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Suggestions for Terrible Diaper Rash

Help! My 12 mo. old son has a TERRIBLE case of diaper rash, and has for several weeks now. I have tried Boudreux's Butt Paste, Triple Paste, Flanders Buttocks Ointment, Desitin, Bag Balm, letting him go without a diaper to air dry, giving him Benedryl, changing his diaper hourly, and a mixture of diaper rash cream and Liquid Maalox (the pediatrian's suggestion). Nothing has worked. His little behind is all red welts (some of them bleeding), and it has even spread to his penis and testicles. He is supposed to have surgery on his penis in a...