Nappy rash won't go

[Beckabub]

Hello everyone,

My 6 week old has had nappy rash for 3 weeks. The skin is broken and looks so sore. It's only between his bottom cheeks no where else. Have tried, metanium, Brian then, Audi ran, Daktacort and timodene. No difference! Change nappy regularly and have nappy free time at least two hours a day. I have been doctors who prescribed some of the above creams and did a swab which came back with no infection etc. Have tried different brands of nappies etc. Can anyone suggest anything else?! It doesn't seem to bother him generally only when nappy changing time comes but it breaks my heart to see it!

Bepanthen that was meant to say not Brian then!

Your GP can prescribe something to clear it up when it gets to this stage. Good luck!

This is going to sound weird but try drying his bottom with a hairdryer on a cold or low setting. My eldest had terrible nappy rash and it’s the only thing that worked. Added bonus that I realised the sound of a hairdryer made him fall asleep instantly as well!

My dd had nappy rash which turned out to be thrush. Has anyone suggested that?

You poor soul, how stressful!

I can only speak from personal experience but since I switched my baby to cloth nappies at 6 weeks he hasn’t had a day of nappy rash. It might be worth trying? The issue is that cloth nappies can be expensive upfront, but there are libraries where you can rent them (not sure if operating in Covid though). Or you could buy one or two and see if they make a difference before committing.

I use terry squares with a microfleece liner and motherease airflow wrap, and it has really worked wonders in stopping nappy rash.

It might be worth pressing your GP again in case there is anything else they can prescribe, but it does sound like you’ve tried a lot. I hope you find a solution soon, it can be so distressing!

Also canesten worked for my kids when timodene didn’t

Sounds like thrush. Try Canesten but if that doesn’t improve it quickly, you should see a GP as it’s been going on a long time.

Try using reusable wipes rather than wet wipes. Cheeky Wipes are fab and my son hasn't had NR since

Are you putting metanium on really, really thinly?
You need the tiniest bit then it needs to be rubbed in so it disappears. It doesn’t do anything if it’s thick.

Also lots of naked bum time. Air does wonders.

My experience is from a very long time ago so things may have changed but pampers gave my DS chemical burns! Maybe try changing the nappy brand to see if that helps

Pat dry really really well and use Sudocreme. Clears everything up for is usually overnight.

My DD's nappy rash wouldn't go away for months despite trying different creams/no nappy time etc. Turns out she has a milk intolerance. Worth keeping in mind.

Could be fungal if it won't clear up.

See your GP the rash may need medical assistance

Sudocrem was the only thing I ever used for nappy rash, always cleared it up straight away. As others have suggested, it may be thrush. Book an appointment to her him checked. Also the suggestion of the hairdryer is good, let babies bum completely dry before putting another nappy on, or try to leave him nappy free as long as possible. Last suggestion, maybe change the wipes to sensitive if you don’t use those already and try changing nappy brands. I found some irritated one of my DCs skin.

My baby had the exact same problem from 1 week old, awful broken skin and it wouldn't heal for weeks. We had an entire week where I didn't put a nappy on her during the day, just wrapped her in towels which was messy and only a slight improvement. I found that my dd pooed a lot, like a continuous thing so I could never change her enough. Is your ds pooping loads? The wetness and irritation made it really difficult for her skin to heal.

Also I discovered she was reacting badly to any creams with metals in - sudocrem (zinc), metanium (titanium) and Boots zinc and caster oil cream (prescribed by dr). I found that although she didn't have a fungal infection canestan did help because it created a barrier that she wasn't allergic to. At 9 weeks she took infant gaviscon for silent reflux and it made her poo much thicker and her bum healed dramatically within days. As soon as I stopped giving it to her (wasn't working for the reflux) the nappy rash started coming back. I'm not sure how this helps as I'm uncertain a dr would advise giving gaviscon for bum healing but it shows how very wet continuous pooping is the main issue, for my dd at least.

I'm currently using Tiny Troubles Natural Intensive Healing Salve which is insanely expensive for nappy cream but i has prevented the nappy rash coming back so its worth every penny in my mind.

Oh also I stopped using wipes unless we were out and i had no choice, just water and cotton wool with gentle pat dry while making sure she was completely dry before the salve went on.

Have you tried reusable wipes? I find that using disposable ones can sometimes irritate my baby's bum. Or maybe try waterwipes. Dry completely between changes. And if you're breastfeeding you can express some milk into it.

*onto it

Try changing your nappies as well, years ago my child could not wear Huggies only Pampers, or Asda.
It looked like we had poured acid on her bum within an hour of using certain brands.

We once had a prescription cream that worked so quite concerning that whatever your GP has offered isn't doing the trick. I would go back.

But another tip we found helpful (and I concede how incredibly difficult this is right now) is not just nappy free time, but with a bit of sunlight. He had one very bad attack which finally started clearing up after an afternoon under a tree in mild sunlight late one afternoon. Can you put him on a mat in a patch of sunlight (when we get some) during the day? Obviously depending on strength of sunlight etc, probably for a few minutes at a time rather than leaving him for ages.

This is the only thing that worked on my DD. Canesten. After putting it on I put a thin layer of sudocreme on top to help it stay dry. After using it we noticed a clear difference within 24hrs

My niece's nappy rash cleared immediately after she was diagnosed with cmpa and her mum went dairy free. I could be wrong but if I remember correctly she only had a rash on her bum.

God I wish people would read the bloody OP before posting.

OP, I would suggest adding a layer of cavilon spray over whatever topical treatment GP has currently prescribed. Are the lesions confluent or separate, ‘punched out’?

Sometimes needs a bit of persistence rather than chopping and changing too often.

Agree nappy off time where possible. We got on best with pampers premium protection nappies and flared with Aldi and Tesco.

Have had the same experience with my 6 week old. Developed a rash at 3 weeks that we have just about got under control. I am pretty certain that the original cause is the fact that DD poos all the time, at least with every feed, making it impossible to keep it dry down there. We found sudocreme and metanium made it much worse. We had a cream from the doctor that cleared a small infection that had developed but found that the following has helped generally -
Air when possible
No wipes, cotton wool and the smallest bit of water
A daily clean down there, again just water
Changing to hypoallergenic nappies (think chemicals in regular nappies were irritating) - we are on Kit and Kin

Still trying to clear but 80% better so worth giving the above a go. Good luck!