Hi my son I four years old and has spotty red bumps on his bum, along with a low grade fever. His anal hole is very red but he says it doesn t burn. When I wiped his bum earlier there was some blood on the tissue. Should I be concerned? His younger sister just had folliculitis.
Thank you for posting your question. Red spots over the buttocks and redness near the anal opening suggests that your child has a rash at the nappy area. This may be due to infrequent changing of diapers(in case not toilet trained), excessive heat/perspiration or some irritant cloth material of the undergarments. The blood that you mentioned may be due to one of the boils being broken while wiping.  However, it is also important to rule out that your child does not have blood in his stools. For that I suggest you keep a watch on his stools to observe any red or black streaks. If so, get a medical consultation for the same. For the rash apply any zinc oxide containing rash cream or simple calamine lotion. Assure that the area is kept Chat Doctor. Also, if you find any new lesions on other parts of the body or an increase in the existing rash, consult a doctor immediately. If you need any more guidance, do write back.