Vaginitis secretions irritate the vulva, which may cause exogenous itching, so first of all, it is necessary to exclude vaginal inflammation. In addition, the most common cause of vulvar itching is nonspecific vulvitis. This is an inflammation of the vulvar skin or mucosa caused by non-pathogen factors such as physical and chemical factors. The vulva is easily irritated by menstrual blood and vaginal secretions. If the patient does not pay attention to cleaning, or the patient with fecal leakage is stimulated by fecal contamination, and the patient with urinary fistula is soaked in urine for a long time, etc., it can cause nonspecific inflammatory reactions. Physical and chemical irritation caused by wearing tight synthetic underwear for a long time or using sanitary products for a long time during menstruation, such as friction between the skin and mucosa, local moisture, poor air permeability, etc., can also cause nonspecific vulvitis. The vulvar skin and mucosa have itching, pain, and burning sensations, which are aggravated during activities, sexual intercourse, urination, and defecation. During the acute inflammation period, the vulva is found to be congested, swollen, and eroded, often with scratches, and in severe cases, ulcers or eczema are formed; during chronic inflammation, the vulvar skin is found to be thickened, rough, cracked, and even lichenified. 1. Etiological treatment: Find and actively eliminate the cause and improve local hygiene. If diabetes is found, it should be treated promptly. If there is urinary fistula or fecal fistula, it should be repaired promptly. 1. Etiological treatment: Find and actively eliminate the cause and improve local hygiene. If diabetes is found, it should be treated promptly. If there is urinary fistula or fecal fistula, it should be repaired promptly. 2. Local treatment Keep the vulva clean and dry, and clean the vulva in time after defecation. You can use 0.1% povidone iodine solution or 1:5000 potassium permanganate solution for sitz bath, twice a day, 15-30 minutes each time. Apply antibiotic ointment or Chinese patent medicine ointment after sitz bath. You can also use Chinese medicine decoction to fumigate and wash the vulva, 1-2 times a day. |
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