Conversation: The conversation between human and AI assistant.
[|Human|] My old year old little boy has a bleeding ozzing rash on his anal area and on his bottom cheeks, he is unable to sit down he is generally well and healthy ... He has also been experiencing really loose, smelly and dark stools these have been present in 10 of the last 12 nappies.
[|AI|]  Hello. Thank you for writing to us at Chat Doctor I suggest a possibility of either Irritant Dermatitis due to excreta coming in contact with skin and made even worse by diaper occlusion.However, I would like to keep another possibility of Zinc deficiency. Zinc deficiency can present with bright red rash on perorificial areas like buttocks, personal region as well as with aural distribution like fingers, toes etc. Diarrhea is also part of Zinc deficiency in those who have it. If I was the treating doctor I would suggest you to avoid diapers and keep the affected area open to air and as Chat Doctor. Topically you may use a moderately potent topical steroid e.g. fluticasone propionate 0.05% cream, twice daily. I also suggest an Oral Zinc supplement for a few days. I suggest you to visit a doctor for a confirmatory diagnosis as well as appropriate treatment. Regards