### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My son often suffers with a sore bottom...it is red and hurts more after going toilet. he is 9 yrs old...i also see that he continues to leak bits of stool after when i clean it to put on cream(sudocreme,is this ok to use).what could be causing this..thanks

### output:

Hello, you haven't mentioned how many times he pass stools on one day? Does he pass stools once in few days? Is it hard in consistency? Constipation and diarrhea both causes sore anus. If he passes more than 3 times per normal day it is possible he is having mild form of an indigestion or irritable bowel. It also causes sore nee around the anus.  If the soreness is due to diarrhea you have to clean anal area well and keep the area Chat Doctor.  If you keep that way until diarrhea settles soreness will be minimized during the diarrhea period.  You should make sure your child is taking adequate water. Encourage the child to take a lot of fiber containing food. That is fruits vegetables, and green leaves.  If there is a lot of soreness you can arrange site bath for the child. Since your child is 9 years old he can follow and obey your instructions. Put warm water in a basin and add some pinch of salt to it. Then ask your child to sit on warm water. Practice it 3 times a day until soreness reduces.  If your child is prescribed laxatives or fiber supplements. Take them as instructed.  If the child is passing stools with blood streaks it is possible he is having an anal fissure. So while practicing above instructions better meet pediatric surgeon. Hope this helps. Thank you.