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Parenting

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Original poster

Stubborn severe nappy rash! Nothing works..

94 replies

Trinacham · 23/02/2022 08:12

Wondering if anyone else has had this issue as feel so alone in this. It seems like most people have luck with just simply applying Metanium cream and after a couple of days it's gone. No such luck here. Here's what we've tried so far...

Sudocream

Metanium

Went to doctor after neither of these made any difference.
Doctor prescribed an anti-fungal+steroid cream to be used for 7 days. After I put the steroid cream on, I apply Metanium to act as a barrier, on doctor's advice

After 3 days I went back to doctor as it was worse than before
Doctor now prescribed just a steroid (I can only use this for a further 4 days as can't exceed 7 days with the steroid use) and I've now cut out dairy (I'm EBF) as we think baby may have an intolerance (he had a very watery poo today)

This brings us to today, where I'm starting this thread. Rash is still here after 2 days and I can't see any improvement. We have to stop using it on Friday so there should surely be a noticeable difference by now.

Other points
Baby has very regular bowel movements - think this plays a major part in why it is so stubborn, the skin doesn't have much chance to be dry and heal before the next bowel movement

I do nappy free time as much as possible, as long as he's in a happy mood (sometimes just cries and screams when nappy is off)

Using pampers. The sore area is confined to his bottom, groin area is fine and all creases are fine, so almost certain it isn't a reaction to the nappy. The sore area is only where his poo touches, which leads us to believe he has an intolerance and the poo is burning his skin.

We use only warm water and cotton wool, no wipes.

Any help and advice, or just anyone who has been through this, would be great to hear. Baby is only a month old and he's had this for over a week now. He doesn't appear too bothered but it looks so sore. Hoping it doesn't feel as sore as it looks. If even steroid cream doesn't work, I'm wondering what else the doctor can do. Feel like the options are running out and it's worrying me.

OP posts:

Maxifly · 23/02/2022 08:14

Try olive oil swished about in warm water, applied with cotton wool.

sashh · 23/02/2022 08:16

Try re usable nappies?

linerforlife · 23/02/2022 08:18

Have you tried Vaseline around the sore area? Wash with cotton wool and warm water and Pat dry with a Muslin, then leave to air with baby on a towel for as long as you can stand. Apply Vaseline and put a nappy on. Change nappies immediately when he soils and repeat the process.

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Families General health General parenting Skin conditions

MrsStrongman · 23/02/2022 08:19

I've always found metanium made my boys nappy rash worse.
A super thin layer of sudocrem, and lots of nappy free & bath time is how we managed to clear it up.

MrsStrongman · 23/02/2022 08:20

Oh and making sure the bottom is completely dry before applying cream.
We use reusable nappies as well now which I definitely think helps!

Weaselstoatferret · 23/02/2022 08:21

My dd has awful nappy rash after some bowel issues. We ended up in hospital and a lovely paed Dr gave her a paste made up of orabase and petroleum jelly. Orabase is usually for mouth ulcers so has a really sticky consistency which doesn't rub off easily so actually creates a proper barrier. I think the recipe was 3 parts orabase to 1 part vaseline. Worked wonders!

Bunce1 · 23/02/2022 08:22

Change the nappies?

Also what worked for us was a very thin layer of metanium to “treat” the rash and then a thicker layer of sudocream to act as a barrier.

Ff10n · 23/02/2022 08:24

Are you getting to the soiled nappies as soon as they happen?

Are you drying his bottom really thoroughly after washing? Leaving it to air until completely dry to touch?

Are you applying the metanium correctly? A really thin layer, as per instructions? Skin needs to breathe as well as be protected.

DD had this - but it did settle with metanium as her poos became less frequent and her delicate skin toughened up. Always had to use a barrier cream though (Sudocrem for every day; I didn't rate Bepanthen).

busyeatingbiscuits · 23/02/2022 08:25

Thrush?

When you tried the anti fungal did you also treat yourself if baby is breastfed?

1990sbaby · 23/02/2022 08:25

Try a different brand of nappies and might be worth trying out the mild canesten for children as it sounds like a fungal nappy rash - speak to doc again.

Northernlurker · 23/02/2022 08:31

I would go old school and try Vaseline. You need a proper barrier.

HappydaysArehere · 23/02/2022 08:33

It’s a long time ago but zinc and castor oil was brilliant in keeping their little bottoms free from rashes.

sixtiesbaby88 · 23/02/2022 08:33

We always used olive oil. A gentle wash, no wipes, air dry then olive oil apples with cotton wool. It cleared up really quickly

sixtiesbaby88 · 23/02/2022 08:34

Olive oil applied - not apples!

MissLC · 23/02/2022 08:37

When my LO had stubborn nappy rash, the pharmacist suggested canesten thrush cream, 3 times a day for a week. However, she said when using canesten not to put sudocrem/metanium on as it stops it working but to use it in between. E.g. one nappy change use canesten and then then next sudocrem, next canesten again etc

GreenCareBear · 23/02/2022 08:37

This happened to DC1 once and a thin layer of thrush cream (prescribed from doctor) cleared it up with a very thin layer of metanuim on top.

Mushaboom · 23/02/2022 08:37

Metanium always made my boys’ nappy rash worse too, might be worth trying without it for a few days.

BarbaraLoganPrice · 23/02/2022 08:40

A warm bath, time to air dry the skin and Child's Farm nappy cream has always worked wonders for my DC when they've had severe nappy rash. Youngest are often so sore they bleed and this is the only thing that works.

VirginMedium · 23/02/2022 08:41

put a sock of oats in the bath to wash him with. it probably won't resolve it but will sooth it

BornBlonde · 23/02/2022 08:41

What wipes do you use or do you use cotton wool?

DoNotTouchTheWater · 23/02/2022 08:43

It might be the nappies. My middle child reacted to just about every brand of disposable nappies with horrible nappy rash. He was in washables for the first year of his life but switched to disposables at a new nursery. It was awful.

Danikm151 · 23/02/2022 08:47

I found pampers newborn nappies gave my son nappy rash because of how extra absorbent they are. Asda newborn were great. Then when he was older pampers were better

ouch12345 · 23/02/2022 08:47

Hi OP, DD2 had an awful nappy rash they wouldn't clear. It was so upsetting we tried absolutely everything. She also had very regular bowel movements and was quite sicky. She was EBF but after some trial and error we worked out the nappy rash was caused by a CMPA. I cut out all dairy and the rash cleaned up almost instantly. Have you tried cutting out dairy?

SatinHeart · 23/02/2022 08:49

If the treatment is working, nappy rash should improve quite a lot within about 48h. I would say back to the GP.

My DC2 needed a 7 day sourse of oral antibotics once for infected nappy rash (had developed loads of white pimples on top of the red soreness). There was a pretty dramatic improvement after 48h of taking them.

casualobserver · 23/02/2022 08:51

I switched from pampers to organic nappies and my daughter never had nappy rash again. The absorbent chemicals in non organic nappies makes a rash worse apparently.
The organic nappies were a little more bulky but still very absorbent.

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