how can a nappy rash be so severe in one night?

[strawberryswizzler]

1 year old slept at my parents this weekend for one night. she was away for 24 hours. when i dropped her she had no signs of a nappy rash. i picked her up and it’s so bad that it’s open in places as in looks like a layer of skin has came off - oozing clear fluid. the rest of the nappy rash is all spotty and lumpy and she was hysterical last night when i changed her. i’ve had to get her canesten from the pharmacy but i can’t help but wonder wtaf they’ve done for it to become that severe from nothing overnight? in my 3 years of parenting i have never ever let my kids get nappy rash to this extreme?? all i can think is that they’ve left her nappy on a ridiculous amount of time which makes me worried about them having her but i don’t know if im just jumping to conclusions here

Have they ever looked after her before?
Only one of my four got bad nappy rash, it was summer and she also had a urine infection, but it wasn't so bad it effected her. And this was years ago where as nappy now days are meant to 'lock' wetness away.

I'd also consider a doctors appointment if it's oozing and if you can't get one take pictures and go and show a pharmacist

How many nappies did you send her with, and how many came back? Does that indicate how many times she was changed, or do they keep a stock of nappies at their house?

have you asked them if they noticed it?

I used to childmind. For a while a baby I looked after arrived every Monday looking as you describe and I spent all week sorting her out before Friday when off she went again. The parents initially laughed at the efforts I went to to heal her nappy area as they felt it wasn’t necessary. No idea what they were seeing.
Changing more often will help and washing her bottom half each time in pure water, using a basin or shower head rather than wipes.

Urine becomes more acidic the less diluted it is. Is the baby dehydrated as well?

How did they clean her? Some people use wipes only so did they use different or fragranced wipes?

Agree with pp - how many nappies did you send?

EDIT - I would clean her only with cooled boiled water until she has healed. No wipes. Lather sudocream on too.

Wow I'd also be jumping to conclusions. Surely they must have just not changed her at all (or maybe once every 12 hours or so) for it to get that bad that quickly?

We've had this before.

Left in a poo for a long time can do this. DD had a period where she had really runny poo's and almost seemed acidic. Childminder left her in dirty nappy a bit too long we believe. I think without realising she needed changing.

It broke the skin. It did heal up within 3-4 days with cream and very regular changing. Was horrible for her though.

Sounds like they've left her in a dirty nappy too long. Perhaps overnight without realising?

Could they have used a lotion that she's reacted to or that has reacted to the chemicals in the nappy. If there are open sores I'd be concerned about it potentially being a chemical burn from a reaction.

Have they maybe wiped her with something they shouldn’t by mistake? For example using alcohol hand wipes rather than baby wipes? At 1 year old, even if they didn’t change her nappy at all I wouldn’t expect a severe rash with oozing!

Send them a pic. They need to be shown the state of your dd...

I'm not sure I'd send my baby back there.

Lots of air time for bum will also help.

An old family friend was visiting us once when I mentioned my niece had terrible nappy rash (I was looking after her for the day). She whipped up an egg white until stiff and spread it all over the rash, it healed up very quickly!

It when poo and wee mix that it gets this bad, it's a burn basically.
Poo needs immediate change. Regular changing anyway.
We used zinc and castor oil every change to create a barrier but they don't make a decent one anymore. We swapped to coconut oil on as a barrier after every wash to prevent.
Now she is in that state, use cotton wool (balls or pleat as pads are scratchy) in lukewarm water with coconut oil in the water. It doesn't sting so horribly then.
Parents owe you an explanation and shouldn't have her again until you have laid out a clear plan for nappy care. They have caused an injury to your child.

Yes it can happen. My daughter was dropped off at nursery once with no rash. She developed an allergic reaction to a new food and had 4 changes of clothes over the course of the day due to explosive nappies and by lunchtime so just 3h later had horrendous nappy rash that took a week to get rid of

We've had this recently with 1 year old. Literally 1 poo left her blistered, red and sore. Never got to the bottom of why it happened, I think she was either poorly or ate too much fruit so her poo was acidic. We ended up having to go to the GP as it just wouldn't heal and tried 2 lots of steroid cream and in the end the only thing that healed it was breast milk and manuka honey

Could the child be teething? My eldest once got a nappy rash in the time it took to walk upstairs to get her changed, because when she was teething she had very acidic poos.

have you asked them?

I would say either she has had a poo during the night and they haven't realised and it's made her that sore or they've used something that she reacted to.

It sounds like a reaction to me rather than being left in a nappy for too long. Find out exactly what she consumed whilst she was there and what products they used on her.

I would jump to the same conclusion as you and assume that she wasn’t changed.

Did she eat or drink something new? If she’s allergic or intolerant to something, it could produce a mess and if she wasn’t changed regularly then it would create a rash.

Alternatively, do your parents know how often nappies should be changed? They may have forgotten or assumed they weee doing you a favour by using as little as possible(money) without considering baby’s comfort and health.

Like you, I wouldn’t ask them to look after her for long periods any more.

You don't say whether you intend to address it with dp's, but I think you will have to so there is no reoccurrence. Poor baby.

I changed ds often, cleaned him with plain water and cotton wool pleats and slathered him with Sudocrem every time. He rarely had nappy rash.

Once he started going to nursery for half days he often came home with it. They didn't change him as often, used cheap wet wipes and didn't bother with cream. I would get his poor bum healed just in time to send him back there 😥

I wouldn't jump to conclusions that parents weren't taking good care. They might need some tips if they've not looked after babies for a long time but I presume you wouldn't have sent her if you didn't trust them.

Teething or different food and drink can change Ph of urine and cause nappy rash. Overnight at 1 you probably don't change anyway, right?

I'd tell them she had a rash, ask if they used anything unusual, mention that changing every 3-4 hours and checking for sneaky poos now and then is ideal.

It's possible they went off and bought their own nappy supplies, and the different brand irritated her?

Hey OP. My little one really struggled with it despite us constantly changing. (They had really runny poos for a while which caused it and prevented it from healing.) It looked and was absolutely horrendous but they were always happy so I’d definitely get your little one checked by a dr ASAP if they’re in pain with it!

My tips are wash their bum etc with warm water (water wipes if out and about)

Gently pat dry with a soft material or preferably air dry as much as poss.

Lots of nappy free time so get the heating on for a little while.

Purple metanium was the best cream we used but don’t be too generous as it provides a barrier to the nappy absorbing new pee!

Frequent changes obviously, especially with poos - we were constantly checking. Poo particularly makes it flare up so quickly so I reckon your folks left a poo for too long. What also causes it to flare up quickly is not ensuring the area is totally dry after a change before putting the nappy on. Wipes even water ones leave a sticky residue of course which many overlook.

I’d be reluctant to let them have them again for a while, esp if downplaying. Nappy rash is a nightmare to get rid of even if it’s slight at first and it can get worse before it gets better! So I’d be really unhappy, esp if my baby was upset by it!

One time I changed my son's nappy and he was totally covered in a crimson rash. Like his skin was raw and looked INCREDIBLY painful - it was so bad that I actually called 111 as I thought it was an infection. There had been no sign of it at the previous nappy change, and no poop immediately preceeding. Hasn't happened since. So... yeah, sometimes things happen.

(usual nappy rash remedies worked over a couple of days, and then he was back to normal)

My daughter was always like this when teething and poo nappy - especially if she had pooed in the night and hadn’t cried for me to know that it needed changing. Something in that more runny poo irritated her around teething time.

We found the best cure was nappy free time as much as possible.

Sounds like a yeast infection, not nappy rash.