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Children's health

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Original poster

Horrific bleeding nappy rash - advice please

78 replies

Rumpel · 11/08/2009 15:28

My DS 12 months was diagnosed with an upper repsiratory tract viral infection last Tuesday - he'd had it for a few days. He developed diarrhoea by Wednesday, we went off on holiday on Thursday morning. Friday I called NHS 24 as his nappy rash was so bad. Basically they couldn't do much.

Saturday we took him to A&E and they gave us Timidine (sp?) which he has had before.
Upon returning home I have left him bum out as much as I can - but with diarrhoea it is not so easy to do! I have been applying the timidine, vaseline and nappy changing as much as I can. Took him back to GP yesterday - who gave me dietry advice for him.

But his wee bum/scrotum is red raw and bleeding. Anyone got any other advice or helpful hints for me please? I handed in 2 stool samples today and will get results Friday.

OP posts:

Original poster

Rumpel · 18/08/2009 17:41

Hi ladies - still the same here. I called the GP yesterday and aksed for something to spray on rather than apply and they gave me canasten powder - just used it once so far.

I put him on soya milk and have cut out dairy but am feeding him as normal as he is hungry. Dosed him up last night to knock him out as he is exhausted but keeps waking up as it is sore.

FOREVER - a chicco buggy is soothing? Wrong link maybe or do you work for Chicco LOL?

I shall get some of the spray tomorrow to try thanks. I feel as though I may be making things worse applying lots of things. His scrotum is now bright red and dry and bleeding and his penis is all red on one side. I keep pointing it up so that the urine etc doesn't go directly onto his scrotum. He has the whoels in his skin too - red raw -wee soul. Make you think how people cope when their DCs have dreadful things wrong with them. So awful to see your Dcs in pain and so emotionally draining too .

Thanks ladies.

OP posts:

Original poster

Rumpel · 18/08/2009 17:42

Meant to say I have ordered some childrens probiotics too - help with the old gut bacteria. I did the BRAT diet for a while at the beginning but it didn't help at all.

OP posts:

stitchtime · 18/08/2009 17:50

my ds had awful bleeding bym from age of three weeks to 11 weeks. what finally cured it, was fixing his tummy problem, so he didnt poo so much with the awful acidic poos he was doing.
first thing, dont use wipes, or even cotton wool and water. use only water to clean him. for me, it was easy, as he was so little, i just stuck his bum under the tap in the sink, but you may have to improvise with jugs of water and a toilet set.
second, dont apply so many different creams, unless you are sure they are actually working.
for tummy, i used a homeopathic medicein prescribed by homeopathic doctor. again , it was easier fo rme, as i was breastfeeding, so didnt have toworry about whether milk i was using was suitable or not. if i had problems with one year old now, i would cut out dairy entirely unless it was breastmilk. give gut a chance to recover.
hope your dc gets better soon

melmog · 18/08/2009 18:05

Just to add to this, although I agree with most of the advice you've had, I found with my dd's severe nappy rash/infection that the problem was getting whatever cream to stick. I found cornstarch worked brilliantly.
Hth and good luck!

foxinsocks · 18/08/2009 20:17

sorry to hear that it's not cleared up Rumpel. Fingers crossed the next round will work better. I agree with melmog, it was always the sorting out of the tum that helped. Are his poos any better?

Jumente · 18/08/2009 20:20

Is your GP following this up? If his digestion is still not right you really need to get some specialist advice, poor little thing

What did GP actually DO?

Jumente · 18/08/2009 20:23

..and EGG white works SO well, much kinder than anything chemically.

Try that first - salt water rinse, then DRY cruciaslly before you apply anythign - air dry or blot with soft cloth, air is best though - and once completely dry, apply whisked (or just neat) egg white. If you don't double-sip, you can keep it in the frigo and use again and again.

Apply a layer every change and then nappy back on.

Labour intensive but worth it. It'll start to allow the wounds to granulate, protect the skin etc

But yes stopping the assault of the poos is first step.

Jumente · 18/08/2009 20:24

double dip I mean - sorry being threatened by ds2 with his battery powered fan

Original poster

Rumpel · 18/08/2009 20:29

Hi all first time at GP diagnosed upper respiratory viral infection, all follow on visits GPs said it was the virus causing the diarrhoea. All of them looked at his bum and said 'Oh yes that looks terrible' hmm - nothing we can do - should clear up in the next few days. Try the BRAT diet, next GP - hmm we are split 50/50 on BRAT vs normal diet.
I enquired about possible milk intolerance - 'I would hope not but if it doesn't improve then it is something we will certainly look at.'

Stool samples came back negative.

His poo is like pissing rusty water with the occassional nappy of glutenous with bits in.

If it isn't any better by Thursday I am going back to GP again.

I have done the egg white thing too

Nite all.

OP posts:

foxinsocks · 18/08/2009 20:34

yes do go back Rumpel. Sounds hideous. When you say rust coloured, it's not blood is it?

CarGirl · 18/08/2009 20:37

yes go back, demand some sprilon on pescription it is designed for this kind of thing - in the meantime ask the pharmacy to order it in as most don't have it in stock.

Sounds a nightmare. dd was treated for thrush for 18 months, it turned out to be strep A - fuming doesn't come close. His poo sounds like an indicator of some serious intolerance to something.

PlumpRumpSoggyBaps · 18/08/2009 20:47

I hope he's feeling a bit better by now, but if nothing else is working, you could try this:
Make up a cup of chamomile tea, let it cool then dip a piece of soft cloth (I used a muslin cloth cut to size) in the tea and lay it in his nappy overnight. (Obviously you have to throw it away the next morning.)

My ds2 had open sores on his little bum due to bad nappy rash during teething and I got this tip from one of the lovely MNers. It worked brilliantly. It only took 2 nights to completely clear up. Absolutely amazing.

Although very strange, natch.

Jumente · 18/08/2009 20:49

Sounds defo like an infection, to me Not sure what GP tested for but this needs urgent assessment imo, can you bypass GO and go to A&E? Having diarrhoea for how long is it now? is really, really bad for him - he'll be low on electrolytes, loads of things - he should be on an IV for rehydration as well, sorry to sound so scary but I am worried about his health.

Please, please take him to the hosp and demand to be seen - giev them full history, how long this has been going on, he needs you to stand up for him.

You sound like a great mum but just want a bit of confidence to get it sorted out - good luck xx

Original poster

Rumpel · 19/08/2009 15:42

Hi all - got the sprilon today. I was a bit worried that he might screech but he laughed when I put it on - must tickle . He had horrendous diarrhoea this am - had to shower him down and 'empty' his babygrow.

I have taken him back to Gp several times to be checked out but he is not dehydrated - I managed to get some diarolyte in him again today and he has been taking plenty of fluids - soya milk/water. So far only 1 pooey nappy today so we'll see how it goes.

Rest assured if it doesn't calm down by tomorrow I will take him back - I am just giving the dairy free diet a wee while to kick in first. His probiotic powder should be here tomorrow too - that should help restore some of the gut bacteria.

Thanks all - I'll keep you updated.

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Jumente · 19/08/2009 16:01

Oh good news about the laughing and the only one poo so far. Yes, I'm sure dairy free will help him recover. Was he on antibiotics just before this? You mentioned he had an infection of some sort. Antibiotics can cause serious diarrhoea, and if he was on them he needs testing for c-diff. They don't always do this as a matter of course but the symptoms are basically the same in a child, and if untreated it can become dangerous. So ask them specifically when you get the chance x

Original poster

Rumpel · 19/08/2009 19:55

No he wasn't on antibiotics - it was viral infection. Another 2 mega watery poos - he is off to bed now. The spary seems to be doing the biz however, I am concerned about his general health now - he is soo pale (we are a pale family though). He is bright enough in himself but very pale looking. I have been giving him multi-vits and EFAs the last few days. let's hope there is a marked improvement by the am - healing vibes all please and thanks for your advice.

OP posts:

cheezcurl · 19/08/2009 20:20

I second the cornstarch, keeps the area dry when it is impractical to keep the nappy off. Cornstarch cleared up DDs very severe rash after a bout of antibiotics, one that creams had just not been able to fix. It is excellent.

Jumente · 19/08/2009 21:04

Good luck Rumpel. Hope you manage to get him the help he needs, if he doesn't pick up by morning..remember to trust your feelings, if you are concerned, that's enough x

CarGirl · 19/08/2009 23:17

I'm glad the sprilon is helping but I can so understand your concern over his stools, have you taken a sample in - I would.

Original poster

Rumpel · 20/08/2009 18:50

Hi all,

yep CAR - 2 came back negative. Thankfully he is much more himself today. I was up about 4 x last night checking him and giving him diarolyte as I was so worried. This am I had to pop him in the shower again as he had exploded all over his babygrow but he has only had 2 since and they have a thicker consistency than they have been of late TMI sorry! Also his bum is sooooooo much better.

He is full of life today though and even took his first steps with a push along walker and managed to climb up all the stairs twice (me behind obviously) - he is very chuffed with himself LOL.

I'll see how is tomorrow ..........

Nite all.

OP posts:

Cymbeline · 21/08/2009 23:12

How was he today - hope much better x

Original poster

Rumpel · 22/08/2009 14:45

He still has diarrhoea but it isn't as frequent and is not as watery - so seems to be improving. He is much more like his wee self and laughing again and hungry!

His bum and bits are looking so much better due to the spray - I just wish him and his sister would stop whinging. My Dh is away working for a couple of weeks and they are sending me round the twist!!! Arggg!

OP posts:

CarGirl · 22/08/2009 22:14

Glad his bum & bits are improving, that spray is truly amazing stuff!

Original poster

Rumpel · 23/08/2009 20:07

Seems to be on the mend now - slept loads today and hungry. Only pooed onc - up to his armpits in it he was this am when I got him up - thank goodness for sleeping bags!

OP posts:

FlightHattendant · 23/08/2009 20:13

Brilliant are you going to reintroduce dairy after a few days?

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