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Suggest Remedies For Perianal Rash In An Infant

Posted on Mon, 2 May 2016

Question: Hello Doctor,
My 9 month old kid got some reddishness under his hips. this may be due to excessive diaper use. can you pls assist for the same. i have also attached images for the same.
best regards
XXXX

Answered by Dr. Arun (37 minutes later)

Brief Answer:
Perianal excoriation plus infection

Detailed Answer:
Hi
Thanks for writing to us.
I have seen the attached picture.
Based on your description and image it could be excoriation from stools and secondary bacterial infection of damaged skin.
Let me know his history
1. Did he have loose stools recently?
2. Is he on cows milk?
3. Does he get this frequently?

Though diapers can aggravate this perianal rash it is more likely caused by lactose malabsorption after an episode of diarrhoea. The undigested lactose is responsible for skin excoriation. Once damaged the skin will get infected by bacteria.
I would suggest
1. Avoid cows milk or lactose containing formula.
2. Use lactose free milk like isomil.
3. Restrict diaper use only for few hours in the night alone.
4. Use zinc drops at 10 mg per day which I usually prescribe for 2 weeks.
5. I also advice such patients Antibacterial ointment like fusidic acid along with emollient like happynap daily till it heals.
Avoid cows milk till one year.
Wishing your child good health and speedy recovery.
Regards
Dr Arun

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (5 hours later)

thanks doctor. You are right we are giving him cow milk.I f stop cow milk can we give him XXXXXXX milk or packet tonned milk

Answered by Dr. Arun (3 minutes later)

Brief Answer:
No need

Detailed Answer:
No need for cow or XXXXXXX or toned milk.
All are not recommended. Best thing is to try foods when you are not at home and breastfeeding once you are at home.
If child is adamant about milk, you can give packet milk ( as last resort)
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (6 hours later)

so will amul milk packet double tonned be ok? also, pls advise that do we need to mix both the ointments or one by one?

Answered by Dr. Arun (9 hours later)

Brief Answer:
Regular milk

Detailed Answer:
Give regular cream milk.
Double toned will be poor in nutrition.
Give a gap of 2 hours for ointments.
Regards
Dr Arun

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar