What is the reason for the baby passing gas and stool?

Patient's question:

My baby is 30 days old. The gas always comes with poop, and the stomach makes gurgling sounds. This has caused the little butt to turn red, and the baby is in great pain, crying and fussing a lot. It seems like the baby is also in pain when passing gas. I have cleaned the diaper every time the baby passes gas or poop, but why is the butt still red? Will constant cleaning damage the skin?
Could you please ask the doctor for the fastest way to treat the red butt? Seeing my baby in so much pain makes me feel terrible. Actually, the most important thing is to treat the gas with poop. What medicine should I give her?

Doctor's answer:

Hello! The possibility that the child's condition is caused by poor digestion is high, and they also have diaper rash. It is recommended to use Lactobacillus, Lactase, Compound Starch Enzyme Oral Liquid, and other digestive aids for the child, as well as Smecta to stop diarrhea.
If the child is breastfed, it is advised that the lactating mother follow a diet that is nutritious, light, and easy to digest. Avoid eating cold and sour foods like oranges, tangerines, and lemons, as well as overly greasy foods. The mother should also take Changle Kang or Peifei Kang orally to regulate the balance of intestinal flora, which will help the child recover.
It is recommended to keep the child warm while minimizing the tightness of the diaper. When cleaning the buttocks, use water as much as possible. If using a cloth, avoid rubbing—it should be gently pressed instead. This is to prevent the delicate skin from being easily damaged, as the child may cry very loudly if uncomfortable. If the child cries uncontrollably, check if the buttocks are red, as this indicates discomfort.
To prevent diaper rash, you can apply a layer of ointment, such as Tetracycline Ointment or eye ointment, after each cleaning. Also, change the diaper promptly and let it air out to prevent the ammonia released from urine and feces from irritating the delicate skin.

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