<s>[INST] my 3 year old complained of vagina pain, burn to urination and pooping. Was diagnosed with strep A. Treated with Amoxicillin 400 mg 2x daily as well as sitz baths with epsion salt or baking soda. Simutaneolusly she was given Vermox for pin worms (unconfirmed diagnosis). 2 weeks post treatment still complains of vagina pain to wiping after urination and leg pain. Help! [/INST] Helloits urinary tract infection probably and Vermont was given to deform as worms are the commonest cause of UTI in child Chat Doctor.  Secondly in females hygiene is an issue. I would advise wiping from front to back while washing after peeing and to avoid tight clothing and constipation. If she has constipation and has pain during pooping also, get her checked for anal fissure .go for a repeat urine routine examination and culture test and also a kidney ultrasound to rule out any anatomical pathology. </s>