Causes and types of vaginal foreign bodies 1. Vaginal foreign bodies can be inserted by the child himself. The foreign body is inserted to relieve itching or curiosity. For example, scraps of paper, cotton wool, pen caps, erasers, hair bands, button batteries, etc. 2. Vaginal foreign body can be inserted by others. If a child is curious or an adult intentionally plugs it in. Such as hairpins, grains of wheat, glass balls, cigarette filters, small fruits, etc. 3. Foreign bodies can be inserted into the vagina while sitting on the floor or playing on the bed while wearing crotch pants, such as grains of grain, beans, plastic balls, etc. Clinical manifestations of vaginal foreign body 1. Repeated vulvovaginitis with smelly discharge. Abnormal vaginal discharge, red, black, blue and other colors should be considered when a foreign body enters the vagina. 2.Vulvar pain and bleeding: larger foreign bodies or corrosive foreign bodies can cause severe vaginal pain and bleeding, or fragile foreign bodies can damage the vaginal wall when trying to remove them. 3. Difficulty in urination, frequent, painful and urgent urination may occur when the vaginal foreign body compresses the bladder. 4.When the foreign body causes complications such as fecal fistula or urinary fistula, urine or feces may be discharged through the vagina clinically, or paroxysmal venting in the vagina may occur. Clinical diagnosis 1. History of foreign body inserted into the vagina, or history of suspected vaginal foreign body. 2. Increased vaginal discharge, pus and blood, or muddy water with foul odor. Or abnormally colored fluid may come out of the vagina. 3.Foreign body in the vagina can be detected by anal examination. 4.B ultrasound, X-ray, CT and other auxiliary examinations suggest abnormal echogenic shadow. 5.Nasoscopy and small fiberoptic hysteroscopy are used to diagnose small, soft, non-metallic foreign bodies. 6. When a small vaginal foreign body is highly suspected, the vagina can be douched with a light-colored or colorless antiseptic solution. Methods of removing vaginal foreign bodies. The vagina is an elastic muscular cavity, its upper end is wider than the lower end, and there are many transverse folds in the vaginal mucosa, which are usually close to the front and back walls, so once a foreign body enters the vagina it is difficult to fall out on its own. 1. Anal nudge method: Young children can use small curved vascular forceps to reach into the vagina and remove the foreign body under the guidance of anal fingers. The long axis of the foreign body should be parallel to the longitudinal axis of the vagina to prevent damage to the mucosal tissue. 2. Vaginal irrigation: A catheter can be inserted into the vagina and the vagina can be irrigated with 0.02% furacilin under pressure. Small foreign bodies such as cotton wool, gravel, paper dust and wheat grains can be flushed out by the irrigation solution and have an anti-inflammatory effect. 3.Nasoscopy: Dilate the vagina of young children with nasoscope and remove the foreign body with forceps, if young children cannot cooperate, intravenous anesthesia with ketamine is feasible. 4. Hysteroscopic removal of foreign body under direct visualization: because the nasoscope is short and there is no light source, it is sometimes difficult to achieve the purpose of diagnosis and treatment, and there are reports of hysteroscopic removal of foreign body from the vagina of young girls. How to prevent vaginal foreign body 1.Once you find that the vulva is red and swollen, the discharge is increased and the vulva is itchy, you should consult a doctor in time to reduce the chance of the child scratching the vulva. 2. Do not wear open pants to avoid foreign bodies entering the vagina. 3. Educate parents to teach young girls proper hygiene and guide their curiosity correctly.