Moisture lesions/rash under tummy fat fold

[A27009D56]

My DM is fairly immobile and has consequence put on a fair bit of weight, especially around the tummy area, which has resulted in a moisture lesion and sore redness under the tummy fat fold.

She's seen the Doctor a couple of times who has prescribed an anti fungal cream (to be used for 2 weeks only) the cream helped a bit, but realistically we need to manage the soreness, as I can’t see her losing enough weight to lose the fat fold.

Currently DM is showering daily, gently drying the skin and putting on some medicated talc (something my cousin uses under her boobs for a moisture rash).

Has anyone got any advice on how to treat this, please?

Athletes foot spray followed by unperfumed antiperspirant spray perhaps.

I use Sudocrem antiseptic healing cream for all sorts, alway handy to have & available from supermarkets.

Have you tried sudocrem, it always works on things like this for me.

This is going to sound simplistic and maybe insulting, but could she wear clothing that puts soft fabric between the two areas of skin, like knickers (with a soft encapsulated waistband) pulled up so the edge of the waistband is at the deepest point of the fold, rather than wearing them over the tummy?

Get packets of gauze from pharmacy and place in between folds of skin. Make sure the area is washed everyday and well dried, apply any cream prescribed and place gauze between folds. Don't use use talc as form horrible clumps.

I get similar with my csection overhang and have the cream but haven never been told only use for 2 weeks? I also make sure it's properly dry and in the summer tuck a very thin small strip of muslin so it's not skin on skin if that makes sense?

Inverse Psoriasis has similar symptoms, which is how I learned about what I think are the best ways to deal with sore folds of skin.

Once any infection is treated, bathing with something like Sanex Biomeprotect is good for not making the skin more fragile.

After that, patting dry and then applying a thin layer of an oil based emollient ointment like Zeroderm, taking it from the tub with a spatula for hygiene, making sure that it covers all the fold and up around her abdomen, around the hips and lower back, thigh creases, buttock creases, shins, top of feet, under breasts, etc, (as heat/sweat will also affect her behind, particularly with immobility) will also protect her skin.

The advantage of using an ointment like that is that it is inexpensive, so there's no concerns about cost or timelimits applied to use.

And big knickers. You can get extra high waisted ones from Amazon cheaply, which ensure that there's no physical pressure or abrading of her delicate skin and providing a place for infection to get in. I get the reasoning behind a PP's suggestion of a waistband under her overhang, but it actually makes it worse to have all the pressure and movement focused directly on the most delicate area when it's already affected by weight pulling on scar tissue.

She's also at risk of developing pressure sores if her mobility has been severely affected, so doing all these places ensures that her skin health is monitored.

The only thing to be aware of is if she smokes - using ointments results in fabric becoming impregnated over time with flammable substances that don't come out completely in a cool wash.

I get the reasoning behind a PP's suggestion of a waistband under her overhang, but it actually makes it worse to have all the pressure and movement focused directly on the most delicate area when it's already affected by weight pulling on scar tissue.

Yeah, that's a good point if the skin's already compromised and delicate. My experience is with someone with similar-sounding issues but on younger, maybe less vulnerable skin.

If it is a moisture lesion then the moisture needs to be removed ,however talc is not a good idea even medicated talc is not good for unexposed skin if there is pressure from a skin fold.
I would ask the gp for conotrain cream but make sure it is washed off properly before reapplied.
After a few days you could put a dry wipe in the fold to absorb any moisture.
Keep any underwear/incontinence pad straps away from the area also

It does usually clear up with antifungal cream. Going forwards the key is to keep it dry so it doesn't become a nice warm wet place for yeasts to come back.

Thank you all so much for your answers, I really appreciate it. I’m going to see DM tomorrow and go through the thread with her.

A barrier cream such as Aproderm may help.