Welcome › Forums › Worldwide Lichen Sclerosus Support Forum › 3 yo daughter diagnosed, need recommendations
| Author | Posts |
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| Author | Posts |
| February 6, 2012 at 6:44 pm #513 | |
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LS Mom |
Over the last year my toddler had been having bad itching episodes and some bleeding from scratching. After several visits to her regular pediatrician we were referred to a specialist here in San Francisco who diagnosed LS. Luckily it was caught early and the clobetasol has relieved her itching over the last 3 week of using the steroid. However her vulva has discolored dramatically since taking the steroid and she had one minor itchy flare up recently. We are using it as prescribed 2 times per day for 2 months, then once per day until improved, and then only as needed. I thought I would try to get recommendations from experienced users for other ways to manage the LS. In particular I would like suggestions about bath/hygiene, oils/emolients, diet/supplements, lifestyle changes. I really worry about her future with LS since I understand that it is never cured, only managed. It breaks my heart that her vulva could atrophy and/or scar and sex and childbirth may be painful or impossible. Thanks so much for taking the time to give us advice. Emily’s mom PS. I am so grateful to have found this board, I am hoping it will be a great resource for us. |
| February 6, 2012 at 8:26 pm #514 | |
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pete |
Hi and welcome, I am sure one of the ladies will be along soon to confirm best plan for young females. Personally I use vitamin e oil, emu oil to moisterise skin along with dermovate. |
| February 20, 2012 at 9:29 pm #525 | |
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admin |
Hello Emily’s Mum, I am sorry to be so long to make contact here. I have more emails and messages than I know what to do with most days! Over the years, there have been many children with LS, now grown up and married with children, who still live with the challenges but are also living good and happy lives. There is still a lot of mystery and theory about this condition and the internet has become a dangerous place for anyone with LS because there is so much conflicting information. I have tried to ensure that this site gives reliable, medically researched and current information and at this time, treating small children with clobetasol is definitely the recommended way to go as far as the international doctors are concerned. I have been to the US several times and am in touch with some very good dermatologists and paediatric dermatologists. If I can ever be of more help, do mail me at admin@lichensclerosus.org I say this because, it often takes me a while to go all through the messages and blogs on the site! |
| February 22, 2012 at 6:19 pm #531 | |
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LS Mom |
Thank you for your replies. It has been hard to sort through all the information on the web. Since starting the clobetasol 6 weeks ago Emily’s LS does seem better lately with less itching and discomfort for her and she has been pretty good about letting me apply the clob in the morning (while she watches TV!) and we have been putting plain aquaphor on before bedtime. We go back to the derm in a few weeks and I am praying she says that Em is responding to the treatment. My biggest problem is getting worked up playing out in my mind all the “what-ifs” concerning the progression of the disease. I would love to hear about improvements exerienced with changing diet, hygiene, other topicals and other information that we wouldn’t necessarily receive from the derm. |
| February 23, 2012 at 9:50 am #533 | |
|
admin |
I have been in support for a long time. While I hold totally democratic views, I do feel concerned at the uncontrolled and random information on the internet now. The internet has far too much negative information on LS and most of would appear to be highly unsuitable for a parent of a child with LS. This is my view from years of experience. Everyone has the right to write what they wish but its hard to know who to believe. In real terms there is not a lot of true research regarding diets, many adluts with LS try all sorts of things and have success but at the end of the day, nobody’s biochemical make up is the same and a normal healthy diet is probably as good as anything and I doubt any doctor would want to put a small child of three on any kind of exclusion or even inclusion diet. As for hygiene, the ISSVD, a USA based vulva organisation recommends using only plain water for bathing/showering and its a regime that I have found successful in my own case, since 1994. I had LS in my childhood, and so remember being washed with soap that always left me itching and uncomfortable. The condition went when I became teenaged but returned just after the menopause. I notice that LS is quoted as two varieties, uncomplicated and complicated. So ‘what if’ your daughter’s case was uncomplicated and easy to control and she managed to have a good life with a husband and children. That is a totally different way to think about it. I am a holistic therapist in my ‘other life’ and holistic people have a saying ‘do not draw to you what you fear most’ It appears to be sound advice! So keep hopeful and think on good things for your daughter. The medics tell us that if we do not treat LS with steroids the condition may lead to scarring but they cannot tell us who is more likely to ‘progress’ to this state and so my view has always been to take the conventional steroid route as well as using any other moisturisers that soothe and are comforting. This approach is known as ‘Complementary medicine’. I have used nothing but Dermovate since 1994, not every day but as part of a controlled and monitored regime given to me specifically for my own case by my dermatologist and I have not itched now for years. However, I do get the white/pale areas of skin and they need to be treated. Emily’s mum, I do hope that you have found this message helpful. Do come back and keep us posted about Emily’s progress and about any problems you are having coping. What you write here may help others. |
| March 6, 2012 at 6:16 pm #581 | |
|
LS Mom |
I just thought I would follow up to let everyone know that Emily’s LS has greatly improved since January when she was first diagnosed. We just saw her dermatologist yesterday and we could compare to the photo she took in January. The swelling of clitoral hood has greatly reduced, fissures have healed and a protrusion in her anal area has healed too. I am sure that the clobetasol is mostly responsible. Her regimen for it was twice per day for 1 month, once per day for 2 months. Now the plan is use it to every other day for one month and after that 3 times a week. If everything is still calm when we see the derm in June then the plan is to use just once a week. She said that the current practice that they see the most success with in girls after LS is under control is to keep using a strong steroid such as clobetasol at least once a month to keep things in check and she will likely be using this for years or even her whole life. The derm said that most young girls (>95%) will respond to this regimen. Other non-medicinal things that may have helped her is using aquaphor once per day, not bathing with soap, not wearing panties with PJ’s at night, and wiping her bottom after BM’s with Pamper’s sensitive wipes (rinsed first with water). For constipation issues we have been giving her 2-3 Fiber Gummies, continuing to use Miralax, and offering her more juice to keep her hydrated. Since her bottom isn’t irritated anymore she is not holding the poop in anymore. I am so relieved that Emily is feeling better and can relax and just be a normal 3 year old. Thanks for the words of encouragement and I hope our experience will reassure other parents of kids with LS. |
| March 14, 2012 at 6:42 pm #602 | |
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azchic123 |
hi i was just recently diagnosed with LP and after reading your post i also have a 3 year old that has had the same issue for a long time probably started when she was 9 mths old but ive just been told by her pediatrician she just has sensitive skin , i feel bad that shes always irritated, what were your next steps into looking further into it, i dont know if this is hereditery so im wondering now could it be the same as me? |
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