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Original poster

several goes of really horrid infected nappy rash - suggestions?

43 replies

littlefrog · 06/06/2008 14:20

I think we're just about getting on top of the latest go of what nappy rash has turned into, but I need to change something in our washing/cleaning regime so that it doesn't get so bad again.
DS, like DH, seems to have v sensitive skin, and the trouble is that when it gets sore, it doesn't get better as quickly as it should. He's had a few goes of nappy rash with big weeping open sores, and is just (I hope) coming to the end of the second time when he's had things that look a bit like boils on the edge of his testicles and his willy. I've been given antibiotic cream for it, which seems to be working a bit, but it's very slow to heal.
What can I do to try and stop it getting so out of control again?
And given that he's had it twice now in the same little place on the end of his willy, should I get the dr to look at it? Should I be cleaning it somehow?
Currently we:

wash at 40 in Clearspring/sometimes Ecover
line dry
use washable wipes with water only
give LOTS of nappy off time, several hours a day, lately
don't usually use any kind of barrier cream, occasionally the Weleda calendula one, or lately vaseline

OP posts:

DaisySteiner · 07/06/2008 12:53

Fucidin doesn't contain a steroid - Fucidin H does, but the standard one if just an antibiotic.

I would seriously think about changing your washing powder - having been a cloth nappy advisor for 6 years I can honestly say that Ecover seems to be one of the most common culprits. DD had terrible nappy rash and I started using biological detergent when we ran out of non-bio figuring it couldn't make things any worse. The nappy rash cleared up overnight Having researched it since there is some evidence the bio is better for sensitive skins and there's recently been a report showing the non-bio is certainly no better than bio.

But I would get some swabs done, use disposables until it clears up and wash the nappies on a very hot wash if the swabs do reveal thrush.

Original poster

littlefrog · 07/06/2008 13:06

Really, daisy, is that right? I had a whizz round on the web this morning, but DS was demanding breakfast, and I do remember that there was some stuff about Fucidin H (which isn't what we have). So that's a relief.

We have lately been using Ecover (lodger bought it); usually we use Clearspring, which i much prefer. Interesting what you say on the bio stuff though, that's just what my sister was told by the NappyLady, so she now has Ariel bio especially for the nappies!

OP posts:

DaisySteiner · 07/06/2008 13:13

Where do you think the Nappy Lady got that bit of information?

Interested in this thread?

Then you might like threads about these subjects:

Families General parenting Skin conditions

VanillaPumpkin · 07/06/2008 17:05

Sorry for the Fucidin confusion . It was the one with Hydrocortisone in that we were given. Nearly 5 years ago now and I had forgotten about the H.... Sorry. I feel very irresponsible now......

catastrophewaitress · 08/06/2008 21:09

We tried Bepanthen with DD when she had horrid teething-induced nappy rash, really worked. Had previously been convinced that one cream much like the other and stuck to Vaseline as it is cheap but she had red open sores a couple of times and went for Bepanthen - made a huge difference. Give it a go for 48 hrs see if it works for your DS. Good luck.

DonutMum · 09/06/2008 14:45

Metanium is awesome. And messy. But then switch to using lots of barrier cream as normal - sudocrem or the weleda one. The Waitrose bottom butter is lovely too.

kiwikid · 10/06/2008 05:12

We use a brilliant barrier balm from Green Baby - which is all natural and smells lovely. You can get really good nappy liners which they stock in waitrose on a roll. Nice and thick so the the balm does not get on the nappy. When our ds starts to get rashy(usually when teething) we alternate with sudocream or metanium or use overnight which tends to clear it up. This seems to keep it under control.

Original poster

littlefrog · 10/06/2008 10:50

thank you everyone for help.
I took DS to the gp on monday (and because of a mess-up got to see the nice one, hurray) and he swabbed the now very small sores, and was concerned that it had all gone on so long. I really do feel bad about it, I realise that I'd almost begun to think of DS having a sore bottom as 'normal', which is awful...
Anyway, he said go back to the Nystaform till tomorrow, when the swab results will hopefully be back, and if anything shows then DS'll get oral antibiotics that will hopefully clear it all up.
We've been using disposables since Fri, no nappy when at home, and doing well at catching poos on the potty. Pharmacist seconded the recommendation for Morhulin, so I got that for him too - DH tried it on his eczema and it got the thumbs up there.
So fingers crossed we're starting to get on top of this...
(Oh, just flicked through the messages and realised I forgot to ask about Cavilon - will do so tomorrow)

OP posts:

VanillaPumpkin · 10/06/2008 12:36

Good news LittleFrog. I know exactly what you mean about the sore bottom seeming normal . We lurched from bout to bout when dd1 was teething .
I was told the teething was nothing to do with it at one point which reduced me to tears as it made me feel even worse, that it was all my fault. But amazingly dd's bottom was perfect when not teething and especially when all the teeth had arrived. Sympathies again. Sounds like it is all sorted though .

VanillaPumpkin · 10/06/2008 12:37

I meant by that last sentence that I know it was all triggered by the teething.....

AbingdonGirl · 11/06/2008 22:13

Hi Littlefrog. I have used terry squares with dd (just 2) and ds (20 wks) since birth. Dd has very sensitive skin (something to do with the red hair gene inherited from me perhaps!?). Anyway, I have found that nothing works better for us than oodles and oodles of vaseline and don't think I'm mad,; egg white! Paint it on in layers, letting it dry between each. It dries like glue (just think how hard it is to get egg of your saucepans!). I don't know where I heard about it, but tried it in desperation when dd had spent a week in disposables, we had finished a huge tub of sudocreme and still couldn't see any improvement. It honestly works! Give it a try!

Original poster

littlefrog · 12/06/2008 19:48

Eggwhite, eh? Is that for when it's horrid, or as an everyday thing? And how on earth do you get them to stay still while it dries? DS is a bottom shuffler (makes me squirm to see him on the terrace nappyless) and I don't fancy eggwhite all over the floor!

The swab didn't grow anything, and the nystaform seems to be improving things a bit, so the GP said leave it until the beginning of next week, and if it's not clear by then he'll refer us to the pediatric clinic. Fingers crossed it'll be gone by then. Then I just have to focus on making sure it doesn't get this bad again! Poor mouse...

OP posts:

lackaDAISYcal · 12/06/2008 20:03

I hope your DS gets his poor bottom cleared up soon littlefrog.

I've just sseen this thread and it's been pretty informative for me as well as we have had an ongoing nappy rash with DD since she was about 16 weeks old (she is now a year old). We have tried various lotions and potions and various forms and combinations of anti-fungal, antibiotic and steroid creams and it all seems to work for a few days then the rash comes back . she has been at the doctors loads of times for it, and not once have they suggested a swab.

have also tried sudocreme, metanium, bepanthen, E45 nappy cream, red clover cream and other miracle creams all to no availV last said that she is probably just "one of those children who is more susceptible than others", but she was fine until 16 weeks.

Will get an appointment for a swab and try morhulin as well.

lackaDAISYcal · 12/06/2008 20:04

If you whisk the egg white until it just starts to go opaque, then pat it on thinly with your fingers (being careful not to double dip), it seems to dry pretty quickly and once it's on it's a pretty impervious but wee proof barrier.

Original poster

littlefrog · 12/06/2008 20:09

oh lackadaisycal, that does sound horrid. I only got a swab done on the suggestion of folk here - when the dr had a look I said 'are you going to take a swab' and he looked quite surprised (he has a surprised face though) and said 'oh, that's a good idea!' So I was really glad people had suggested it (even though it didn't show anything up)

I'm home now for the next few days so I'm going to try and leave DS without a nappy most of the day, and fingers crossed that and the cream will see this go off. I do hope you get your dd's rash sorted out too.

OP posts:

lackaDAISYcal · 12/06/2008 20:40

lol, it's nice catching professionals on the hop isn't it?

I hope you get your DSs sorted out too. Keep this thread posted about the results of the swab won't you!

tazmosis · 12/06/2008 21:19

Not read all thread so sorry if I'm duplicating...

My DD1 had a horrid nappy rash that just wouldn't heal and so I took her to docs and it was thrush - we got some caneston cream for it and it healed really fast.

Also Green People do a great barrier cream, completely natural and organic - but once this bout heals you shouldn't need it all the time.

AbingdonGirl · 12/06/2008 22:31

When dd was teething we used it every night because she was going to be in a nappy for a long period, but now we just use it when it gets a bit horrible, although we've now entered the fun realms of potty training!!

It reminds me a bit of painting PVA glue on your hand at school....if you do enough layers you can almost peel it off again at the next nappy change!!

Thanks lackaDAISYcal i forgot to say about the double dipping!!

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