K.S. asks from Mountain View, CA on January 20, 2008
18 Month Old with Painful (Burning?) Poops - Not Constipated
I have an 18-month old son who for the past week has been screaming every time he poops. He's not constipated and doesn't have trouble passing the stool (they are soft/normal, and he goes a few times a day), but once its in his diaper, her screams and whimpers in pain for about 1/2 hour. The skin on his bum seems to get red and irritated. He's never had food allergies, and we haven't given him anything new or out of the ordinary. He also has been waking up from naps VERY upset, even when he's slept a sufficient amount of time. He's not a big crier, but has been crying and upset a lot for the past week. Does anyone have any ideas as to what this could be?
S.A. answers from Modesto on January 23, 2008
The only thing I can think of is perhaps a food allergy. My daughter developed a food allergy around 15 months old to dairy. She had been eating the same foods & nothing changed in her diet. Sometimes it takes a while to built up in their system. Her allergist told us to be allergic to a food she had to be exposed to it. That made sense. You might what to keep a log of what he ate that day & if he reacts to same way with his stool. It might give you a chance to see what the problem is. Plus, read the label on those little gerber foods. They contain a lot of milk products with tricky names (whey, caisen). My girlfriend has a soon allergic to egg & she found out that most vaccines are with an egg base. That I did not know. Food allergies can be very dangerous but controllable. I hope I was able to help or at least give you some where to start. Good luck.
S.C. answers from San Francisco on January 22, 2008
I wonder if he's teething? Sometimes that causes rashes around the mouth due to excess drooling and even bothers them when they have a bowel movement. Extra acidity.
My suggestion would be to keep a really good diaper cream on his bottom at all times. See if that helps soothe the skin. Once they have a painful experience it seems that they think every time will be that way. Could he have eaten something a little spicy?
S.C. answers from San Francisco on January 21, 2008
I would suggest a quick visit to the pediatrician just to rule out a dietary problem. Could be a reaction to something he has ingested and knowing 18month olds - could be something he got into at day care or on the floor. Does he seem to have severe cramping before he goes? The happy problem would be that he it is just a skin irritant to him and in which case he will be easy to toilet train. But for peace of mind, see the doc. There is a whole list of things it could be, they have to rule them out...Good luck!
M.P. answers from Modesto on January 22, 2008
K.P. answers from San Francisco on January 22, 2008
Could he have a fungul infection on his bottom? Also, not sure if it's at all related, but we are following my 5 year old daughter for Celiac disease (an intolerance to gluten. It's not a food allergy, but is sometimes confused with one. It's very hard to diagnosis. My daughter had encopresis (soiling) for a long time, which corresponses to constipation, even though we didn't realize it was constipation. Other symptoms include: stomach aches, failure to thrive, diarreah, behavior problems, irritability, anemia, etc. However, takes a while for symptoms to develop and young babes don't always have signs. People can live their whole lives with Celiac and not realize they have it. Complicated, but I'd definately mention it to the doctor when you have him evaluated because doctors don't always think of it.
M.T. answers from San Francisco on January 22, 2008
A few thoughts...if his rash is bright red it is likely a yeast infection (both of my girls have had this...) you can clear it up with any of the topical creams you would use for yourslef. I'm blanking on the name of the brands, but you can just get the over the counter stuff and apply it with each diaper change for about a week. Also, even if his rash is just a rash, and not a yeast infection, any moisture touching it could hurt/burn. Make sure his diaper is changed frequently, and consider limiting his diet to some more bland foods like rice, whole wheat bread, etc. he may not be having a food alergey but his body may juast more sensitive to what he is excriting. good luck!
A.T. answers from Stockton on January 24, 2008
My son gets a red, bumpy rash if he's left in a poopy diaper for more than 5 minutes. I took him to the Dr. & they said it's a "yeast" infection. He also gets it in the little nook and crannies around hi genitals if the babysitter doesn't clean him well enough. We were told to feed him yogurts with live cultures and add Aveeno oatmeal bath treatment or Epsom salts to his bathwater. We were also told to use an over-the-counter anti-fungal for athlete's foot on the red areas and LOTS of petroleum jelly - I add a little A & D & aveeno zinc oxide to the concoction & it seems to clear it up faster.
Check w/ your pedi first...
The anti-fungal is clotrimazol NOT the other stuff - that burns & stings!
If he usually poops the same time every day - try sitting him on the potty w/ a toy and ee if he can do it there until the rash dries up.
Alo, check his diapers - we used to use Luv's and they added a scent which irritated my son so we had to change brands...
It's so hard when they can't tell you what's wrong!
N.D. answers from San Francisco on January 23, 2008
I am not sure why his skin would turn red but it does seem like a good time to potty-train! "We can just put that poop over here",(try to make it to the pot)!!!Nik
C.M. answers from Salinas on January 22, 2008
Possible milk allergy, sounds like it hurts on the way down. Are you still nursing or pumping ? Could be what you are eating. Check what greens he is being fed at nursery school. Might be gassy. Good luck. There are some great gas relief products out their for little ones. Mylicon worked within minutes. My doctor said it was useless, but it worked on all four of my kids. My youngest are six, but I do remember the tummy aches very well. Makes you feel helpless. For the irritated butt, they only thing that ever worked on my twin's diaper rash was Aquaphor. Still keep it around for my kids chapped lips. It is safe enough to use anywhere. Good luck and always check with your doctor first, just in case.
B.B. answers from Fresno on January 26, 2008
has he had a vaccination lately? sometimes they will cause burning stool as they are shedding virus or vaccine components. it may also explain why he is crying and waking up. i am not a proponent of vaccinations due to many adverse reactions that may occur. wish you well.
S.J. answers from San Francisco on January 20, 2008
I can relate to your situation with your son. My son is 2 years old and crys everytime he goes to the bathroom, but since he's older I think it's due to the fact that he was constipated for a few weeks on and off, but now that he's normal again he still gets upset when it's that urge to go.. His bum is red too but not like diaper rash but just irritated.
My son use to get bad diaper rash and I used Orginal Desetin on him with Johnson and Johnson medicated powder. I slapped that on... Or you can put vaseline on him so it helps ease the poop out.., another thing that might be happening is when he pees it irratates the rash as well so changing him immediately after he has peed and pooped is very important.
The waking and crying I think might be night terror's or just dreams he's having my son had those and scared the heck out of me... Hopefully it's just something he will outgrow.
I would also check with his doctor to make sure nothing else is wrong. I know being a 1st time mom I always felt better knowing its nothing else wrong with him.