Bad diaper rash

My baby girl who currently 5 month plus has been like this since she 2 months old. I try inara soothie woodie, desitin blue and purple. Its just get worse. Seen PD, he only told me to put barrier cream. I afraid she get older, her butt will look like this forever.

Bad diaper rash
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Oh dear. it looks really painful. please wash off every diaper change with running water instead of wet wipes to avoid more abrasion and is cleaner. after that dab dry with soft cloth, and put tapioca starch. it works for all rashes. trust me.