Bad Diaper Rash

Mercy...do not wipe a diaper rash that bad. Take him to the tub and gently rinse him and then blot dry with a towel, no rubbing. If it is a diaper rash, give it air. Let him go without a diaper as much as you can. It will show improvement quickly if it is, except for the booboo's from bleeding. Then the diaper cream when you put the diaper on and I would also use a antibiotic on the booboo first. If air and cream do not clear it up, it isn't diaper rash. If it is yeast, put yeast cream on it. I would also ask the parents what causes it so I wouldn't help contribute to it, that I change his diapers as quickly as I can when they are soiled, so any help would be appreciated. Maybe that will get them to step up on their part, if not, I would simply ask them why he keeps getting it because it is not normal.

Yeast infection from too much moisture, or food reaction and again, too much moisture. I keep a tube of yeast cream on hand....Monistat....Lotrimin, etc. After removing the diaper and cleaning the area, I keep a thin coat of one of these creams on their bottoms. There is usually an immediate improvement by the next diaper. Be sure to continue the use until the rash has totally disappeared.

He could be having a reaction to citrus juices, such as orange juice, lemonade, or tomato sauces....depending on what the parent is giving him. But, if the area is not treated properly, yeast will develop.

The creams are expensive; but worth it, to give the poor child some relief. Don't bother to use the other creams they've told you to use while applying the yeast cream. Then, when the diaper area is clear, you can use a thick coat of vaseline or Desitin to try to protect the area, if they insist on continuing feeding him the culprit. In most instances, I'd find the outbreak after the weekend at home...within 24 hours...time for the first BM after the weekend.

I've had this happen so many times over the years, with different children. Some parents just don't seem to understand how important it is to find out what's causing the problem and discontinue providing it. Sometimes, it's as simple as just letting the child drink from their cup (iced tea with lemon in it?) and they don't stop and think about it. But, I'll bet they'd stop, if they had to suffer with it the way the child is. Perhaps they'll listen if the yeast cream works and you can explain it to them with the proof.

**Yes, teething can be another culprit; but the yeast cream will work for that, also. In either instance, the moisture against the rash creates a yeast infection. I never had an immediate improvement with the prescribed Nystation or others. Don't know why, but the actual yeast creams from over the counter worked tremendously well. This is after more than 23 years of child care experience and raising two daughters of my own (now age 39 and 36).

I'm assuming you are not getting any real cooperation from the parents because you noted a lack of concern about the rash each time.**

Good luck

http://www.missbrenda.com

Have they tried different brands of diapers for him? It could be that he is allergic to chemicals in the diaper, that is, if it isn't yeast, which it does sound like. If the parents are open to it, you could try using cloth. If you use diaper service, you won't even have to wash anything.

I know this is a little late...hope he is feeling better!

A.
www.greenbabydiaperservice.com

I agree that it could well be yeast. You said you were told to use 3 layers of products. Sometimes, just layering won't work because the layer closest to the skin could prevent the other products from doing anything. For yeast in my kids, I get a small tupperware tub and mix up Lotrimin, hydrocortisone, and vaseline with a splash of maalox. It is kind of gross mixing it with your fingers, but works so much better than just layering since all the products can work together. Also, try feeding him some yogurt a couple times a day. YoBaby is ideal. My pedi had us stop fruit juices all together too. It really helped.

Dampen paper towels with warm water and use them instead of wipes. It may be the wipes that irritate him.

I second the monostat idea too. It could be an infection from bacteria. Will he eat yogurt of any kind? This helps too (about 2X a day on the "bad" days, but only once when not irritated).

I hope this helps.

P. <><

The two best things that have helped me keep diaper rash at bay for my little one are this: California Baby Diaper Wash Spray ( spray a few squirts on her after every diaper change then give it a minute to dry a little) plus giving her time to air out sans diaper

In addition to all of the advice you've been given, I, too, have been given great "diaper rash" advice. Avoid regular bath soaps when bathing. Instead, use DREFT (yes, as in the detergent). Just keep it out of the eyes. A friend of mine told me about this. It is very soothing. My 18 month old had a bad diaper rash from antibiotics and I would let him sit in the sink in warm water with DREFT after every dirty diaper and sometimes in between because it really seemed to make him feel better and definitely helped in the healing process. Also, if he can run in his birthday suit to decrease moisture and increase air, all the better. I hope his parents get a little more concerned soon. How sad for his little hiny!

We had the same problem & then found out Daddy was feeding her a bunch of food with high sugar. Sugar feeds yeast. Her pedi said NO MORE SUGARY FOODS. Many times it's what is inside coming out thru the stools & burning the poor bum. I have had a home daycare for 17 years. What I do is to find something on the internet about yeast & diaper rash & print it off & give it to the parents. They might not know whats causing it or have a clue how to fix it. That way they see it in black & white & I explain how painful it is & that you were worried about the baby so you researched it. They should appreciate that you care so much to do that. If I can find my info I'll send it to you.
Here it is:
PAT GIMA’S YEAST TREATMENT PLAN
It is important to remember that the yeast overgrowth is throughout your whole system, and you want to restore a healthy balance between the yeast and the healthful bacteria. Just killing off yeast doesn't resolve the problem. It will always return unless the proper balance is restored, and this takes diligence and working with your and your baby's physicians. The best prevention of candida (yeast) overgrowth is a good diet, a healthy immune system and a healthy intestinal tract.
We always have yeast and bacteria in our gastro-intestinal and vaginal tracts. In a healthy state they are in balance, and both are essential for health. However with a yeast overgrowth, the yeast overpopulates our systems and we have what we call a "yeast infection." In your baby, a white tongue can be an early sign of oral yeast (thrush). If not treated, it will progress to patches of white on tongue and cheeks. It causes a sore throat and tongue and, sometimes red, sore skin in the diaper area, along with irritability and excessive gas. A baby with a sore mouth from yeast will often not feed well.

Diet

Reduce sugar to a minimum and use no artificial sweeteners. You can eat some fruits and natural fruit juices, but they will best be consumed with other non-sweet foods. Avoid sugar-added fruit juices. Herbal teas and water are a good choice of drink.
Any refined carbohydrates that you eat (breads etc.) will be best eaten with other foods--vegetables and meats--so that they will not feed the yeast.

Eliminate dairy products until two weeks after all symptoms are gone. (Dairy products do not include eggs or mayonnaise, but products that come from cows milk.) You can eat plain yogurt (no sweetened or fruit-added ones) with live acidophilus bacteria if you are certain that there is not a dairy sensitivity in your baby or yourself.
Three times a day, open a capsule of acidophilus/bifidus, sprinkle 1/3 of the contents on wet finger and let baby suck finger. This healthful bacteria will begin the re-balancing of your baby's GI tract. For simplicity, open 4-5 capsules of the acidophilus/bifidus and empty the capsules into an airtight container. Keep tightly covered in the refrigerator. Three times a day, wet your finger, touch the powder and let you baby suck your finger.

Diaper Area

Rinse with each diaper change with vinegar/water solution (1T. white, distilled vingear/1C. water.) Apply antifungal ointment. Do not use baby wipes, as they nurture the yeast. Use clear water for clean-up of BM, then rinse with the vinegar solution.

The following should be continued for 2 weeks after all symptoms are gone:
• Vinegar rinse for nipples;
• Antifungal cream
• Acidophilus for mom and baby;
• Garlic and/or Echinacea
• Vinegar rinse for diaper area
• Nystatin or Lotrimin ointment for diaper area, or if you run out, Desitin or Balm-X (zinc oxide) will do.
• Avoid the use of anti-bacterial soaps, which destroy healthful bacteria. Also if your water is chlorinated, fill a pitcher with water and let it sit for 12 hours lightly covered and the chlorine will be dissipated. The chlorine may reduce some of the bacteria that your are trying to restore.
This treatment plan seems very complex, but after a few days it will seem simpler, especially when you are feeling better because of all of your efforts
Sunlight is a good treatment for yeast overgrowth. Sunlight on nipples and baby's diaper area is helpful, but even a walk in the sun or sitting in a sunny window helps also.
Also Fun. Try to remember what brings you joy, and do it. Laughter or relaxation or things that make you smile will boost your immune system and help your body to return to a state of health.
REMEMBER: Continue the recommended complimentary treatments for 2 weeks after all symptoms are gone. There is a temptation to grow lax after you and your baby are feeling better, but the yeast overgrowth can come back until your system is restored to its proper balance.

Good luck.

Sounds like he need a a prescription for his diaper rash. When my son gets diaper rash (he gets it really bad when he is teething). I never use diaper wipes they just hurt to bad try and only use wet warm wash clothes. I would just talk to his mom and tell her you are very concerned about his diaper rash. Let her know that you can get a the doctor to prescribe him something so he will not be in so much pain.

My son had this kind of reaction to citrus food (tomato, orange juice), and cow milk (we use soy exclusively). He had blistering diarrhea if he ate one of those.

Treating it ended up requiring either Vusion - a prescription diaper rash ointment that costs about $100 a tube - covered by Medicaid - or a mixture of three equal parts walmart creams - cortisone, triple antibiotic ointment, and clotrimazole creams. The baby needs to see a pediatrician.

S.

My pedi gave me a wonderful diaper rash cream when my first daughter had really bad diaper rash (similar to what you described). I was told to put Neosporin on the areas that were really raw, then the cream, then a tea bag (I'll explain). It's obvious why the Neosporin. The cream is made from mixing Aquaphor Lotion and cornstarch until the lotion turns white ( I did this in a tupperware container and labeled it Booty Cream). The lotion makes a waterproof barrier and moisturizes the skin, the cornstarch whisks away moisture that tries to linger. Now the tea bag. It has to be caffeinated tea. The caffeine in the tea will cause the redness to go away and the tea is a natural healer. You change the bag with each diaper change as it will get all wet when they pee. I know it sounds weird, but it works! I swear! By the end of the first day my daughter's bottom was only a little red and it was all gone by day 2. I love this stuff so much that I give it in little containers (with the recipe) for baby gifts all the time.

This cream is great not only b/c you can use it for more than diaper rash (think bug bites and sun burns), but it doesn't contain any zinc. Zinc can burn when put on open or irritated skin.

I hope this helps! See if the parents are open to it. I promise it works. We have used it will both our girls and will use it with our next one as well. Even our local pregnancy care center gives it out to new moms.

Good Luck!
A.
http://www.baby-bobo.com

Have you tried using an antifungal cream on it such as Monostat? Sometimes reoccurring diaper rash is caused from a yeast infection. My daughter's skin is overly sensitive, and sometimes gets sores that bleed like that. It makes me so sad for her. I use Burts Bees Miracle Salve on it, and it really seems to help.

M.

www.anytimecprtraining.com

When its that bad instead of using wipes, use a rag with soap. I would use a old butter container and fill it up a little with warm water and use dove non scent soap eveyrtime you change him. As for ointment to only one that worked for my son is Aquapho in a blue and white tube. It has eurecin in it. His rash disappeared in a couple of days.

Nystatin cream works wonders...but it has to be prescribed.

Also, Diaperene cornstarch is a great powder to use. It helps with diaper rash.

And old remedy that I was told to use by an older lady was browning flour on the stove. It actually worked on my oldest son. Just get some flour and put it in a skillet and stir it over and over until it is brown. Take it and pat it on the baby's bottom.

Poor thing! That's a long time to go with diaper rash. Keep trying to convince the parents to get him to the doctor.

I used to work in the infant room in a local day care....we had a little boy about 11 months old who had the same, ongoing problem. I used to just cringe when I had to change him! His pediatrician treated it as a yeast infection and we were given some meds to apply. It cleared up in a week, but every so often, it would come back. It seemed to coincide with his teething? I always used tissues moistened with warm water to wipe his bottom. Even the 'gentle' wipes burned his bottom. Just do the best you can while he is in your care. Good luck!

My son had a really bad yeast infection when he was younger and the doctor told us to buy hydrocortisone cream. It was gone by the next morning. That is the cheapest way I know to get rid of yeast infections and quickly. He would just cry and cry. I was so thankful the doctor told me a cheap way to fix it. Hope that helps the poor little guy.
N.