TERRIBLE nappy rash - please help

[MummyElk]

DD2 has had a bout of gastro-enteritis for the past, er, week - she's nearly 9mo...
We are changing her nappy the moment she's pooed (sometimes three times in ten minutes) and I'm now using camomile tea and cotton wool to wipe her bottom.
She's in disposables (normally in Itti Bitti D'Lish).

But the skin on her bottom is seriously breaking down now, and poor little mite is suffering.

Not sure Metanium is doing anything either.

Any suggestions please? I'm at my mums but once back home tomorrow I'm wondering if hot washing my bitti's and going back to real nappies might help??

i know, you are right about the GP but I spoke to my friend today who is a paed and she talked me through what was happening etc. I haven't ruled out going to the gp, honest, but i'm not sure if they can fix her with anything, it seems like it needs to work itself out really? Am upping the bfeeds and seeing if that helps (it didn't at the beg of this)...

and will try some bare skin time for her (dodging the poo at the same time?? )

any other thoughts?

Do you think it looks at all thrushy? Kind of spotty.... That could be compounding things. But I agree with Pixie: take her to the GP tomorrow and, in the meantime, keep on with camomile tea and cotton wool. Hope she's better very soon.

Melk, AFAIK disposible nappies should be better in these circumstances just because they leave her bum so dry. But it is of course poo that burns skin though...

DS2 has terribly sensitive skin (used to have bad eczema) and every time he had diarrhea the skin on his bottom just disappeared. We've always done frequent changings, washing bottom in sink/bath/shower at every change, used lashings of Sudocrem and, in extremis, used Trimovate or Daktacort, both of which are antifungal, antiinflammatory (steroid) creams. Or Canesten HC is another option. They all work a treat, Trimovate has an antibiotic thrown in as well. Although like Pixie said, his skin only ever really healed once the diarrhoea had settled. He is now MrConstipated (and potty trained ), so has not had problems in that department for some time.

See your GP if it does not improve. It is just horrible when they cry and try to squirm away from your hand at every nappy change .
And keep BFing, natch, I know that you know that.

Right I don't know if it will help, but a nurse friend told me about this. But have you tried putting some breastmilk in with the water when you wipe her bum. Breastmilk seems to cure gunky eyes and snotty noses so it could be worth a bash.

I had a similar problem with my DD though not as bad by the sound of it, we gave up with wipes and cotton wool and just put her in the shower and gently washed her bum and legs down with warm water. Patted her dry with the softest towel I could find and then caked her in a thin layer of metanium with a thick slather of sudocreme on top (took some trial and error to find this as the best combo for us) as a barrier for the skin from the next bout of poop.

The skin only got the chance to heal once the illness went and she could be nappyless for a while and the skin could dry out and get some air. Hope she is better soon.

weleda nappy rash cream worked a treat when nothing else did £5 ish a tube though.

ok...we had APPALLING nappy rash with ds2...it was bleeding cracks getting worse and worse. the ONLY 2 things worked (we tried everything, i trawled mn, used gp prescribed nuclear cream everything).

first...get your baby out of pampers if that is what she is in (evil gel, lots of babies allergic). naturebaby disposable nappies are v good, no nasties at all.

more importantly mix metanium with sudocream (squeeze whole thing into a tub of sudocream and mix up the top section of it, you want about half half). then put that on, a decent layer.

these two factors, coupled with regular time in the air cleared the nappy rash completely.

good luck, i know how distressing it is.

Ask for it on pescription but if need be buy Sprilon Spray it designed to protect bed sores from fecaes & urine.

It worked on my dd3 when ALL else had failed, It's about £7 a can but lasts for ages as it's a very thin layer and best of all after cleaning up and letting dry you don't need to touch the sore bottom to apply it so less painful.

raw egg white is supposed to be great for healing up nappy rash (haven't tried)

I use Bepanthen as it is the only thing that helps DS (Metanium etc. had no effect). But if it is that bad you may well need some of the steroid creams to help.

I also use cornflour dabbed on with a cotton wool ball to dry the skin as much as possible.

Lots of fresh air should help too, but know it's not easy with lots of poo/mobile babies/cold weather.

Hope she is better soon

we were using water and cotton wool...chamomile good.

Also give her teething powders as it helps neutralise the acidicity of what is coming out.

metanium onto skin and a layer of vaseline on the top worked for DS

i know how distressing it is. hope she's better soon.

i would try her in the reuseables again. when i use disposables for ds for more than a few hours he gets a rash! he got a bad rash when we moved and was in disposables for a few days. i used fleece lined nappies with burts bees during the day and a me airflow wrap and then at night the fleece lined nappy with fleece cover and metanium. it took a few days and loads of changing but it went. hope it clears up soon, it's awful watching them.

oh and maybe try the bm, i used this when ds has sticky eyes when he was a baby and it seemed to work.

:)

thank you all - posting in case tomorrow(today?!) runs away with me and I don't want you all thinking i'm ungrateful...
Thanks for ALL suggestions, will try them all - interesting about the BM - i did wonder about it funnily enough, i do think breastmilk is a bit of a wonder substance!! Worth a try anyway surely?!
I'll try a day of metanium with sudocrem on top and see if that helps.
sophable i don't know if it correlates but you are right - i've been using up an old pack of pampers when normally she's in naturebabies/eco....oooh i wonder if that's got anything to do with it!!!

thank you again - any other thoughts please post, i'm willing to try anything

I used this stuff whenever DS had bad nappy rash, but he never had it as badly as it sounds like your DD has currently. It's got aloe vera in it, which is good for burns (effectively what has happened to your DD's bum) and it used to clear things up pretty quickly.

HOwever, I have discovered that the Infinite Aloe I bought (and one large tub lasts up to 2 years!) is no longer being sold by the company who used to sell it in the UK - instead they have developed their own range, still with Aloe vera and other skin healing herbal extractions - here. They say their customers are just as happy with their newly developed product but I can't tell you how good it is because I haven't tried it - but since they have created it to replace Infinite Aloe in their product range, it should be just as good.