### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My 3 y.o. girl has red irritated genitals and anus for about a month now, which makes her cry every time she has to poop. Our pediatrician prescribed panderm cream for her, cz after taking a quick look he diagnosed her with vulvovaginitis. We reported no worms seen in her stool and anus. We take a good care of her and I can t imagine how on earth she could get vulvovaginitis, we re also worried about using panderm on her. We ve tried sitz baths for a a few days too, but the problem persists. She s also had some tiny blood marks on her undies a few times. What would you recommend? Does it sound like our toddler indeed has vulvovaginitis? Is panderm safe for such small girls? Is there any risk to cause any damage by using this medicine? Is there any risk leaving this condition untreated and let her body work it out on it s own? Are there any natural ways to help her? Thanks!

### output:

Thanks for consulting in Healthcare. It seems that your daughter has candidiasis. It happens because warm weather, overeating of sweets, non-correct washing of genital organs, that's why infection from anus can go to vagina. If I were your doctor I would prescribe clotrimazole cream 2 times 5 days. Underwash a girl with soda water- 1 teaspoon for 2 glasses of boiled cooling water. She should wear 100% cotton ironed underwear, skirt, because pants create steam effect, don't give to her lots sweet. If you does not receive effects then go to gynecologist and give bacteriological analysis from vagina for sensitivity to antibiotic Best regards