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White inflamed area around anus, not itching. Diarrhea. Irritation?

my 2 year old has a white enflamed area around his anus . he does not seem to be trying to scratch it at all or even acting like it bothers him, but it looks awful. He has had diarrhea , could it just be irritated? We keep him changed and use Bert s Bees baby salve every night, he did not have a diaper rash prior to this.
Asked On : Tue, 25 Sep 2012
Answers:  3 Views:  182
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Pediatrician 's  Response
hi lilmissthe, this is very normal issue as number of stool passage cause irritation ,the anal area get red and itchy because of perianal excoriation which known to occure after diarrhoea, needs soothening agents like please clean the anal area after passage of stool by clean wet cotton ,then apply hairoil,then apply soothening agents like zole ointment . please keep your clean and let him play without nappy ok
Answered: Sat, 29 Sep 2012
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OBGYN Dr. Asra Ishtiaq Ahmed's  Response
Hello there,

You mentioned the are to be white and inflammed. So I beleive there is some redness as well. Diarrhea can result in secondary lactase deficiency and result in perianal excoriation due to acidic stools. That can be one possibility. If the lesion has developed around the same time as diarrhea then its likely to be excoriation. However if the problem has persisted relatively longer, it can be fungal. So get it seen by a Pediatrician for exact diagnosis for inititation of right treatment.

Take care.
Answered: Fri, 28 Sep 2012
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Pediatrician Dr. Taher Kagalwala's  Response
Sometimes, the local wetness and warmth encourages candidial fungi to grow, so that salves like the one you mention may not work. You should take her to a doctor who will prescribe a local anti-fungal ointment for this problem. Even if there is no itching, do go once and make sure a fungus is not the cause. Once the doctor has certified her as being free from a fungal infection, you may try keeping the area totally dry till the patch heals.
Answered: Fri, 28 Sep 2012
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