9 year old nappy rash

[Polkadottie1]

Wonder if anyone can help me, at my wits end. 9 year old has suddenly started getting recurring nappy rash since January. No rash anywhere else or any other symptoms. No bowel or toilet problems, no allergies we know of and no history of this even as a baby or any skin complaints. It goes away with treatment only to come back every two weeks or so.

Don't put talc anywhere near her genitalia.
I'd maybe look into wicking underwear, either the sort for hiking or period underwear if she's very sweaty.

Any psoriasis in the family OP? I have it there and the symptoms are he sane.

No not that I know of. How did you discover what it was?

I eventually went to the doctor I was demented with it I thought it was fungal I tried everything and nothing worked. It was infected by the time I went to the doctors but I suffered for a good couple of years.
I didn't know you could even get psoriasis there, it's not the normal plaques either it's like a red rash and the itch and burn is horrific. Steroid cream is the only thing that helps.

My son had this when he was in nappies canistan cleared it up it looked just like nappy rash

That does sound so like what dd has. Was the doctor able to recognise it as psoriasis on sight? Did you have to see a dermatologist or was GP able to help?

As soon as the doctor looked she knew what it was. All she asked was does it itch.
I would check there's no psoriasis in the family it can skip generations and can present as a barely noticeable patch in some people. If you look on Google I'm sure there's some images, whatever it is I hope your poor dd finds some relief it's a horrible place to have that kind of itch.

Sorry meant to add, my gp gave me creams one was daktacort and I got some aqueous cream to use as soap. Both helped amazingly. I could have seen a dermatologist but just manage it myself now with those creams.

Canesten is a very thin layer, I think it’s three times a day but the tube will tell you. I did take DS in to the pharmacist (he was about 18 months I think) with a nappy rash that just wasn’t shifting and she had a look at him in the private room and said canesten and it worked.

Perhaps a local one might look at a photo? Take one that shows the edge of the rash and one fairly close up. You could take it carefully so you couldn’t even see the intimate area, hopefully.

You’ve stated that it goes away but comes back like clockwork. Then it’s unlikely it’s all these things that other posters have suggested. Because they wouldn’t have cleared without proper treatment, even if it did come back.

Usually the simplest explanation, is what the problem is. Like the medical professional who has actually seen the rash has been able to assess that it is most likely nappy rash.

I fail to see how it’s appropriate to keep taking a 9 year old to a medical professional to be assessed again. possibly swabbed etc. You stated that your daughter was mortified when seeing the practice nurse about cleaning the area, yet she’s having to go back again.

The nurse stated to use wet wipes, then how long have you actually been using these? Instead of using a shower, she needs to bathe the area daily, how long has she done this?
Then use a proper barrier cream.

It’s only once on top of hygiene and can see if it doesn’t improve, that you can move onto other possible issues. At 9 years old, a child will be cleaning themselves and need privacy but obviously still being young they may not always be the best at cleaning. This is normal and a part of growing up.

I hope that it clears soon so that there isn’t more appointments for the child, it must be deeply embarrassing for her .

Sorry if this is repetition as I haven't been able to read all replies

However have you tried canestan cream - the one with both Clotrimazole and hydrocortisone in? We use this along with yellow metanium for actual nappy rash and it's great, clears it up so quickly. It was prescribed to us. I know this may well be different in your daughters circumstances but worth a try

What a weird take. A responsible parent will always take their child to a doctor when they feel it’s necessary.

As the mother of a dd who has had quite serious problems in the same area, I’ve tried to teach her that when it comes to medicine there’s no such things as one part of the human body being more ‘embarrassing’ than any other. There are doctors who specialize in every part and they see it everyday. The fact the OPs dds rash is on her bum and not her hand shouldn’t mean she seeks less help for it. I wouldn’t be suggesting she pulls her pants down in the middle of boots to show the pharmacist but kids need to be taught that there’s never embarrassment in seeing a doctor about any part of your body because the alternative attitude actually kills people who don’t seek proper help when they should.

@Bouela answered this far better than I could.

Ill just say also that whatever is causing this it’s not poor hygiene.

A responsible parent takes the advice of a medical professional.

If you go back to the original post, the OP was clearly looking for a GP appointment but was disappointed it was a nurse for some reason.

The nurse has looked at said rash and assessed it is nappy rash. It may not be but until the OP follows the advice given, we won’t know.

The OP clearly came back from that appointment annoyed that they’ve been told it’s hygiene, came on here and now posters are saying it could be worms, could be fungal.

Well if you back to the original post, it states that the rash goes away and then it comes back. These things don’t clear without proper treatment, so it can’t be any of these. But the OP is entertaining these because it means that it isn’t a hygiene issue. Now armed with the advice of well meaning posters, the OP got the doctors appointment she originally wanted because now she will be stating she thinks it’s X,Y,Z.

At no point has the OP said that she has followed the nurses advice which I suspect was only given a few days ago. The OP hasn’t said I’ve been using wipes for two weeks, given a nightly bath, used a proper barrier cream (not sudocreme)…..but it’s not working.

This is a 9 year old who needs to have a degree of privacy too, yet will be back to the doctors again on Monday, missing school, because OP doesn’t agree with the Nurses advice but believes it could be something someone said on Mumsnet?????

????

I don’t know why are putting so much stock in it ‘coming and going’. Lots of skin issues flare up and down.

I don’t really see how it can be a hygiene issue if the child isn’t sat in their own faeces and urine for too long- which is what causes nappy rash.

OP has repeatedly said that the child can wipe her own bum and is clean. The child is not in nappies.

how does a child who has no toileting issues, doesn’t wear nappies….obtain nappy rash? That’s just common sense.

This child has never seen a doctor. They need to see a doctor. I say that as someone whose mother was a nurse, and grandmother was a nurse. A nurse cannot without fault diagnose skin issues. A doctor needs to take a look and diagnose the issue, if they aren’t sure- referral. It’s more likely another skin complaint.

You’re putting a lot of stock in a ‘medical professional’ and how this shouldn’t be questioned when the child hasn’t seen the right medical professional to begin with.

I hope you’d be happy to not see a doctor who is best placed to diagnose you next time you are ill?

and fwiw OP, I spoke to my mum who is a retired (in 2022) band 6 nurse and she agrees. A child not sat in their own waste will not have nappy rash! She says likely a fungal infection but that you need to push to see a doctor for another examination and swabs determine what this is :))