Hello, I understand your concern
Frequent Loose Stools:
It is normal for breastfed newborns to pass small, loose stools multiple times a day—often after feeds or when passing gas. This does not necessarily mean diarrhea, especially if the baby is active, feeding well, and gaining weight.
Redness and Rash Around the Anus:
The perianal rash is likely due to irritation from frequent stools (especially liquid stools touching the skin repeatedly). This causes a diaper rash or irritant dermatitis.
Crying During Stooling or Passing Gas:
This is often due to:
Local discomfort from the rash
Mild colic or gas (very common at this age)
Immature digestive system
This condition is common and manageable. Continue exclusive breastfeeding and proper diaper care. Most rashes improve with consistent care in a few days.
Next Steps
Gentle Cleaning: Clean the area with warm water and soft cotton, avoid wipes with alcohol/fragrance. Pat dry (do not rub).
Barrier Cream: Use a zinc oxide-based cream (e.g., Desitin, Rashfree, or Himalaya Diaper Rash Cream) thickly with every diaper change. Avoid using multiple creams together.
Air Time: Allow the baby to be without diaper for short periods during the day to let the area stay dry.
If Severe or Oozing: You can apply antifungal + mild steroid cream (like clotrimazole + hydrocortisone) for 3–5 days if the rash is very red or persistent (only after doctor’s prescription).
Health Tips
Red flags:
If baby is not feeding well
Less urine output
Bloody stools
Rash with pus or fever
Weight loss or lethargy