Subsequent local measures are independent of the causes of the disease.
General measures
- Observance of the general hygiene measures!
- Proper micturition posture in the little girl: the urine should enter the toilet by the shortest route; use a child’s toilet insert or footrests to support the legs; while spreading the thighs and slightly bending forward urinating.
- Genital hygiene
- Once a day, the genital area should be washed with a pH neutral care product. Washing several times a day with soap, intimate lotion or disinfectant destroys the natural acid mantle of the skin. Pure water dries out the skin, frequent washing irritates the skin.
- It is recommended to use disposable washcloths.
- Showering is better than bathing (softening the skin).
- Wash hair separately to avoid wetting the vulva with shampoo.
- Drying the skin dabbing with a soft absorbent towel or a cool hair dryer held far away.
- Putting on underwear only when the skin is absolutely dry.
- Underwear should be changed daily and be breathable (cotton materials).
- Synthetic materials impermeable to air create an ideal breeding ground for pathogens.
- Apply grease and or moisturizers possibly cooled several times a day.
- Use of plain, non-colored toilet paper.
- Use of non-perfumed sanitary napkins or panty liners.
- Clothing
- Avoiding moisture, sweating, heat (possibly reinforcing vulvitis, ideal breeding ground for pathogens) by wearing wide, breathable cotton underwear (preferably 100%).
- Avoiding nylon or other synthetic underwear.
- Avoiding tight-fitting clothing (leggings, pants, tights, bike shorts); skirts and dresses allow air to circulate better
- Daily change of underwear
- Refrain from wearing underwear, for example, at night, at home.
- Potential allergic or other inducers of vulvitis.
- Proven to be effective:
- In the case of unconscious nocturnal scratching the wearing of cotton gloves.
- In case of sleep disturbance due to nocturnal pruritus (itching), taking antihistamines with a sedative effect
- In case of recurrent infections, the partner should also be treated.
- Nicotine restriction (refrain from tobacco use).
- Review of permanent medication due topossible effect on the existing disease.
- Avoidance of psychosocial stress:
- Stress
Regular checkups
- Regular medical checkups
Nutritional medicine
- Nutritional counseling based on nutritional analysis
- Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
- Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
- Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
- High-fiber diet (whole grain products).
- Observance of the following special dietary recommendations:
- Diet rich in:
- Vitamins (D, E)
- Trace element (zinc)
- Omega-3 fatty acids (marine fish)
- Probiotic foods (if necessary, dietary supplements with probiotic cultures).
- Diet rich in:
- Selection of appropriate food based on the nutritional analysis
- See also under “Therapy with micronutrients (vital substances)”.
- Detailed information on nutritional medicine you will receive from us.
Psychotherapy
- Stress management, if necessary
- Detailed information on psychosomatics (including stress management) is available from us.