With the mother's permission I share with you what her steps have 
been. She and I appreciate all of you for considering this case and 
giving your thoughts on it.

Pat Gima
_________________________________________________________________
Hi Pat,

Here's an update on the everything we have considered to explain the 
spotting my daughter had on Sunday.  If anyone suggests anything 
outside these lines of thought I will be eager to look into those 
possible explanations.

I examined my daughter's anatomy immediately when I first noticed the 
blood, to look for any sign of injury, irritation or trauma.  While I 
love and trust everyone in my family, I knew I needed to look for and 
consider the possibility that someone had hurt her.  There was 
absolutely no sign of irritation on her body.  She reported no recent 
"owies" and acted relaxed, happy and trusting of all family 
members.  Believe me, I was watching her carefully for any unusual behavior.

We traveled home on Monday and I took her to the pediatrician on 
Tuesday.  She examined her carefully and confirmed my assessment that 
she appeared to have normal, healthy anatomy.  We did a clean catch 
urine test and all variables of the test came out normal.  There were 
no blood cells in her urine to suggest a bladder infection had been 
the source of the blood.

The pediatrician told me she had seen little girls with vaginal 
spotting in the past when they had gotten into their mother's birth 
control pills or estrogen cream.  I do not have any of those and my 
mother-in-law reported none in her house either.

She had not had a bowel movement that day, so I don't think the blood 
could be do to a tear from a difficult bowel movement as some people suggested.

She has not yet discovered playing with herself for pleasurable 
stimulation, plus she had been fully clothed all day, so some tiny 
finger nail cut is not a likely explanation either.

You mentioned that one reply you recieved was of a six year old with 
vaginal spotting that turned out to be rhabdomyosarcoma.  My research 
on this showed my daughter could fit the profile: most common in 1-5 
yr olds, the genitourinary system (includig vagina or uterus) as a 
common location, no early symptoms if growing in a cavity, passing 
blood as a sign.  Our pediatrician thought her blood was more 
plausibly related to a flux in my hormones than to a tumor.  She was 
content to wait and see if the bleeding ever recurred.  But she left 
the decision to me whether to wait and see or take her to Children's 
Hospital for a CT scan.

Since rhabdomyosarcoma is an aggressive, fast growing, malignant 
tumor, I was nervous about a wait and see approach.  So I took her 
yesterday, Thursday, to Children's for the test.    While the tech 
was not at liberty to give me any results, the fact that they let us 
go versus admitting her to the hospital suggested that the tech 
didn't see anything bad.  I expect that the radiologist will review 
the pictures and send a report to my pediatrician, who will in turn 
call me in a couple days.

So, I'm left with no better explanation than a flux in my 
hormones.  I do think my hormones have been off kilter recently, 
since I started with yeast infections the week before my period 
started the last 2 months--possibly estrogen related--similar to how 
I had chronic yeast infections throughout my pregnancy with my 
daughter when estrogen was higher in my system.

Thanks again for your willingness to help me search for an answer and 
to the participants of Lactnet.

Dawn


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