Nappy rash -- Counseling.
Hello Mrs. Smith, I am Dr. Munagapati, senior house officer in the department of paediatrics. You brought your son Robert as he has a sore bottom. I had a look at him. It appears to me that he has a common condition called ammonical dermatitis.
It is quite commonly seen in small children. It is due to irritation of the skin from the urine in the nappy. However it is a fairly easy condition to treat. You will have to change his nappy frequently. You can apply an emollient cream or a nappy cream to prevent irritation to other areas. Also avoid any tight fitting clothes. If possible give your baby some time off from the nappies if you can. If you are using reusable nappies, you have to wash them thoroughly after use.
This condition should soon go away. However if it is no better in a few days time, please come back to the ward to see me again.
DD, Nappy rash:
Ammonical dermatitis -- spare skin creases,
Seborrheic dermatitis -- involves creases and scalp and face.
Candida -- satellite lesions.
Psoriasis -- skin lesions elsewhere on the body.
Treatment for candida: surface swabs, start topical nystatin for 5 days. Check for oral thrush, if present - oral nystatin and topical nystatin.