Bad Diaper Rash

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

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2 moms found this helpful

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.

1 mom found this helpful

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.

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.

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

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

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.

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

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!

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

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. <><

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!

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 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.