Conversation: The conversation between human and AI assistant.
[|Human|] My nine year old has bad vaginal odor and looks like there might be slight bleeding in the vaginal area. Doctor tested PH, urine, and vaginal fluid. All came back normal and no signs of bacteria. She does not have itching or discomfort. We have switched to all natural soaps and showers, and have cut back on juice drinking. She cleans herself twice daily and changes undergarments, also uses desatin. Please help.
[|AI|]  During the prepubertal hormonal changes the mucosa of the vagina becomes thin and easily cracked, sometimes these secretions can have a bad smell if it's inhabited by bacteria or fungi .the fungi such as candida does not appear in the routine culture of vaginal fluid and puss cells are not usually seen. Desatin cream is zinc oxide cream, and it will not do much In this case. Single dose of oral fluconazole is very helpful plus a metal G vaginal cream.though its rare, but foreign body is suspected because of the blood and the bad odor, which is can't be pretty much excluded through a careful examination. I hope this helps