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Children's health

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Pleeese someone tell me how to cure this nappy rash - desperate now.

28 replies

fakeblondie · 06/08/2010 12:08

My baby is 5 weeks old and had nappy rash for over 3.
I know what im doing id like to think as i`m a health professional and its my 4th child !
Tried everything but i just KNOW something else is needed.
Tried sudocrem,vaselone,powder,metonium, bup ? , antifungal and nappy off at every opportunity.

In desparation tried fucidene which initially cleared it a lot then back to square one.
Have seen hv and gp a week ago and both say continue !

I am going on hol this weekend and have become so distressed by tring to sort this i really think we should stay home now.I feel like its got to get REALLY bad before anybody will take notice because i reqlly am trying everything and its still slowly getting worse.
I bath her in plain water even in the night.

Is there anything on prescription i can try.
How would i know the difference between a bacterial infection and something which maybe required a mild steroid ?
I swabbed it on Tue btw.

I feel like its completely taken over tge enjoyment of our first weeks and i`m really desperate to get it sorted.
GP is calling me back later as no appts til next week x
Many thanks

OP posts:
tb · 06/08/2010 12:16

I used to get something which a local chemist made up. Apparently it was from an old recipe book at Macc Gen. They sell it under the name Helgason's, around Altrincham/Knutsford - they might post.

It was basically Friar's Balsam and lanolin, mixed to a pale brown colour. The fb acts to form a 'skin' and so protects the skin. I suppose the lanolin acts like a barrier cream.

If you're bf, make sure you're not having too much orange juice - it can pass through to the baby and make their urine more acidic, which causes (even) more irritation.

Hope it clears up soo.

TonariNoTotoro · 06/08/2010 12:16

What nappies are you using?

Bepanthen is like a magic potion for DS when he has nappy rash, have you tried that?

MmeRedWhiteandBlueberry · 06/08/2010 12:21

The old adage of dermatologists is: if it is wet, dry it; if it is dry, wet it; if neither works, use hydrocortisone.

If you have tried anti fungal, anti bacterial, drying and moisturising, then it is probably time for hydrocortisone.

One of my DCs had bad nappy rash, which turned to be the same complaint as cradlecap. It took a while to clear it, with a range of lotions and potions. Hydrocortisone put us on the path to healing though.

Zoonose · 06/08/2010 12:21

Does your baby have thrush? We had this for weeks at the beginning and caused awful rash. One we managed to get rid of thrush from both of us it went. And that involved a difference of medical opinion too - not all doctors believe you can get ductal thrush in the nipples but I saw one GP who did, had the treatment and it cleared.

maryz · 06/08/2010 12:32

This reply has been deleted

Message withdrawn at poster's request.

oopsandbabycoconuts · 06/08/2010 12:37

I ended up just using water or chamomile/rooibos tea to rinse DDs bottom when she has nappy rash as just got worse with all the creams. I also added a few teabags of either chamomile or rooibos to some hot water and add it to her bath.

pinkelephants · 06/08/2010 12:39

Hi, My baby (now 10 weeks) had nappy rash from when he was a few days old until about 5 weeks. The whole of the nappy area was red and his skin ended up breaking down and bleeding. Like you I tried everything - sudocream metanium vaseline bepanthan. Had several gp visits and had i think 4 different prescriptions for anti fungals and steroid creams etc. What eventually worked for us was using cloth nappies. The rash went within about a week of using them, I put him in disposable for one morning while waiting for the other nappies to dry and the rash was back in that time so I can only assume he is sensitive to something in the nappies (I tried loads of brands of disposables and nothing seemed to help.) He has had a red rash a few times since then but nothing like it was and it has gone quickly. Don't know if this will be of any use to you as I have never heard of sensitivity to disposables before but just thought I'd mention it as I tried everything and it was so upsetting as he got so distressed at each change and this was the only thing that worked for us.

TigerFeet · 06/08/2010 12:44

What sort of nappies are you using? a friend of mine found that reusables were far better than disposables for her dd's bum, she also had a rash that wouldn't shift.

Antifungal shifted my dd's rash, but you have to keep going with the treatment for a few days after the rash has disappeared otherwise it'll keep coming back.

SirBoobAlot · 06/08/2010 12:46

What nappies are you using? The non-branded nappies tend to not have the double-barrier in them that the branded ones do, so let the moisture lean against the skin.

Are your BF or FF? If BF, make sure you are not taking in too many acidic things. If FF - did you start around the time the nappy rash appeared? I know one little guy who had a bit of a problem with the type of formula he was on, and it caused him a few problems, one of which was bad nappy rash.

I always use Bepanthan for DS, but I'm guessing you may be slightly beyond that point now.

Another little boy I know had terrible nappy rash when he had a tummy bug. His mum ended up not putting a nappy on him - at night, she put towels under the sheets, and just put him in his baby grow - and got up every hour to check him, and change his clothes and clean him as soon as he was dirty / wet. She just used cotton wool and water. In the day time she just kept him on a towel, naked, and changed him and the towel whenever needed. Messy, but it did the trick.

Try not to bath her every night - the constant moisture then drying out might actually have the reverse affect to the one you are trying to achieve. Just wash her for a few days instead.

Shodan · 06/08/2010 13:02

Someone has suggested chamomile tea, which is what I used on ds2's red, raw bum from nappy rash.

I followed a tip on here, which was to make a cup of chamomile tea, let it cool, then soak a nappy-sized piece of muslin cloth in the tea. Squeeze it out, then put in your baby's nappy overnight. (They dont' find it uncomfortable.

Literally overnight it nearly cleared up the rash. I did it again the second night and it was gone completely.

I know it sounds a bit wacky and I was a bit Hmm about it too. But I had tried everything too so gave it a go.

Works brilliantly. And cheaply.

Helinher30s · 06/08/2010 17:56

ok this is probably a no no for many but I swear by egg white!! dont do if any egg allergies in the family. Seriously amazing - wipe bum with chamomile tea, whisk up an egg white then apply the foamy part to a dry bum and allow to dry before replacing nappy - change nappy regularly etc,, few days will be gone - worked every time for my 2. Apparently years ago this was used in the hospital on the maternity units etc until all the worry about egg allergy etc,, I made sure the eggs I used were vaccinated - Red lion, store bought, in date etc.. Within 24 hours the difference was amazing.

becaroo · 06/08/2010 18:05

Hydrocortizone from GP...its the only thing that worked for ds2 (ds1 never had nappy rash at all!)

fakeblondie · 06/08/2010 22:04

wow some excellen advice thank you .
i have always used washable nappies with all the children but darent just yet.i have been using terry nappies just to lay her on naked during the day.
its interesting what someone said about the own brand nappies tho-soon as we switched to ow brand i think it started.
anyway - update - got swab report myself via a collegue as going on hol . shes got 3 different bugs growing so at least i dont feel like im just making a fuss.
turned up with very distressed baby and mum to surgery at 5.15 and doc kindly saw us,
now on 2 differrent steroid creams with antibacterial and anti fungal-also on oral antibiotics -metronidazole.
really pleased its hopefully going to get sorted x

OP posts:
Trebuchet · 06/08/2010 22:09

I swear by BABY BARRIER neals yard, worked miracles within hours on both ds's good luck

Melfish · 06/08/2010 22:19

fakeblondie- DD had a fungal nappy rash- doc gave us antifungal cream too, but also said to slap a bit of vaseline on top of the antifungal cream (on the outside skin of the baby's undercarriage). Apparently it gives the skin a bit more protection from the stingy wee and poo. Healed very quickly.

fakeblondie · 06/08/2010 22:58

thanks will do x

OP posts:
fakeblondie · 10/08/2010 19:25

ok we`ve had 3 days of prescription cream-trimovate-anti fungal anti biotic and hydrocortisone all in one - no improvement.
Now on oral metronidazole - no improvement - any ideas ???

OP posts:
lal123 · 10/08/2010 19:31

poor love - I've always used conotrane on my baby's bum - but have never had nappy rash as bad as your DCs sounds.

mrsPrudent · 10/08/2010 19:32

Metronidazole is going to cause thrush, I'd get him off it asap.

Ds2 had really bed nappy rash when he was 2 weeks old and nothing worked at all for about 10 days - in desperation I tried egg white and it worked.

You need to clean with water, salt water if poss, then let dry in the air, then put egg white on the skin. It forms a fake skin over the wound so that it can begin to granulate underneath. Worked within a day or two for ds, loads of nappy free time, it took several days to heal completely though.

Scrap anything else you are using as it will stop it working. Just water, egg white, air.

Good luck. I felt such a terrible parent!

mrsPrudent · 10/08/2010 19:36

ah I had skimmed but didn't notice someone else recommended egg white already! Sorry.

It truly works though. I didn't even bother to whisk mine, just dipped a finger in and spread it on.

Iwishiwasasleep · 10/08/2010 19:47

I'm living in Ireland now so don't know if this is available in UK but a cream called Lassars paste was the only thing that worked on DD2.

I remember how stressful it was when she had nappy rash at about 7 or 8 months. It was a nightmare. It lasted about 2 weeks.

chipmonkey · 10/08/2010 20:35

ds1 had a very bad nappy rash at about 15 months. I was using dispies at the time and have to say, I have never had the same bad rash with cloth as I have with disposables and ds3 always got a nappy rash as soon as he looked at a disposable!

In our case the gP prescribed an antifungal steroid cream and advised to lash on Zinc talc and starch powder at every change. It did clear up.

hellymelly · 10/08/2010 20:44

My newborn DD quickly got nappy rash so badly that she had raw bleeding swollen skin that the GP thought was a blood filled birthmark until I said she wasn't born with it.It really was horrible,I've never seen anything like it.We tried Metanium and that made it much worse,so we tried the weleda nappy cream,and it went.Also used the organic nappies you can get,they are unbleached.Can't remember the name but I think it began with M.And then all the other stuff you are doing anyway,like only water and cotton wool,dabbing rather than wiping to clean,cleaning very quickly after a poo,lots of air.She was fine ever after.I would use nothing on her most of the time,but dab on some weleda cream if she looked at all red.

alypaly · 11/08/2010 00:23

siopel cream is a great barrier cream. Dont use hydrocortisone if skin is broken as it is contraindicated and should not be used on its own or occluded under nappy.

try and keep nappies off as often as poss and let them lie on a towle or open nappy

dounutbrain · 11/08/2010 22:21

The only cream that worked on my dd is MORHULIN OINTMENT
Its very cheap but works wonders the doctor prescribed it but you can buy it over the counter.
It worked really well on my other dd s dry skin patches that she gets now and again.
It really is like a miracle cream.
Hope you get it cleared up soon it makes you feel so sad seeing your child so sore.Sad