What should I do if my 4-year-old child has a strong odor in the genital area?

A 4-year-old child having a strong odor in the genital area may require different management approaches depending on the underlying cause. The main causes can be categorized as non-medical or medical factors, with common medical conditions including urethritis and balanitis.

I. Non-medical Factors

If poor personal hygiene is the issue—such as infrequent bathing, not changing underwear regularly, or inadequate cleaning after urination or bowel movements—residual substances may accumulate locally and lead to a significant odor. It is recommended to improve personal care by maintaining genital hygiene, bathing regularly, and frequently changing clothes.

II. Medical Factors

1. Urethritis

In cases of urethritis, the urethral mucosa becomes irritated by pathogenic bacteria, producing yellowish-white pus-like discharge with an unpleasant odor. If not promptly cleaned, this can result in a distinct genital odor. Treatment may include medications such as cefixime granules, ciprofloxacin lactate injection, or ceftriaxone sodium for injection, used according to medical advice to eliminate urethral inflammation.

2. Balanitis

Balanitis may cause congestion, swelling, and pus discharge from the glans penis, leading to abnormal odors in the perineal area. According to a doctor's instructions, treatment may involve ceftriaxone sodium for injection, cefotaxime sodium for injection, or cefuroxime sodium for injection to reduce inflammation and control infection.

In addition, conditions such as phimosis may also contribute. It is recommended to follow medical guidance for appropriate diagnosis and treatment.