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Small child, red spots on buttocks, irritation in anus, vaginal itching. Applied double base cream. Cure?

Hi. My 3 year old is very unsettled 2nite and complaint of a sore bum, iv had to take her nappy off as she seems too uncomfortable to wear it. She has red spots on her bum cheeks, her anus looks quite red, and she has been Itching at the front too, I have applied some double base cream to her bum and left her nappy off. Looking for some advice as to what is could be? And what s the best thing for it? Thanks.
Asked On : Tue, 15 Jan 2013
Answers:  3 Views:  200
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Diseases and Conditions
Pediatrician, Cardiology 's  Response
Redness in perianal region is a sign of dermatitis. This dermatitis may be allergic diaper dermatitis or infective candidial dermatitis.
Double base cream is an emollient,it contains myristate and paraffin. Along with emollient, zinc and antifungal containing ointment will be more helpful.
I would suggest you to apply a cream containing all these and keep the area dry. Don't rub but wipe gently, that will avoid injury.
Answered: Wed, 16 Jan 2013
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Pediatrician Dr. Synthyia Bhagat's  Response
Thanks for your query,
Your baby is having dermatitis usually due to diapers,or could be candiasis also.
I advise you to keep area dry,avoid diapers ,wipe area gently with water.,
You can apply caladryl lotion,you can also give benadryl as per dosage for 1 to 2 days,
In case symptoms persist consult your pediatrician as she may require some topical medication for it.

Your baby will be fine.
God bless
Answered: Wed, 16 Jan 2013
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013
Thank you for your query,
It is looking like Diaper dermatitis whcih may be due to prolonges wear of diaper or may be a fungal(candidal)infection which is common in children due persistent presence of wet areas.
You can apply zinc oxide based creams which are available OTC and the area should be wiped gently after cleaning with water and should be allowed to dry and then apply the cream.
If it is due to candidal infection antifungal topical application is required so consult your Pediatrician for examination and treatment.
Answered: Tue, 15 Jan 2013
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