Nappy rash patch won't go away, it's been three months, any more ideas?

[BellaBear]

DS has had a patch of nappy rash at the top of his leg since he was six months old and started teething. It has been there for three motnhs, getting better and worse but never going away. Now it seems to have little red patches within the rash patch and looks much angrier.

So far we have tried:

• only using cloth (possibly got a little worse)
• not using cloth (for three weeks)(no difference)
• sudocrem (little difference)
• bepanthen (some difference, but it didn't last
• metanium on advice of GP who thought another patch might be thrush - the thrush seems to have cleared up, the angry patch has now got worse
• not using wipes, using cotton wool (can't see any difference)

He really scratches at himself when he doesn't have a nappy which curtails nappy free time somewhat - despite cutting his nails often, he has actually broken skin by scratching

Any more ideas?

nightmare isn't it?

dd3 is 6 months and has had a similar rash - comes and goes, varies in intensity, weeps then dries up, hers also moves in position from the front to around her anus..... we've done all the things you mention too....

at present we are using a tiny amount of dactacort cream (prescribed by gp, it's 1% hydrocortisone) with a thin layer of metanium over the top to act as a barrier. yes it does work, until the next bout occurs. so really no answers i'm afraid - will be watching this thread.

all i know is that i never had this problem with ds1 and 2, and dd3 is excl bf so it's nothing she's eaten. as i said - nightmare!

btw, some people on here have sworn that painting on a thin layer of egg white works wonders (do a search), but i can't quite pluck up the courage to use raw egg - i think i've got a few salmonella hangups although i'm being a bit silly no doubt!

thanks

i keep being told that nappy rash isn't from wee, it's from when wee and poo mix, but there is rarely poo where the rash is, so maybe it isn't nappy rash?

egg white? interesting

dd's first bout was all around her outer labia ladybits, none at all around her anus, the gp said that it was caused by wee only....... although his view did differ with the hv (and another gp) [sigh]

the dactacort with metanium did clear it up (til it came back around her bum instead)

i feel clueless, like i'm going round in circles with it tbh.

horrible isn't it? hate nappy changing now, feel so sorry for him

could be a touch of thrush, might be an idea to see if the doc will prescribe some cream

gp said this patch wasn't thrush, (but another patch was), the thrush seems to have responded to the metanium, but not the bit I am worried about, if that makes sense!

Have you had it checked by a doctor? It sounds like thrush to me, if it is it will clear up really easily with the right prescribed cream.

Poor little thing, I hope it gets better soon.

i know

my friend had the same problem with her dd and she (my friend) is the most careful, 'intelligent', loving mum i know (apart from us of course ) and her dd's didn't clear up totally - it kept coming and going - til she potty-trained at 2 .

if we could pinpoint the cause then i think we would be halfway to treating it iyswim?

x posted, see my last post!

thanks for your concern
x

Message withdrawn

yes snooks

will ring hv in the am and see if worth another gp visit

like i said, every gp/hv i see seems to contradict each other as to the cause. hope you have more luck than me with your ds bellabear.

bloss, we did use disps for three weeks (nature babycare) and it didn't help

gp said not thrush

will treat cloth nappies though, just in case

Message withdrawn

I would ask to have a swab of the area done. DD suffered for 6 months, I potty trained her "that will cure it" no difference, turns out she had strep A arggggggggggghhhhhhhhh

bloss [dare i ask] can you do the camomile thing whilst using disps? we used cloth religiously with ds1 and slightly with ds2 but dd3 is solely in disps [i know, i know].

cargirl - what is strep A?

bloss, thank you so much, will try that, does it work with disposables as well? Didn't mean to come across as GP must be right, no matter what, apologies if I did.

Good idea about swab, thanks

Honey diluted with water (or camomile tea). Make a liner damp with it, and bung in nappy over night. Apparently manuka honey is best. Sounds barmy but look at thisnews.bbc.co.uk/1/hi/health/3787867.stm (among many others).

wow, very interesting

Message withdrawn

Group A streptococcus, or group A strep, is a bacterium commonly found in the throat and on the skin. Group A strep bacteria can cause a range of infections, from relatively mild sore throats and skin infections to life-threatening invasive disease

she had been treated for thrush the whole time even though it didn't respond to antifungal creams, it responded to steroid with antifungal creams but returned as soon as we stopped putting it on. She was tested for diabetes as that would explain why she could have untreatable thrush.

Fortunately she was on heavy duty antibiotics to treat it when she developed chicken pox as it is known that it can get into the blood stream via the blisters and kill. Yeah great, I am still very cross at the Gp's that this went on for nearly a year she was suffering the whole time and she had all the classic symptoms of "perianal strep" pealing skin, bleeding, inflamation, itching, in pain etc etc

this is the link that is probably most helpful www.aafp.org/afp/20000115/391.html as it has a photo of it

Reading through that I've forgotton the half of it, yes blood streaked stools, a discharge which was crusty - all not surprising really because she had it for neary 12 months in the time and she ended up have 3 weeks of oral antibiotics to get rid of it and a referral to dermatology - all for the cost of a swab.