My Daughters Space Under Her Vagina Is Swollen What Could This Be?

Updated on January 26, 2016
V.D. asks from Rome, GA
13 answers

Shes been constipated for 1 year now. Doctors act like its normal. She has been placed on miralax and now she has this swollen area between her vagina and anus. Its very hard sort of knot right under her vagina. It feels painful to me. I dont know what to do. Im in between doctors. Her doctor i have found is not meeting my expectations and i feel she deserves better care from a better doctor. They are taking more than 30 days to release her doctor records so she can go to a new doctor. She cant see a new doctor until they release them. Im frustrated and worried sick. Any advice would b great!

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Featured Answers

T.F.

answers from Dallas on

Make an appointment now to see a new Dr asap. Medical records don't stop you from doing that.

Sign the release form and the new Dr will get the records.

I wouldn't be waiting around a whole year if it were my child, good grief. Dr records nor anything else would stop me from getting my child the help she needs.

Best wishes

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More Answers

J.P.

answers from Lakeland on

You can still see another doctor before they receive past medical records. Make the appointment and get her checked out.

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E.J.

answers from Chicago on

They are YOUR medical records.

I would go get them myself (not wait for them to be sent).

I would find out where they keep her medical records (some have a separate site or department from doc's office). I would call and find out how long it will take for me to pick up copies and go get them. Make sure you also put this in writing to the records department.

I requested my children's about 3 years ago when I switched doctors. It took less then 2 days and it was all on a CD disk.

I'm not sure why she can't see another doctor?

For future reference, always keep your own copies of her records.

7 moms found this helpful

S.T.

answers from Washington DC on

it may be an internal hemorrhoid. but she definitely needs a better look than your current doctor is doing. don't accept that 30 day BS. make her a new appointment today and go pick up the records.
tell them if you don't have them in your hands in 15 minutes you'll be putting a negative review on the (now many) online doctor review sites. that'll galvanize 'em.
khairete
S.

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D..

answers from Miami on

Well, that's bullsh*t about taking 30 days to release her doctor records. You need to go in there and tell them to make you copies of the records. You might have to pay for the copies, but it's worth it.

Do you have a children's hospital anywhere within driving distance from you? If you do, that's your best bet. You need a ped gastroenterologist and you need to tell them what's going on and ask what kind of doctor to help with this particular problem.

I would worry that she has a bowel movement pushing against her perineum (that's the name of the "space" you're talking about.) This is nothing to play around with. If she has this backed up in her colon, it can cause all kinds of problems.

Work hard on getting her an appointment like I'm talking about. I wish you luck.

6 moms found this helpful

B.C.

answers from Norfolk on

Generally you see a new doctor and the records will catch up with you sooner or later.
The old office will send them directly to the new office.
Go make an appt with the new doctor.
They will have a form for you to fill out/sign - they will send that to old office and old office will get it done sooner or later.
In the mean time - you get your daughter treated - you don't wait on the old office for anything.

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M.D.

answers from Pittsburgh on

I don't know anything about your daughters issue. But in terms of the medical records - make an appointment with a new doctor and sign the forms so that they can directly get the records from the old Doctor.

And even if the records don't come over before your appointment, you can see the new doctor.

5 moms found this helpful

D.B.

answers from Boston on

A year of constipation is not acceptable. There are plenty of things to do about that once things like a bowel obstruction have been ruled out.

You don't need all her medical records to see a pediatric gastroenterologist - the office can fax over the relevant records (even if they don't send everything on her immunizations and so on).

To transfer care (her entire medical record) to an entirely new pediatrician, the average is 7-10 days. So the 30 days is a mark of their inefficiency.

Make an appointment with a specialist or a children's hospital today. Then call the pediatrician's office and tell them you want the records related to the constipation ONLY, and you will be over later in the afternoon for them to put them in your hand. If they give you any flak, don't hesitate to ask them the number and contact info for the regulatory agency (e.g. state medical board) where you would report their inefficiency and obstructionism. By law they have to give it to you but it might also motivate them.

Whatever this is, please don't press on it or do anything that might cause pain or cause it to rupture.

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R.B.

answers from San Francisco on

You need a new doctor, now. I don't know what's taking 30 days, but if it's critical that you get these records I suggest you go ballistic on them until they release the records. Not acceptable. I had to go ballistic -- I went into the facility, yelling and freaking out because they were not treating my child properly after months of dismissing him and acting like nothing was wrong -- and they finally had to give my child's problem the attention it deserved.

However, I agree that you don't need medical records to be released to see a new doctor.

It's not normal for a child to be constipated for a year and no doctor should act like that is normal and put a child on Miralax forever.

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M.P.

answers from Portland on

First, relax! It's highly unlikely that this is a serious problem.

How old is your daughter.? If she's a baby, toddler, or preschooler, it is not uncommon for constipation to be that child's normal. This just means you have to do certain things consistently and over time to get past this. At these ages, their digestive system can be under developed or past patterns of eating or eliminating feces could have created the constipation.

My grandson was chronically constipated during those years. By the time he started school he was mostly past that.

What else has her doctor recommended? My daughter changed his diet to include more fiber and eliminate foods that cause constipation. She took him to the bathroom 2-3 times a day to encourage elimination before his intestines were packed. She gave him Mirilax daily, gradually increasing the dosage until his movements were softer and more frequent.

Because finding the right treatment takes time, it's best to stay with the same doctor. A new doctor has to start over.

Your new doctor doesn't need past records unless you've said you want treatment for constipation. However you can make an appointment for a new patient orientation. I've had to change doctors because my insurance changed or I've moved. I never had to wait long for an appointment. The main purpose for such an appointment is for you and the doctor to know if you can work together.

If you asked for an appointment for constipation, it's reasonable for the doctor to want to see the records. The swelling may or may not be related to constipation. The swelling, as you perceived it, may not be a medical problem. I'd talk to an advice nurse, first.

You said it felt painful to you. Did your baby fuss as if in pain, scream or in some other way indicate it was painful to her? Is it possible you're anxious about her health causing you to be more sensitive to changes? As babies mature, they do change. I suggest that her constipation may be normal because her digestive system is immature. Another cause may be her diet or the baby's anxiety. How calm and routine is her care?

I've had concerns about my own care. When I do, I talk with my doctor until I understand why he is making those recomnendation. Inadequate communication is often the cause of discontent. Often, we don't understand or have a personality conflict that hampers understanding.

I start with the knowledge that my doctor has extensive training and experience and knows more than I know. I expect that he is right and have found over the years that talking with him will help each of us understand each other. I have been referred to a specialist when my reasons for anxiety are not adequately answered. In one case, his attendendent seemed uncaring. I left the office in tears a couple of times. I wrote a letter asking for for a different doctor. My doctor called and compassionately listened to me. I stayed with him and never saw that person again.

In summary, I suggest you stay with the same doctor until you're able (this is not an easy thing to do ) to consistently follow his plan. HAve you changed her diet and consistently given her the Mirilax over several weeks for each change? Has her doctor given her a diagnoses with which you disagree. If so, have you talked with the doctor in an open, unemotional way, about your concerns?

I suggest you can see the new doctor by asking for a new patient appointment. You can also ask about being seen for a new development. I suggest that if your daughter still cannot be seen, you talk with the advise nurse, When you call for an appointment you are often talking with a clerical person who has no formal medical training

Actually, I'd talk with the advice nurse first. She may get your daughter in sooner. Consider that what you see as a swelling may not be a problem. Your daughter is growing which does cause body changes.

Also consider that you're dealing with professional people. They will be helpful if you are firm as well as polite. Going ballistic rarely gains cooperation. It increases anger which will interfere with the other person's ability to be helpful.

I suggest you start by stating your problem. (New doctor won't see daughter until he has her records.)

Ask for help in resolving this issue.

Let that person consider and state possibilities. Don't say, "you have to send those record right now. Be willing to consider a different approach.

Treat that person with respect, in the manner you would want to be treated.

In my experience, when one doctor immediately needs records, his assistant calls the other doctor's office and asks for them to be faxed or sent via the Internet.

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M.G.

answers from Portland on

Personally, if one of my kids had a reaction to a medication, even a laxative, I'd stop them taking it. I would consider it a side effect if it just happened since taking it.

I think you can see a new doctor without records. We did. In our case there was just a delay in sending the files over. So we called and asked them to rush it. They did. Be more persistent.

If she has hard stools in there and the Miralex is working, I'm thinking she might have hard BMs pushing down on that area before coming out. That can cause hemorrhoids, fissures (cracks that cause cysts), etc. Just keep an eye out for blood. Up her water considerably. But if it were me, I'd stop the Miralex just to be sure until you can discuss with a doctor.

Good luck and keep us posted :)

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N.B.

answers from Oklahoma City on

Go to an urgent care clinic and tell them she has a knot that hurts and it needs to be seen.

If it's just the new doc's office is waiting but not your insurance then take her somewhere that accepts your insurance that isn't her new assigned/primary care doc.

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C.B.

answers from San Francisco on

Medical records belong to the patient, not the doctor. Unless her file is extremely thick, they should be able to give you a copy while you wait. There is no reason it should take them 30 days.

Also, a new doctor should not refuse to see your child for a specific current problem just because he/she does not have her prior records. And who says she can't see another doctor until her former doctor releases the records. You may be giving way too much info when you call for an appointment. If you're telling them that you are changing docs because the current one doesn't meet your expectations, that could be a red flag for them. Just simply call up and schedule an appointment as a new patient without any explanation.

As for the constipation, hopefully she's on a high fiber diet and drinks LOTS of water. Combine those with miralax and she should do much better.

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