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Suggest Treatment For Redness Over Vaginal And Anal Area

Posted on Tue, 30 Jun 2015

Question: hello Dr

My baby is of 9 months
She is having too much redness over vagina n anus....we are using Mometasone furoate cream from last 20 days...but no effect ....can u tell the reason for this

Answered by Dr. Arun (8 minutes later)

Brief Answer:
could be fungal infection

Detailed Answer:
Hi
Thanks for writing to us.
Red rash over the vagina and anus could be due to various reasons.
Common include
Diaper rash, lactose intolerance after an episode of diarrhoea, fungal infection.
General allergic rash including diaper rash should have improved after 20 days of mometasone.
If still not improving it could be the other two causes I had mentioned.
Did she have loose stools before? How are the current stools?
Send us an image if possible.
Few tips -
Avoid diapers.
Try emollient like happynap ointment to soothen the skin.
Fungal infection needs confirmation by your pediatrician and antifungal like clotrimazole.
Wishing your child good health.
Regards
Dr Arun

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (8 minutes later)

we are not using diapers....she had loose motions before 20 days...she is teething too....she go for stool one or twice a day and motion is nither loose nor tight....

Answered by Dr. Arun (19 minutes later)

Brief Answer:
try lactose free milk

Detailed Answer:
It could be lactose intolerance.
This may last even a month after diarrhoea.
You can check the stools for reducing substances.
If positive,
Try lactose free milk like isomil for a few weeks.
Avoid cow's milk.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (13 minutes later)

Doc she is only on mother feed as far as milk is concerned.
Other semi solid fruits and kichdi etc
Is curd ok

Answered by Dr. Arun (9 minutes later)

Brief Answer:
ok

Detailed Answer:
Curd is fine.
Mother's milk too has lactose.
You need to decrease breastfeeding frequency to once or twice only.
Lactose free formula can be given after stool test as advised earlier.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (17 hours later)

hello Dr.
as u asked for the picture of stool...is it infected?

Answered by Dr. Arun (38 minutes later)

Brief Answer:
doesn't seem so

Detailed Answer:
Stool is light greenish semiliquid.
More likely lactose intolerance.
Test stool as advised.
Unlikely to be infection.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (24 hours later)

hello dr
we checked stool test for reducing substance..pH...and routine test....so after seeing reports can u tell the reason of redness

Answered by Dr. Arun (1 hour later)

Brief Answer:
looks normal

Detailed Answer:
I have seen the reports.
Definitely it is normal except for fat globules.
Fat is not getting fully absorbed.
Soya based formula like isomil will help here too.
You can try it.
Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar