My baby is 26 days old. She was born on 4th July. After 3 days of birth, her stool passed loose once. Then every time when she passes gas, stool is passed in small quantity in liquid form. There is redness and rashes around the area of anus and it gets spread to the vicinity. Baby is still crying and gets irritated when she passes gas. The wound around the anus is not getting dry and healed even after 3 weeks. We used to apply a ointment named Infajoy prescribed by the doctor. But it is still not dry. I am afraid now and the baby is crying whenever she passes stool or gas. Can you please suggest me the reason and the solution?
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Repeated stool after each feed is normal in newborn it's ileocolic reflex but if peri anal area is red and rahses are there than u can apply oint zinc oxide and avoid frequent use of diaper
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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
Hello parent!
The perianal excoriation causes pain because of the acidity in the stool. I assume you are breastfeeding and the passage of liquid stool after each feed is due to ileocolic reflex. It tends to settle in next 1-2 months time.
You may do a simple stool test to check for lactose intolerance in the baby. If not there, just need to take care of the wound:
Please use cotton cloth airy diaper for now. Can even keep the area open as much as you can
Clean the area with fingers - the skin will not be corroded further because of rubbing by cloth/ cotton. You can do it carefully over the basin using tepid temperature water.
Use simple Zinc oxide cream. Often it is thick and drying. Can alternate it or mix it with Vaseline cream. I will suggest that you add on Oint T bact twice a day to prevent secondary bacterial infection. If a picture was there it would help decide further. But after each cleaning some ointment as all these should be applied to prevent the acidic stool from excoriating the skin further
Next Steps
Stool test for reducing substances and pH to rule out any lactose intolerance
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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