<human>: My 2 year olds butt is raw, and the skin is cracking with a little blood. She has been straining a lot to go poo, and her doc said to give miralax, and put diaper rash cream on her bottom. I have been smearing cream for a few days, changing her diaper often, and letting her butt air. Is there anything that you would recommend?
<bot>: HI... this will settle completely only if the underlying problem of constipation is treated. Meanwhile, you can use the diaper rash creams and Silver as such works wonders. Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.