8 month DD has really bad nappy rash - any ideas

[doodleboo]

DD is 8 months and has suddenly got really bad nappy rash over the course of the day - at the last change it started bleeding in one place.

She is a cheerful thing and not whinging about it but it looks so sore.

I have been putting sudocrem on at each nappy change, she's had a bath to make sure it's clean, and a couple of hours without a nappy altogether.

She's currently in a muslin with her cotton vest done up over the top (no nappy).

Any other suggestions? She's walking round the furniture and crawling at high speed so it's difficult (and slippery!) for her to go without anything at all downstairs.

Also could it be anything else - is there any infection she could have got that's making it worse? DS has had nappy rash a fair few times now but never this bad.

Thanks!

Thrush?

Also if its just rash, try Bepanthen. Seems to be much 'stronger'. Describe rash for me?

Egg white, painted on and left to dry will quickly heal it.

The thing that worked for DS's:

Cotton wool and water, absolutely no wipes.

Use disposables and not the eco-kind, only full on environment destroyers would do.

Bepanthen on bottom (DS allergic to sudocrem)

nappy free whenever possible

Consult GP if it continues, the stuff we had really helped.

have you recently introduced citrus fruits to her diet?

Rash: bright red, pretty solid colour, with some patches of broken skin now.

Going to try just cotton wool and disposables (have been using them anyway)

No citrus that i can think of, unless tomato would have done it?

I'll try bepanthen and change to vaseline for tonight in case it's the sudocrem.

Thanks for the super fast replies!

is it sort of raised and shiny-ish? if it is thrush normal cream wont touch it and you will have to get some canesten

not sure i will check next change (soon from the noises she's making...)

We are suffering big style too! HELP!!

Doc has given two doses of Canastan (not worked) we are now on hydrocorosone (sp?) and anti fungal, you can only apply twice a day and sudo cream seems to not be helping in between. Thinking of trying Metanium inbetween does, I am 99% sure he is allergic to Lanolin so need to stay away from that. Any other ideas? Is Metanium any good?

metanium v good
if you suspect thrush don't use sudocrem

don't think it's thrush but i will take her to the doctor if it's not clearing up tomorrow.

Thanks again for all the help!

Another vote for metanium. Also if a nappy is just "wet" I don't wipe it off at that change, just add a little more on top if necessary.

I'm not really sure how red, sore, cracked skin is different to thrush?

Try Morhulin. My mother swears by it.

Metanium is v good - much more effective than Sudocrem for bad nappy rash. Sticking to water & cotton wool also v effective.

Tomatoes are a common cause of rashes, although I've not come across them causing nappy rash before. You've not just introduced dairy either have you?

Funny that! We have just taken dairy out and changed to Soya. DS has much less runny nappies but rash is still terrible.
A few tomatoes but not a huge amount to worry me. Its so sore!

Close your eyes and rub your fingers very gently over the rash, if you can feel it, it is thrush and you should treat it with canestan.

Also, is she teething? they often get quite bad nappy rash when teething...

DD got horrendous nappy rash when she was introduced to tomatoes, and each time she had them until she was about 10 months or so. We stopped them, introduced on the odd occasion but it came back again each time. From around 10-12 months (cant remember exactly)she was fine.

Her rash was the same, bled in some places and looked so so painful. We used Metanium, recommended by paed specialist gp. Never used sudocream. Also, as you are doing, lots and lots of air time to clear it once you find the cause.

I think I'll get some Metanium first thing. I was hoping the hydocostosone (sp) would have started to work by now. I can't feel it WeeTimorous but he is teething.

Hmmm, if he has a milk intolerance then there's about a 40% chance of him having a soya intolerance too. I presume you have just used a bit of something containing soya, rather than soya milk or formula, as these shouldn't be used routinely for under 2s?

What is the problem with Soya milk for under 2's? It has all the vitamins and omegas added?

Having just had a year's worth of tears over a bottom rash (DS is now 4) I can't recommend strongly enough that you demand a swab from your GP.

For months our GP shrugged things off and kept prescribing totally ineffective medicines, including steroids and antifungal. In fact, these things made it worse, as some of the posts above have described.

In desperation we ended up seeing a consultant abroad, and the diagnosis was immediate: strep infection, the same bacteria as tonsillitis, which needed a very long and heavy course of antibiotics to get rid of.

I'm amazed at how trigger-happy GPs are in this country without carrying out any tests to establish the cause.

Aside from that, we were told that what makes children vulnerable to such infections is the use of wipes and bubble baths.

If you want to find out more and hopefully rule it out, google "perianal streptococcal dermatitis".

poppins - in short, risk of bringing on allergy, tooth rot, and infertility in later life.

Metanium always v effective very fast when ds gets an occasional outbreak.

can'tsleepwontsleep - you have really worried me! How on earth is tooth rot and infertitilty conected to soya?!!!!!!!!