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I have asked if something hurts or itches (she wears a pad) but she quickly says no and takes them out. This just started and not sure what to make of it.

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She may be too modest/embarrassed to admit she is uncomfortable. It could be a yeast infection, or it could just be the pad causing discomfort (I used to be irritated by menstrual pads and we only need to wear them for a few days a month, having to wear something 24/7 ... yikes!). If it is yeast it needs to be treated, and there are soothing creams if it is something else.
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My aunt does that. She used to be bad about it. She stopped for awhile. She recently started wearing pull ups and I think she rests  her hands inside the elastic top on top of her belly.  I don't say anything to her about it. Hoping it will pass again. 
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