To take DD to GP for nappy rash?

[SomebodysNotInBedYet]

I know it sounds a bit much but she has about 5 open sores on her bottom. The cream (metanium or sudocreme) won't even stick to those bits because there're too wet. She's doing this awful sour smelling poos which I'm putting down to teething and guessing that's the cause. Would a GP do anything or would I be wasting their time? She's so miserable

Can you leave her without a nappy tomorrow as much as possible? The air will really help it dry out.

Not sure a GP can do much unless it is actually infected?

Much sympathy

Are you using yellow metanium? It's much better than the other type of metanium.

The GP might check if there's a fungal infection, and be able to prescribe something for it if it is. I guess they'd advise lots of nappy off time, using water and cotton wool only to clean or just bathe in water instead.

My DC had this. It was a milk allergy. Is baby breast fed or bottle fed?

We healed my DC bottom with yellow metanium covered with a cream like bepanthan. Sudocrem is terrible for open nappy rash - zinc oxide slows healing. Metanium is a lot better.

If it's really bad and the skin is broken then ask the GP for cavilon spray. This is a protective spray that allows the skin to heal. It's used on people with stomas. Cavilon cream protects unbroken skin so it's probably the spray you need.

And I found water wipes MUCH gentler than cotton wool and water. My DC's bottom was really bad and it took a few weeks to fully heal. Metanium covered with bepanthen in the day. Cavilon spray at night.

When my DS was tiny he had horrible nappy rash that wouldn't go away - was seeing GP for gunky eyes and asked him to have a quick look - he said it was thrush, and the prescribed cream cleared it up in no time. So I would say go for it, you've tried treating it without success, time to get some help.

How old is she? Sounds really awful

Suggestions (you might be doing these already): lots of nappy-free time (put towels down), change nappies much more frequently (1-2 hourly during the day), yellow metanium after each nappy change (some people only put it on once a day), and wash with lots of plain water and reusable wipes or cotton wool, not wipes (some babies are allergic to the wipes, and water gets the poo off much better than wipes do).

If none of that works, GP for antifungal cream.

Try chamomile tea bags in the bath as well. But yes GP if weeping.

I also found that removing everything from DD's diet, that contained much citric acid (for example tomatoes, citrus fruit) really helped.

My daughter was admitted over night to hospital with nappy rash like that. The skin had 'broken down' and chance of infection was high. It was after suffering diarrhoea from the Noro virus. The nurses used yellow metanium if DD had to wear a nappy but kept it dry when no nappy was on. Cleaning poo off her they used cotton wool pads and olive oil. No water. Also after the 24 hours in hospital I was told to sit her in a bath with diluted cider vinegar to help heal the skin. Definitely get GP to look at it. Good luck. It's awful and exhausting for you both.

Thanks, DD is 14 months. She's just started having cows milk at bedtime instead of formula so there might be a link. Was bf til about 9 months and no issues with dairy before that. I think I will try treating it at home a bit longer and ditch the sudocreme, I'm not sure there's much the doctor could do right now but I felt a bit helpless after she ran away crying when she saw me bring out the changing mat. Thank you.

We used fleece liners which helped as well as plenty of nappy free time.

Oh Barky that sounds awful! I'll reassess in the morning, hopefully I won't need to but I'll take her in if it's looking worse.

Please take her to the GP. There are medicated creams they can prescribe which will help. Barrier creams are good for prevention but won't help a lot with open sores.

Lots of good advice already but you could also try using showerhead / bath to clean to minimise direct contact with skin. Also, if it's teething, we found Ashton's and Parsons teething powder helped neutralise the acidity.

My DS had something similar. The GP prescribed Fucidin cream (an antibiotic). It worked really well.

Would definitely consider a milk allergy. Some babies can tolarate milk via breast (as milk proteins are broken down) but can't tolerate milk .
My DD is allergic to diary & eggs. We're trailing her with the egg ladder & she has failed at the first step with horrendous diarrhoea & awful nappy rash/burns.

Definitely see the gp, I've been prescribed steroid & anti fungal cream numerous times.

YANBU why wouldn't you take a child to the GP? Wet open sores on her bum? I'm pretty sure they would want to treat her!

Take her to doctors in the morning. Poor thing sounds very sore.

Oooo my DS had this. Cream wouldn't stick to the wet open weepy bits. We used lansinoh nipple cream to sort those bits out. Worked a treat and then the metanium sorted it straight out. It makes sense if you think about it because it's designed to heal similar sores on nipples!

My LO had terrible sores from nappy rash, I second the yellow metanium. I put it on thickly so it mostly covered the sores but I know what you mean about not sticking because the sores are too wet.
I took my LO to the GP because it seemed so raw and painful. Hope your DD is better soon.

My eldest had something similar. The GP prescribed a cream which was antifungal and antibiotic. I would definitely go to GP.

Go to the GP. My eldest had similar and was a fungal infection. Cleared up quickly with the right cream.

His was caused by a switch from formula to cows milk. He's almost 4 now and can have cows milk on cereal but still gets a really bad stomach if he drinks it.

Definitely go. My twins are both allergic to dairy and soy, and a few other things - one gets hideous eczema and the other gets the worst nappy rash I've ever seen. His bum goes scarlet within a minute of contact, then it turns to blisters, then open sores that weep.

Before we had eliminated all allergens I got on top of it with various products as best I could (hydrocortisone cream, yellow mentanium and epaderm which is like a wax that stops the moisture getting to the skin). GP has had to prescribe antibiotic cream a few times before both the bum and nasty patches of eczema that get scratched. Having really severe nappy rash isn't normal and must be so sore for them, GPs get it a lot, I wouldn't think twice about going in and I hardly ever take them (even with all their health issues and hospital stays I think each has actually seen the gp twice in a year, always for skin issues)

I also got some stuff called Cavillon (so?) spray which is meant for preventing bed sores. Honestly I'm not even sure if you're meant to use it on babies but I was desperate - it creates a film over the area. I used it a few times when things were at their worst.

DS had something similar. I used sudocrem on the sores and put Vaseline over it to stop it slipping straight off.

I used to put a mix of yellow metanium and savlon on DS’s bum worked a dream.