My 18 month old daughter has labial adhesions. They have gotten worse very quickly over the last 2 weeks. She now appears to be sealed shut all the way and I don't know how much of an opening is left around the urethra. I want to take her to get it treated because it seems to be getting worse so quickly. The only problem is we don't have a family doctor (new city, no doctors) so we have to either go to the walk-in clinic or to the ER. I have been to the walk-in clinic a number of times and they aren't very good with kids. They also don't seem to be too knowledgable about issues beyond the basic antibiotics, allergy shots, etc, stuff. I am really scared to take her in there with that because I am afraid they will try and just pull it apart or tell me it needs to be surgically separated or something. I am also scared of that with the ER. I know from research that the usually prescribed course of action is estrogen cream and I am okay with using that at this point. I am just really scared of running into a doctor who doesn't know about it and who tries to do something that will hurt her. Also there isn't any possibility they will think that means she's been sexually abused or something would they? I know she hasn't been of course. The other issue is that she has an infected toe. I feel horrible I didn't notice earlier but it looks like a toenail has grown into the skin and it is definately infected. The toe is red (its the big toe on her right foot) and there is a bubble with yellowy-green pus in it. Will they have to lance it or pull the toenail out or something. I don't think I have the stomach to hold her while they hurt her! Will they at least use some form of anesthetic if they have to do something to it? Any help is appreciated and I really appreciate all responses.
Shawna, married to Michael, mommy to Elijah 1/18/01, Olivia 11/9/02, and Eliana 1/22/06