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Re: Pediatric Yeats Infections & triclosan and other anti-bacterails, should OTC drugs be used.From: anon (anonymous@obgyn.net)Wed, 23 May 2001 09:48:29 -0500 (CDT)
At Tue, 22 May 2001, William McIntosh, MD wrote: > >At Tue, 22 May 2001, Stephen wrote: >> >>My daughter was preccribed Augmnetin for a serious ear infection. After >>using the prescribed medication for over 15 days she developed what >>appears to be a yeast infection. The doctor told me not to use an OTC >>such as Gynolotrimin or Monistat but rather should be given a lot of >>yogurt, aqnd a sitz bath with vinegar. Beinag a male single parent of >>my 3and a half year old daughter, I refrained from trying the sitz bath. >>However tonight after her bath I tried using "Vaseline Intensive Care >>Anti-Bacterial Hand Lotion" applied only externally to the outer vaginal >>area. The active ingredient is Triclosan. >> >>Have I done something very bad. Should I wake her up now and give her >>another bath. She likes the yogurt and has been eating about 8-12 >>ounces per day for about 3-4days now, and a whitish (perhaps yellow) >>patch is visible on her outer labia. What should I do. I allow her to >>wipe herself after urinating, and wonder how I should proceed to get rid >>of this infection. Does she need to see a specialist or is her normal >>pediatrician OK. Have I disturbed her "normal flora" in a very harmful >>way ? Should I try the sitz bath and if so, with what proportion of >>vinegar to water. What type of vinegar. >>I THINK you should see another doctor or even a gynecologist to ask at least BE CAREFUL if you use the monistat creams you could hurt her she is only 3 and I'm sure she has her hymen intact!!! To avoid traumatizing the sweet little one call a gynocologist about it she may be able to take a low dose oral med for it!!!! >>Why doesn't the pediatrician simply tell me to use gynolotromin or >>monistat 7 are theses contraindicated due to her age ? Please advise ? > >I am at a loss to understand why the doctor would advise you not to use >Monistat. Use the cream, the Monistat 7. It will be safe and >effective. Oral, or for that matter vaginal, yogurt is NOT an effective >treatment for yeast infections, in children or adults. > >-- >William D. McIntosh, MD, FACOG > >This is for educational purposes only, and is not a substitute >for consultation and examination by a licensed medical professional. >
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