<s>[INST] 18 month old female with bad diaper rash has had no evidence of urine in her diaper all day today...yesterday urinating caused her extreme pain....not sure if running fever, I do not have thermometor and her skin temp runs higher than mine and I always think she has a fever [/INST] Hi.As per your case history of diaper rash.My treatment advice is – 1. Maintain good hygiene and bath twice daily.2. Apply an antifungal cream like clotrimazole cream twice daily on it.3. Give antihistamine syrup like levocetirizine for 7-10days .4. Other treatment options are topical terbinafine, eberconazole and ciclopirox  given only after consulting a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL. </s>