with his diet laid out that way it looks to me like he may have a possible yeast infection. from al those starches in his diet. is the child overweight? and does he not eat meat?
boy 24 mos: ext. anal area sore red; no fever; 4 soft bms vs 2/day; min diet chg. xlnt diaper chg; banana ok. others? . appetite normal; no other sign of illness. onset 2 days ago; condition now worse; he wakes up and/or screams when he has a bm. diet now includes toast rice mild cheese milk noodles potato egg milk cooked spinach/kale creamed asparagus cooked carrots mushrooms and fresh fruit (banana kiwi pineapple). know and use brat but not enough variety. added-sugar/added-salt products not used.