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Suggest Treatment For Cuts Around Genital Area In Children

Posted on Fri, 1 Jul 2016

Question: Hi Doctor

This consultation is for my daughter, we have been observing this problem over a year now when we were in US.

Initially when observed cut mark below her genetal area and were told that since she was wearing diapers it is occuring and we should potty train her. We potty trained her and this issue vanished. After few months we again observed same issue and after applying "Aqua Phor" it used to go away but then xome back after few weeks. we apslo applied "triple antibiotic cream" and that would to heal that partially but it never got healed completely.

We consulted dermatologist in US and they prescribed Gentamycin cream. Even culture was done there for that area (FuzailResults.pdf). After coming back to XXXXXXX in march, we saw dermatologist and she was put on antibiotic course and medicine (Dr XXXXXXX Precription) after completing prescribed course problem reduced but came back after some time.

This time we again visted dermatologist (Dr XXXXXXX Prescription) since we re-located to differrent city. After application of pescribed medicine severity reduced but after sometime problem again re-surfaced.

I am attaching picture of daughter genetial area (image 1 and Image 2).

Please advice why we are having this problem for over an year now and what medical course we should follow to get rid of this problem

Answered by Dr. Dr. Rahul Kumar (3 hours later)

Brief Answer:
Mixed infection

Detailed Answer:
Hello
Thanks for the query and photograph.
It's looking like a mixed bacterial and fungal infection.
I went through the prescriptions.
She was treated only with antibiotics.
I treat such cases with ointment mupirocine to be applied in morning and ointment clotrimazole to be applied in night.
Do this for 15 days and later continue with ointment clotrimazole twice daily for another month.
Also give her tablet albendazole 400 mg single dose.
All these medications are safe and effective and available over the counter.
This complete course must be done in order to achieve complete cure.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Rahul Kumar (7 hours later)

Hi Doctor, thanks for your response, I have attached same picture highlighting the area of concern. Please let me know if course of action still continues the same

Answered by Dr. Dr. Rahul Kumar (14 hours later)

Brief Answer:
Go ahead with advice

Detailed Answer:
Hello
Thanks for photograph.
It is looking like mixed infection.
Please go ahead with the advice.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Dr. Rahul Kumar (51 minutes later)

Thanks Doctor, one follow-question on "tablet albendazole 400 mg", since my daughter is 3 year old only do we have syrup substitute for this medicine?

Answered by Dr. Dr. Rahul Kumar (3 hours later)

Brief Answer:
Syrup available

Detailed Answer:
Hello
Yes there is syrup albendazole 400 mg available.
Thank you

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Rahul Kumar (3 days later)

Hi Doctor,

My daughter was giving anti worm medicine by her pediatric when we went to her for her stomach pain. Please find that prescription attached (Dr XXXXXXX jpg)

Answered by Dr. Dr. Rahul Kumar (59 minutes later)

Brief Answer:
Give it after 15 days

Detailed Answer:
Hello
She has been given anti worm medicine.
Repeat the same dose after 15 days.
Let me know if you have any other doubts.
Thank you.

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. Naveen Kumar