4 weeks in, horrendous nappy rash and feel like failure

(45 Posts)
flossyflo Fri 10-May-13 22:10:19

DH is away for the night and as luck would have it DD has developed the most horrendous nappy rash.

She has had it on and off for the last 2 weeks but has got lots worse in last 24 hours. Have been using metanium but went to the drs today and got steroid cream dekacrot or something like that. But it just doesn't act as a barrier at all and worried it might make it worse before it gets better.

Asked doc if I should use barrier cream as well but was told to just use the steroid cream at every change

Am just beside myself. Am in tears every time I change her nappy as it is red raw. This is so hard just not feeling like I am coping at all.

Tried loads of nappy off time today but dont think it has made any difference. Any ideas How long steriod cream will take to work? God I just didn't expect to be such a jibbering wreck as a mother.

nethunsreject Fri 10-May-13 22:12:34

Ach you're certainly not a failure!! Nappy rash is extraordinarily common and you've sought medical attention and you are concerned for your baby - these are the actions of a loving parent!

Cosmo89 Fri 10-May-13 22:15:14

Happens. Don't stress- you're not terrible it's not your fault!!!

I was told not to use barrier cream, as it moistens the area and makes it worse, therefore. GP said- lots of air time and application of steroid cream. Give her tummy time with nappy off as much as possible, or on her side- might take a few days to clear but you will see improvement quickly.

stargirl1701 Fri 10-May-13 22:16:03

You are not a failure!!!!!!!!!!!!!!

What about trying different brands of nappies?

Have you considered reusables? Silk liners are very good for nappy rash.

Lots of nappy off time for your LO would be great.

Aw, flossy, she'll be fine.
I'd use Daktacort twice a day morning and night with barrier cream on top AND barrier cream (lots and lots of it) at every nappy change. Personally, I've always really liked Sudocrem, buckets of it.
Daktacort is an antifungal + steroid (antiinflammatory) cream; the yeast that causes thrush lives on all our skin and thrives on a warm and moist environment, hence babies getting nappy rash.
Dry her bum carefully after a bath; blow-drying with a hairdryer on a cool setting is a good way of doing it when towel drying is too sore for them.

Have a look in her mouth: does she have white spots in there?
Have either one of you had antibiotics recently?
Has she had diarrhoea? Not milky 'chicken korma' poos, but offensive diarrhoea?
Are you BFing her?

Sorry, lots of questions. IME, how much babies are troubled with nappy rash is often dependent on what skintype they are blessed/lumbered with: DS1 never had a rash in his life, DS2 had lots of problems with a sore nappy area - he's the one who has eczema, even now (aged 9).

melliebobs Fri 10-May-13 22:17:03

Have u tried a differen brand of nappy? We use cloth but huggies n pampers give dd what looks like burns. We've found Naty nappies (u can get them at sainsburies) to be the nicest for her bum. N when nappy rash flares up as inconvenient as it is but nappy free time really helps smile

Cosmo89 Fri 10-May-13 22:17:08

Shoukd have said my DS's was so bad even the GP looked astonished. Red raw. I knew it must be awful when he prescribed steroid cream, cos you can't get prescriptions out if him for love nor money

IHateSafeStyle Fri 10-May-13 22:17:41

When dds was really horrible I sat her in a dettol bath, really calmed it down.

FlamingGallah Fri 10-May-13 22:23:48

You poor thing, it is horrid and you feel like it is your fault for them getting it. It isn't, I had this with DC3 when the previous two hadn't had any problems at all. Turned out to be thrush and the horrific red raw patches improved within days, and were completely healed within a week or so.

Lots of great advice on here so far, but the take home message is that you are not a failure, and that it looks far worse than it is!

Haggisfish Fri 10-May-13 22:27:02

I would expect to see a difference within 24 hours. keep going with the nappy off time - if it doesn't improve go back to check it's not thrush. have you been using the metanium all the time? I put it on at every nappy change, whether she had nappy rash or not. You're not a failure - the reality of having a baby is sinking in and the 'high' of a safe birth is wearing off - it takes a long time to adjust! It got better for me after six weeks and was feeling almost back to 'normal' within 6 months - just in time to go back to work!

flossyflo Fri 10-May-13 22:27:45

Thanks for all your lovely messages. Being a mum has really shocked me, was confident happy person before she was born, now every little thing sends me into a tail spin...

Am bf and poos are very runny basically every time she parps or sneezes a little bit of poo comes out. I am practically changing her every hour in the day. Not sure what to do tonight should I wake her to change her

Have tried a few brands of nappy but not huggies or the one from sainsburys

No white spots in the mouth that I could spot. Doc didn't look for them and she is bf fine.

Haggisfish Fri 10-May-13 22:29:37

Oh yes, the nappy brand - huggies or pampers made my DCs bums red raw. tescos own brand newborn and then super dry nappies were the ones for us.

SacreBlue Fri 10-May-13 22:30:33

Ditto everyone above, it happens, not to all babies parents but to lots.

Same advice as PP and GP. If thrush etc is already ruled out and thrush is so common too best if you can cope with the odd accident is to let LO to without a nappy, the weather is warming up and she will probably like the freedom to kick about a bit without.

Try a different nappy too, my DS sooo many years ago now had a preferred brand that seemed to work best for him.

Btw - chin up flowers not easy managing on your own with an upset bubba xx

Haggisfish Fri 10-May-13 22:32:49

the in one end and out the other nature of feeding stops after about four-six weeks - I totally forgot how bad it is!

nowgotosleep Fri 10-May-13 22:33:53

My DD got nappy rash with pampers, aldi etc Nappies. I moved to nature babycare ones, which are breathable and chemical free. Never had a problem with them. They might be worth a try.

BrianCoxandTheTempleofDOOM Fri 10-May-13 22:35:32

oh it is so bloody hard OP. you are not a failure at all, you're doing brilliantly just keep chipping away with cream and no nappy time and you'll be fine

change her thru the night if she has pood, she may wake but its worth getting a fresh nappy and more cream on in the long run.

DS is 6 weeks, I've been on strong antibiotics for 3 weeks (looking like I need yet more as still not sorted). the poor more's bum had been awful, poo is pure liquid sad. I feel like a shit and a half for putting him through it, but ultimately I have to take the meds and I don't want to quit BF.

Are you using baby wipes to.clean him up? if so can you switch to cotton wool anf water? give her a rest from everything?

Another vote for loads of nappy off time. Leave her nappy off for as much of the day as you can (wear your raincoat for the day smile ) because the acid in her wee makes it worse. My dd is 2 1/2 now, not toilet trained, and suffers from nappy rash especially when she's teething. I just let her run around all day with no nappy. She did a poo on the kitchen floor yesterday and walked in it and we just cleaned it up and carried on.

You're doing a great job. All babies get nappy rash and some seem to suffer more than others. Don't be so hard on yourself.

Almostfifty Fri 10-May-13 22:38:51

Another vote here for sudocrem. It just seemed to clear nappy rash immediately.

Hope everything looks better tomorrow.

Here's another thought:
Avoid wet wipes to clean her bum, use the dreaded cottonwool balls and tepid water instead.
BFing is good, sounds like she has normal poos. Keep changing frequently, avoid rubbing, keep her dry/nappy off.
Kamillosan cream was another one I tried but always came back to Sudocrem.

Hope it gets better soon; 'tis horrible <<shudders at the memory>>
And you are not a failure, of course you are not.
Babies are ridiculously difficult wink

RainbowsFriend Fri 10-May-13 22:39:29

I found with DD that rinsing her bottom with cotton wool soaked in strong chamomile tea rather than using wipes, cleared up her awful nappy rash IN HOURS shock

It was incredible...

Flosshilde Fri 10-May-13 22:39:30

My DS2 had horrendous nappy rash at 4 weeks ish. We used tons of Sudocrem but really what sorted it was just pooing less often. This will come with time, at 7 wks he poos about twice a day and the rash has disappeared. Are you using wipes or cotton wool and water? A tiny bit of poo will be less irritating than hourly use of wipes.

I didn't wake to change. Let sleeping babies lie.

Bf babies often eventually go days without pooing so you end up worrying about that instead...

RainbowsFriend Fri 10-May-13 22:40:05

Oh yes and we stay well away from wipes now....

Happy, urine is actually quite good for skin (urea used in plenty of expensive creams grin), it's the wetness that's the problem AND corrosive poos.

PeazlyPops Fri 10-May-13 22:46:10

Please don't beat yourself up about it, these things happen and you're doing the right thing by seeing your gp!

I tried loads of different creams for DS who gets nappy rash quite frequently and the only cream that helped was bepanthen.

Op this happened with 3 of mine! Was religiously putting cream on, stopped using babywipes but faffed about with water and cotton wool and always made sure bottom dry before putting nappy on, oh and changed every time they so much as blinked! Metanium was best but also with vaseline.

They all grew out of it. Dd2 was bad from around 3 weeks till she stopped pooping so much! Now 18 weeks and nappy rash a distant memory so pkease don't worry. You are doing so well smile and the early days can be a huge shock. Like most things it will soon pass and you will thrn find something else to worry about

Message withdrawn at poster's request.

Pacific, I don't doubt you and don't want to think about what's going on my face twice a day but I have very vivid memories of the burn caused by my wee on my stitches after having my baby. When the skin is irritated, the wee burns. Also, isn't there something about the urine breaking down into ammonia or something? which is one of the causes of nappy rash.

<<Happy HATES to be wrong>>

grin
Yes, urine stings on broken skin (just like seawater), but it doesn't cause it to break down IYKWIM.
Ammonia comes from poo <<expert opinion>>

Is now the time to tell you how DS2 burst into tears quite suddenly and alarmingly at the grand old age of 8? 8 years? Because he had just (deliberately) peed into his wetsuit and the wee spreading down his front/legs hurt his eczema grin.

flossyflo Fri 10-May-13 23:07:03

Tbh apart from screaming when getting her nappy changed she is quite happy so it is obviously effecting me more than her.

Have never used wipes and have srucj with the cotton wool and water they show you in hospital.

Fingers crossed she stops pooping so often soon.

Thanks so much for the words of wisdom from the other side

MummaBubba123 Fri 10-May-13 23:11:19

Feeling for you. My son's little bot. used to bleed and look as if it'd been grazed. I used to dab (pat gently) Vaseline on top of metanium on his bottom. Metanium stains like hell - watch out when changing him. I'm sure you've learnt this already ;)
Hope it gets better.
Nothing to do with failure or success. Just bottoms.

grin at a lesson hard learned by your son!!

My DH recently cut himself in the hand with a knife and needed stitches. DS (now 12 and the cause of aforementioned stitches with his monstrously huge head and having come out star-gazing) asked me if I'd ever had stitches. The poor thing couldn't look at me for hours after I told him about my episiotomy and stitches. Poor boy. If you want to make him leave the room these days, just say the word 'vagina' and he's off. Too. Much. Fun.

TryDrawing Fri 10-May-13 23:22:45

You've had great advice from the others. I just want to say please go easy on yourself, you sound like you're dealing with it brilliantly.

I felt like a total failure at about the same age with dd. I found another fold in her neck and it was full of dribbled milk (neck cheese. Yuk.) It was also red raw.

Then there was the time she fell off the bed, the time she ate her first leaf, the time I bumped her head on the doorframe...

I know this may not sound comforting but you will do much worse things than allow her to get nappy rash. What really matters is that you care enough to try not to do bad things and sort things out when you do

Babycino81 Fri 10-May-13 23:25:13

You poor thing! Sorry o hear you're both having a bad time with the nappy rash! For what it's worth, my mums secret nappy rash weapon is whipping up egg whites and plastering it on baby's rash and put nappy back on. It acts as a barrier and helps dry it out and so far there are four happy customers (niece and nephews) who are testament to it working! Good luck and hope it clears up soon x

ouryve Fri 10-May-13 23:28:45

Check your wipes. Both my boys had.get horrendous rashes with wipes containing alcohol, but are fine with those without. (And alcohold free wipes are so much easier to obtain than when DS1 was tiny)

Now, see, Happy, that's the kind of thing that makes a person a Baaaaad Mother grin. He did ask, your DS. Natural consequences an'all that.

Parenthood comes with guilt. Half, no, 90% of the stuff you feel bad about, your DC won't give a monkey's about. I have 4, youngest is now 3 (thanks goodness, no more babies here!) and I am still flying by the bottom of my pants grin.
Btw, bumping heads against door frames only counts if there's blood...

Ozfrazror Fri 10-May-13 23:30:30

First thing - I doubt that any baby has never had nappy rash at some point in their life so do not worry about your parenting abilities with regard to that.

It is also perfectly normal to be stressed about every tiny thing when they're so little and especially when it's your first dc so give yourself a break about that too. You clearly care loads and have already sought lots of advice about what to do.

My third dc had this exact problem and in hindsight it was definitely due to the amount of times he pooed. I tried metanium and sudocreme as well and neither really worked fast enough to clear it. But one gp I saw advised to put a cream on and then smother his whole nappy area in Vaseline. I did this every change and the barrier the Vaseline created finally allowed his skin to heal. Maybe give that a try and try not to worry, it's nothing that you've caused or failed at.

MummaBubba123 Sat 11-May-13 05:46:45

Gd yes, I once found that I'd not even thought to dry behind my son's ears and it was actually so damp and neglected that it was smelly! How bad did I feel!

Potteresque97 Sat 11-May-13 14:44:55

Dd had bleeding nappy rash when teething, made me feel awful. NHL website recommended nappy off at night, I lined the bed with those throwaway sheets you buy in boots when toilet training, it helped a lot, every baby is different though, depends how long a stretch at night. Either way, it will get better and just be a bad memory one day.

daytoday Sat 11-May-13 15:01:22

Oh sweetheart, this is not your fault.

My youngest (of 3) had horrific nappy rash. My amazing HV with 30 years exp said she often saw this when babies had a slight milk intolerance. She advised steroid cream and to cut out dairy from my diet for a bit.

It worked and she never got it again again. But she def had/has a more sensitive stomach, had bad wind and silent reflux. I found avoiding dairy an getting reflux formula (when I stopped breast feeding) really helped.

appletarts Sat 11-May-13 19:59:45

Oh bless you. Use cotton wool and warm water to wipe her bum, no wet wipes. Don't change at every little dot of poo, wiping too much will make her more sore, can just change the nappy but not wipe, but obviously a proper poo needs immediate change. Keep her nappy off with just a towel under her bottom to catch wee, can keep her in a button under vest still to stop bottom getting cold if worried. Avoid long car journeys or leaving in car seat type buggy cos bum gets hot (worked this one out on mine). Babies are amazing and they can go from red raw to bit of rash in 12 hours. Unless baby is crying all the time from it try not to stress too much. Being a mum makes you nuts, it's official!

appletarts Sat 11-May-13 20:02:34

I once used cooled camomile tea water to clean babies bum (pfb ha ha) and think it did help a bit, also helped me feel like a good earth mother which helped me a bit!

MiaowTheCat Sat 11-May-13 20:06:55

Let the air get to it as much as you can - DD1 had some horrific nappy rash when she'd started teething - after me keeping her bum to levels you could have stuck on your wall and framed for month after month after month and I became an utter gibbering guilt-ridden wreck over it.

At least she's little and relatively immobile to do the nappy off time - it's much harder if it's the middle of winter (so no garden nudity chances) and they're crawling around everywhere.

It'll start to clear up fast - honestly.

Kafri Sun 12-May-13 21:59:58

ds had awful nappy rash in his first week. he was on anti biotics and the doctor said it may cause a sore bum - by god did it cause a sore bum sad he wouldn't lie down at all bless him.

sudocream and fresh air work wonders.

oh and as an aside - I now use Palmers baby butter and bottom butter at every change. baby butter on his change table and tube of bottom butter in change bag. I've always trusted Palmers for me so figured I'd give it a go for him. touch wood-no NR since.

do not blame yourself - it happens. and you're doing everything you can to help so please don't fret.

flossyflo Mon 13-May-13 10:08:18

So, 48 hours on and it is getting a bit better

Went back to the doctor and was prescribed antibiotic cream fusidic acid to use as well as daktacort.

We've also had a lot of nappy off time, 12 hours yesterday which causes a lot of washing of towels.

The real cause of this is the poo frequency and consistency... am going to cut out dairy and have been block feeding to try to make sure she gets the hindmilk.

Just fingers crossed that she comes out of this soon.

Bumpsadaisie Mon 13-May-13 10:13:50

OP mine avoided nappy rash for some reason so can't give tips there, but just wanted to say chin up and don't worry. Its not your fault.

Having a new baby and being a parent for the first time is DIFFICULT! It does send you into a tail spin. You are all at sea. Don't worry about this. You will get used to it! It's all v new at the mo. But in a few months it will feel like second nature to be a parent. Just takes time.

flowers.

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