Childhood Diseases

Posted by: Chocolate | 2009/05/22


Is my 6yr old OK?

Hi Doc,

I have 3 questions about my 6yr old daughter please.

1. She sometimes complains about an itchy vagina. Can a 6yr old have thrush? What can I do? Her paed says it could be too much fizzy drinks but she does not have a lot of fizzy drinks.

2. At night she rubs her teeth together in a " grinding"  manner. It is so bad that I can hear her in the next room. Could she be lacking something for her to do this? Is this common amongst kids?

3. From time to time she complains of chest pain right in the centre of her chest. According to her paed it is muscular pain. Could happen when she is phsically active or excited with friends etc. Should I check this out more thoroughly?

Thank you

Expert's Reply



You have a 3in 1 question here but they are very good questions. Firstly a 6 year old girl can certainly develop vaginal thrush especially if she has had an antibiotic recently. Give her a probiotic such a Probiflora for children for at least 10 days. Also give her Nystatin drops by mouth 1ml daily for 5days and apply Nystatin cream to her vaginal area twice a day until she is better.Do not use bubble baths as this is a frequesnt cause of lowering the natural defence barriers against thrush.Thrush is not caused by fizzy drinks.
Your daughter is grinding her teeth. This is called bruxism and is a very difficult habit to stop. The good news is that it usually stops when the permanent teeth are through.If she continues when she has her permanent teeth she must see a dentist.
Your daugher's chest pain is a very common complaint and is usually due to stress or tension. It is caused by spasm of an artery on the inside of the chest wall. It is not due to a heart problem. She needs reassurance and if she is indeed a tense and stressed little girl she may need counselling by a child psychologist.

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