Nappy rash, heartbroken 1 year old

[RedVelvetDreams]

Hi all,

Help needed for FTM, I weaned my baby onto whole milk about two weeks ago as advised by health visitor, he took to it straight away. He has a slight rash around his mouth and runny nappies but we thought that was him just adjusting to the milk (this is what HV said)

His bum has been slightly red for the last two days, we've had lots of nappy free time and sudocrem, it didn't seem to be bothering him.

Tonight he's woke up in so much pain after doing a poo, his bum is so angry and red. We've kept his nappy off for as long as we could and now we've cleaned him and put cream on as he was inconsolable and exhausted.

I'm traumatised, I've never heard him cry like that before. Do I stop whole milk? I'm at a loss, does anyone have any advice? I feel like the worst mum ever right now

I think I would stop the milk or greatly reduce it until his not got better. Poor thing.

*bot

Please don't feel like a bad mum and book your GP. We had dairy problems with our son for months and the GP referred us to a dietitian who advised us about the milk ladder. He's 2 and absolutely fine now and can have any amount of dairy. It was a difficult time but we got through it, I really would seek medical professional help and good luck

You need Metanium cream - it's in the baby aisle with all the sudocrem etc and is amazing stuff. Try not to use wipes, use cotton wool and cooled water.
How old is your baby?

Baby has just turned one at the beginning of the month. I'll start using cotton wool and get some bepanthen tomorrow. He's ate cheese and butter but his nappies have never been fully solid, when I told the health visitor she wasn't concerned but come to think of it, I had to stop breastfeeding because he was severely underweight and they said it could've been a dairy allergy but the test came back fine apparently

He does about 4-5 "sloppy" poops a day even when he eats solids

My boy does one poop a day and sometimes not every day. To do so many sloppy poops does sound like something isn't right if he is eating solid foods.
Can you go back to gp?

I'll phone GP first thing, he's been fully eating solids for a fair few months now. He's never actually had a normal looking poo

Try take a dirty nappy along with you too.
You're not giving him too much fibre are you? Can you give an example of a typical day food?

If you had to stop BF though it does seem like it could be some kind of intolerance

Hi op. Put some bicarbonate of soda in his bath. I used this for all 3 of mine.

Museli (cow and gate) made with whole milk

Lunch is usually - tomato pasta or cheesy veg pasta or jacket potato and beans, low sugar jelly pot or a yoghurt, sometimes a banana or melon instead.

Tea - whatever we're having, but often spag bol, beef casserole, chicken mash and veg

We rarely do snacks but if we do it's those ellas kitchen melty puffs

I second metanium cream for nappy rash. The yellow tube. It's very strong and a tiny thin layer should do it. Dab it on, don't smear it.

Definitely Metanium. It’s so much better than anything else.

It does sound like you have a dairy issue but have you also checked whether the jelly has sweetener? They can have a laxative effect.

Metanium yellow is the only thing that works for bad nappy rash. Everything else is a waste of time. DD had an awful allergic reaction to Amazon baby wipes which led to recurring nappy rash and nothing cleared it up, not even steroid cream, but when I started using metanium at every change it cleared up and it's kept it at bay ever since. I notice a difference when they run out at nursery even just for a day.

DD had a dairy allergy and I didn't think there was a test they could do? I'd double check that as it could be a misunderstanding.

Definitely Metanium. We've just had the same problem with our one-year-old but I think it was related to eating lots of acidic raspberries when he already suffers from atopic dermatitis which has now flared up due to the weather.

We stopped all acidic fruits, changed his nappy every 2 hours and and applied Metanium at every change and it was better within a week.

The yellow metamium is even better than the white. We still use it every so often on our older kids if they’ve had an accident at school or not wiped properly. It clears it up over night. Amazing stuff. I hope your dd feels better soon

@peachgreen we were in hospital for a couple of weeks when he was 4 months old because he was severely underweight, they said they did allergy tests and then told me they came back normal and I could continue to eat dairy while breastfeeding. Ultimately, he never gained weight so I moved on to formula and he gained weight almost instantly and had no issues 😩

I don't know what tests, I was exhausted. I wish I'd of asked more

"they said it could've been a dairy allergy but the test came back fine apparently"

What tests? Blood tests, skin prick tests? They only show ige allergies and are apparently not always accurate for babies under 1. It is possible for babies to have a non-ige allergy for which there is no test, the only way to confirm it is to exclude the allergen, and then reintroduce it - if symptoms stop when you exclude the allergen and come back when you reintroduce it, that confirms the diagnosis.

Info here www.allergyuk.org/information-and-advice/conditions-and-symptoms/469-cows-milk-allergy

If I were you I'd cut all dairy from his diet for a month, see what happens. If he improves, after a month give him some yoghurt, see if symptoms return. If they do he has CMPA and you'll need to ask HV or GP to refer him to a paediatric dietician.

Cross post. If he improved after switching from breast milk to formula, it seems unlikely to be CMPA.

Och you poor thing, that sounds so stressful. It's awful when they're in pain. The yellow metanium will clear it up quickly.

With DD we did something called the milk ladder - you can find it on Google. It's what they recommend at the dieticians. Might be worth a try.

Also recommend yellow metanium. DD was obsessed with tomatoes & satsumas which (being both quite acidic) gave her horrendous bleeding nappy rash. Metanium healed it very quickly. And ditch the wipes for now.

Afterwards, bepanthen is better than sudocrem. Easier to remove, & seems to allow skin to breathe better. Sudocrem seems to turn to glue!

@NameChange30 they done blood tests on him. Said that he had no allergies and to continue eating formula. I never found out why he didn't take to my breast milk, it wasn't a feeding or supply issue. He has a healthy appetite and other than this nappy rash and sloppy nappies he's perfectly happy boy.

"they done blood tests on him. Said that he had no allergies"

I'm a bit shocked that you were told this. As I said, there is no blood test for non-Ige allergies, so baby can still have them even if the tests come back negative.

We had exactly the same when we started DD on cow's milk - rash around her mouth, eczema flare up, and runny poos. In her case, it turned out to be an allergy to cow's milk protein. It took us by surprise because she had been having formula and yoghurt for a few months without any reaction.

Can I ask what allergy test they performed? For DD the CMP allergy wasn't picked up in the skin prick test but showed up on the blood test. We were advised to move to soya or oat milk and try again in six months, though depending on the severity of the allergy sometimes UHT milk can work too.

If he thrived on formula it is unlikely to be a cmp issue.
I'd be writing out a detailed food diary for him though, to see if you can pinpoint a trigger. Have you tried taking grains out of his diet for a fortnight to see if that helps? It may be gluten or something else which for most people is innocuous but is irritating his gut.

How is your baby with egg OP?

If they're ok with it, egg white can provide a healing protective layer on nappy rash. Creams have a tendency to irritate. If you keep the egg white in the fridge, it cools and soothes as well.