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Daughter Suffers From Vaginal Bleeding

Questioner

F (34-female-Saudi Arabia)

Reply Date

Oct 09, 2017

Question

Salamu 'alaykum, When my little girl was born, she had some blood coming from her private parts, after 4-5 days it stopped. It's not a wound as the doctor inspected it. Since then until now, she is 4 1/2 years old and nearly every month she experiences some pain in the same place. When this occurs, she lays down and crosses her legs tightly,. I can feel she is feeling pain. I stop her, but she will continue again. One doctor told us, that case is one in a million. Please give me some advices. Jazakallah bi-khayr

Counselor

Answer


Vaginal Bleeding

In this counseling answer:

First, as vaginal bleeding which occurs in young girls is always of clinical importance. The diagnosis should be made with some urgency so that an appropriate therapy will be given in time. I prefer you go to a well-equipped hospital with professional physicians that you can trust.”


As salamu`alaykum,

Our children are indeed, “our hearts walking on the ground”, if they feel a pain, or even a minor difficulty, we feel it in our hearts, and that’s how they are so dear, and that is one of the reasons why Allah has promised huge rewards for good parents, and especially those who have a sick child. And the amount of reward is always proportionate to the degree of pain and endurance.

Allah  says in the holy Qur’an:

{For those who do good is good (reward) and more (than this); and blackness or ignominy shall not cover their faces; these are the dwellers of the garden; in it they shall abide.}  (Yunus 10:26)

Bleeding through the private parts (vaginal bleeding) is quite normal in the first few weeks of life. It is even a good sign that the systems are working, as the baby goes through withdrawal from the hormones she was receiving from her mother “in utero” ( inside the uterus), so it is natural.

However, bleeding after that period up until the signs of puberty (around age seven or eight), is not normal and if this happens the girl should be thoroughly examined and without any delay. The sooner we know the reason, the more successful is the treatment. There should be a medical examination which will keep the hymen intact without harm. Two conditions should be fulfilled during this examination:

  • It should be done by a professional
  • It should be done under anesthesia, not because it is painful, but because I don’t want her to remember it afterwards.

Vaginal bleeding in general (whether cyclic or not) could be caused by several reasons.

Vaginitis , which is inflammation in the vagina due to some infections, a medical professional can take a culture of the discharge to determine which  bacteria are responsible for the infection . These types respond well to oral antibiotics and local care.

Foreign object in the vagina, one of the most common reasons, all sort of things reportedly have been found in the vaginas of little girls (cotton, paper, safety pins, sand, sticks), if the material is soft a professional often can flush it out with saline solution.

Injury to the vulva, that occurs from straddling an object or falling on an object while in a straddle position.

Urethral prolapse A less common cause of bleeding is urethral prolapse, in which the end of the tube that allows the bladder to empty (the urethra) turns inside out.

This usually resolves without surgery simply by having the child soak the area in warm water and using topical emollients. Some experts recommend topical estrogen cream or antibiotics.

Local lesion of the genital tract, e.g.  hemangiomas, benign and malignant tumors. . Although it’s important to keep in mind that these more serious causes are uncommon, all girls with vaginal bleeding should be seen by a practitioner who has experience with the gynecological care of children.

Premature Menarche: cyclic vaginal bleeding without signs of pubertal development is rare. A full examination under anesthesia and an endometrial ( from inside the uterus biopsy specimen are required to rule out endometrial disease.

Pinworms ; excoriation from scratching

Trauma : self-inflicted or sexual abuse

Rectal or urethral bleeding may sometimes appear vaginal

Systemic diseases, e.g., leukemia

Medications: some drugs can cause vaginal bleeding, especially estrogen- containing drugs

Precocious  puberty (early puberty), which should be taken seriously

Excessive weight, exercise, or it may be psychological.

Thalassemia or Sickle Cell Anemia  a deficiency in the blood that can be brought about through intermarriage to close relatives.

What to do now?

First, as vaginal bleeding which occurs in young girls, is always of clinical importance. The diagnosis should be made with some urgency so that an appropriate therapy will be given in time. I prefer you go to a well-equipped hospital with professional physicians that you can trust.

Second, du`aa’ and lawful ruqyah (protective words of the Qur’an and Sunnah),du`aa’ especially in the last third of the night, the du`aa’ in the night is like the arrows of fate, they never miss, but they have an order, and this order needs patience.

Narrated AbudDarda’:

“I heard the Apostle of Allah (peace_be_upon_him) say: If any of you is suffering from anything or his brother is suffering, he should say: Our Lord is Allah Who is in the heaven, holy is Thy name, Thy command reigns supreme in the heaven and the earth, as Thy mercy in the heaven, make Thy mercy in the earth; forgive us our sins, and our errors; Thou art the Lord of good men; send down mercy from Thy mercy, and remedy, and remedy from Thy remedy on this pain so that it is healed up.” (Abu Dawud 28 # 3883 )

Pray two rak`ahs of  Salat-ul Haja daily

Say ‘I ask Allah The Supreme, Lord of the magnificent throne to cure you’.

 

Read the three last surat (chapters) to her every day

  1. Al-Ikhlas (Sincerity)
  2. Al-Falaq (The Daybreak, The Dawn)
  3. An-Nas (Mankind)

Pay Sadaqa (charity) in the cause of Allah, it helps healing the sick

And finally – Any good is from Allah and any mistakes are from myself.

Read more:

My Daughter Is A Picky Eater, Please Help!

My Daughter’s Virtue

 




About Mona Salama

Mona Salama is a Medical Nutrition Specialist. Parenting Counselor and hold an Ijaza in Islamic Da`wah. She Graduated from Faculty of Medicine-Cairo University.

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