Returning nappy rash

[StoneBaby]

DS is 11 month old and is suffering from a nappy rash for quite a few weeks. The rash got infected a few weeks ago and he was given a steroid cream to heal it and it worked after 2 weeks of use.
The rash is back, it is swollen, very red and some part are bleeding (but for the moment no blisters).
He wears reusable nappies but I have not changed the way they are washed since birth.

What can be causing this? I wondering if some food may be causing it when processed into poo?

Any help / advices will be greatly appreciated.

Could it be a fungal infection or thrush maybe?

Assume you're doing all the obvious things like changing him frequently and keeping the nappy off as much as possible.

Marking my place.
DD2 is the same to a lesser degree. The steroid is the only cream that works. (tried antifungal and antibiotic with no effects)
Nappy free time, only water to clean, changed often.

Can it be some food allergy? it would be everywhere? not just in the front (for DD2)?

{confused] sorry no help SB

Could be a bit of thrush.

I'd recommend using Metanium for the soreness and getting some Canasten from the pharmacist too. Use a little bit at every chance and see if that helps.

Poor little one, sounds very sore. I am one for taking the organic and natural approach and would use natural creams without any of the harsh chemcials in, one that I have found very useful for my 13 month old is a barrier cream from Pitta Patta, this is recommended by midwifes and mothers. Plus I would limit the amount of acidic foods/drinks your little one has, lots of water to neutralise any acidity in the urine and poo. Sometimes allergies can occur after time so it might be worth choosing an allergenic washing powder, if you haven't already. I do believe the diet is important though and not using any chem products. Good Luck.

Thanks for your answers.

I do not think it's an allergy to the washing liquid as he would have a reaction all over his body (didn't he?). The reason why I think of a reaction to food is because the rash is located where the poo sits IYSWIM.

At the present I am using the cream prescribed by the gp to see if there is an improvement twice a day and metanium for the others nappy changes.

(wave to mama from Feb 10 )

Stonebaby - is he teething? Teething poos can be really nasty and made my two very red from where they were in contact with it. In both cases the soreness then led to thrush which looked like they'd been burned. Horrid.

Some mothers swear by hazelwood necklaces, which can be bought from tearlessteething.com. There is some good reading on the site, which might help even if you don't buy the necklace. Def look at the diet though and limit the acidic forming foods.

We had same thing and went to a&e on another matter but mentioned nappy rash whilst we were there and doc suggested Orabase. It has been fantastic - forms a jelly like barrier on skin. It's not a nappy cream - it's normally prescribed for oral lesions and colostomy bag openings I think! But it's the only thing that worked for us- tried every other cream under the sun. Important not to try and rub it in, just put it on skin.

Hi. My dd had terrible nappy rash in the first few weeks. Another mner recommended egg white. It worked a treat. It forms a barrier over the rash. Make sure the skin is dry before applying it and leave to dry a bit before the nappy goes back on. I assume you do lots of bare bum time already. Poor boy, it's miserable isn't it?

SB did you use antibiotics and corticoids before. I have just been to the dermatologist who said that has created a candida rash (i.e. the pead. did a mistake and make it worse).
canesteen should work? I have something else, but not sure it is available in the UK. Wash under the tap with plenty of water pat dry used soap only for pooh. No wipes, no cotton. And use a barrier cream, she recommended "ABCderm change" from bioderma. If you can't get it at boots surely in france.
change every time there is a pee/poo even in disposable. (ask the nursery to be on top of it)
HTH

Dd always got bad rash when teething (not in pants but teething back molars and still has a rashy bum ) she would start bleeding etc. Once it got very, very bad and she had ulcers. In addition to prescribed creams (think we had a misxture of fungal with a steroid) I stripped all her nappies. I hadn't changed the way I washed but I washed several times over with no powder and some vinegar until there was no residue left at all. I also put her in disposables until it had healed as it did seem to help, I think because it remained dry next to her sking those times that you don't notice/can't change a wee right away.