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Child has red dots near buttocks crack. Stinging after diarrhea

Hello. My 11(almost 12) year old daughter says she has a few red dots close to her Butt crack. She said they kind of looked like pimples almost, but sure that they were not. i am not sure because she is to embarassed to let me see. She says her butt crack was stinging and it went on and off. (There hasn t been any blood). She said it feels fine usually when she is still but not all the time. (Usually when she lays down on her stomach or on a soft couch stomach up.) She told me when she woke up it felt fine, and then she had a little diarrhea and then it started to sting about 10 minutes later. (Stomach feels fine) She has good personal hygiene and showers everyday. This has happened before but it went away. She sometimes gets a rash between her thighs due to chaffing from her tight jeans. But now she has been in comfy, soft pants for a while after changing out of thanksgiving clothes. She is clearly miserable and I want her to get better soon! Thank you for the help!
Asked On : Mon, 26 Nov 2012
Answers:  2 Views:  111
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Pediatrician 's  Response
hello there,
this could be some worm infestation (?pin worm) or perianal dermatitis that is troubling your daughter.
this perianal dermatitis is caused by many bacteria most commonly streptococcus and may be candida and other fungal infections.

in my opinion you should consult your pediatrician as it need to be examined with detailed history for proper treatment.
may be it would require stool examination for ova and cyst, throat and perianal culture and some other test depending on the clinical examination.

best would be to maintain proper hygiene like, proper hand wash after loo and before meals, keep nails trimmed and clean, use full clothes at night and not to take hands into mouth etc.

hope my answer will guide you in getting a solution

thanks for the query
Dr. Amit Kumar

Answered: Mon, 26 Nov 2012
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Pediatrician Dr. Sudha Shree Venkataraman's  Response

It might be a fungal infection- which affects closed and moist areas.
If it was itchy and was scratched, it might be associated with secondary bacterial infection too.

You may use simple antibacterial ointments or dry powders like mupirocin, thrice a day for a week. It will take care of secondary infection. She might need antifungal creams too along with this- like clotrimazole creams for a week.

Do not do over cleaning or wiping. Gentle wipes will do.
If she does not improve, do take her to a dermatologist- if severe oral medications will also be needed.
Hope my answer helps you.
Best Wishes.
Answered: Mon, 26 Nov 2012
I find this answer helpful
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