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Mother Is Age 94. She Has Been Having Bouts Of

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Posted on Sat, 24 Nov 2018
Question: Mother is age 94. She has been having bouts of diarrhea or loose stools in the last 2 months. For irritation we see around the anal- cheek area we have been using zinc oxide. A few days ago she has developed raw and crusty area of pain where the cheeks meet at the anal area... not on the XXXXXXX itself.....about 2 inches long either side... we started using Vasaline petroleum jelly on the painfull area to help the pain and avoid dryness. We are trying to keep the diarrhea under control with Imodium liquid . BUT my question is
What should we use on the raw and crusty sore near the cheek- anal area to help it heal?? It’s painful for my mother . Should I keep using the zinc oxide ?? Or the gasoline? Or what bout an anti biotic ointment like Polysporin??
doctor
Answered by Dr. Dr. Kakkar (49 minutes later)
Brief Answer:
Regarding perianal rash

Detailed Answer:
Hello and welcome to ask a doctor service. I have reviewed your query and here is my advice.

The redraw area in the perianal region could be either a manifestation of Irritant Contact Dermatitis Or it could be related to underlying Zinc Deficiency - Acquired Acrodermatitis Enteropathica, particularly seen in old age. I suggest you give her an oral Zinc supplement (around 50mg elemental zinc per day) for a few days. In addition, I suggest you apply a topical steroid-antibiotic combination cream e.g cortisone and polysporin ointment mixed together or at separate times of the day.

Hope I have answered your query. Let me know if you need any more assistance.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Kakkar (15 hours later)
Dr.....do these sores ever clear up?? Mom is 94. The gastro doctor says it is from excessive diarrhea. Thank you
doctor
Answered by Dr. Dr. Kakkar (35 hours later)
Brief Answer:
Acrodermatitis Enteropathica

Detailed Answer:
Hi.

Diarrhoea is also a feature of Ecrodermatitis Enteropathica apart from the periorificial rash. So I think Zinc supplementation should really help her.

take care
Let me know if you need any more assistance
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Mother Is Age 94. She Has Been Having Bouts Of

Brief Answer: Regarding perianal rash Detailed Answer: Hello and welcome to ask a doctor service. I have reviewed your query and here is my advice. The redraw area in the perianal region could be either a manifestation of Irritant Contact Dermatitis Or it could be related to underlying Zinc Deficiency - Acquired Acrodermatitis Enteropathica, particularly seen in old age. I suggest you give her an oral Zinc supplement (around 50mg elemental zinc per day) for a few days. In addition, I suggest you apply a topical steroid-antibiotic combination cream e.g cortisone and polysporin ointment mixed together or at separate times of the day. Hope I have answered your query. Let me know if you need any more assistance.