposed to and then hold it in. i think her body became so used to holding it in, she was probably causing damage to her bladder and maybe this was causing the attacks. the last time she had an attack, i found out she had not done a wee from between 10am and 6pm.....i don't know how she held on for so long, but after talking to her, i found out she was afraid to break the school rules and ask the teacher if she could go to the toilet when it wasn't the right time!
after finding this out, i wrote a long letter to the teacher (who used to be a nurse and is aware of my daughter's problem and has been trying to help us). in the letter i explained that she had been holding on all day as she was scared to get into trouble. her teacher told me that it was fine for her to go to the toilet any time and spoke to her about it at school, so she has been a much happier child since this happened.
i am still going to see the paediatrician soon. i think i will ask the paediatrician about whether we should see a urologist and i will also mention the issue of intolerance to dairy or gluten after reading the comments above.
i am amazed by how many mothers share this same problem! you would think that doctors would have more answers by now, seeing as it seems to be affecting so many young girls.
i will keep you posted if anything new comes to light after seeing the specialist.