Another cause of vulvovaginitis is poor toilet hygiene , which is usually secondary to not wiping or wiping incorrectly after urinating. This can cause difficulty urinating and pain in some children. You should call your doctor immediately if you can see blood in your child's urine. It is most common in young girls and is usually not a cause of concern. Severe cases require treatment with a topical estrogen cream and gradual separation of the labia.
Labial adhesions can sometimes cause urinary pain or difficulty urinating.
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