A.F. asks from San Francisco, CA on August 29, 2008
Pacifier Rash on the Chin... Suggestions?
Our thirteen month old baby boy is teething in a major way, and has had red spots on his chin for about two weeks now. We are desperately trying to keep his binkies away from him, but they are his only real crutch for self-calming...The rash has dried up a few times but keeps coming back because we just can't keep his chin dry enough (he is a drool MACHINE). I've tried putting antibiotic ointment on it but that seems to make it more red and spread a bit? The rash is starting to spread up and away from the drool zone, too...is this a fungus or something? Any suggestions for something to put on it? It's a patch of tiny red bumps that seem to spread as "satellites" in patches...like a candida-type diaper rash? Any suggestions at all are greatly appreciated...
So What Happened?™
thanks for all the great advice! i had no idea this was such a common problem. we're going to try all of it, thanks!
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J.A. answers from Sacramento on September 02, 2008
My son just recently went through this and the Dr suggested hydrocortizone OINTMENT 1%. It worked like a charm. it will help the repel the slobber. We had a family photo I was concerned about and the rash was gone for the pic.
Good luck
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K.L. answers from San Francisco on August 30, 2008
Alright -
So, all of these responses suggesting that he is allergic to his plastic pacifier (seriously? he would have shown sensitivity to it a LONG TIME AGO) or having an allergic reaction to food (paranoid much?) are off base here - any mother that has had a child teethe in a major way, with OR without the binky habit, has experienced this chin rash situation too.
My daughter was/is a binky addict herself, which causes a lot of drooling without teething along with it (and as he gets older and starts talking "through" his binky, the drool situation will only increase) but a binky habit in tandem with teething is just like turning the drool faucet on full blast. The rash is because his skin is constantly wet (including chin, around the mouth and lips, even the cheeks if the drool spreads) - we went through this with my daughter too, as had a majority of my friends with their children - and since it is not a "rash" caused by any irritant that you can take away, you have to be super diligent about wiping his chin and face. CONSTANTLY. Try to limit his binky time (I know this is hard, especially when they need the sucking mechanism to soothe themselves through teething discomfort) but, at least during the day, try to keep his attention focused on being busy and playing and try to just only let him have that binky at nap and bedtime. When you wipe his chin and face, pat it dry gently with a soft cloth - do not put any ointment or rash creme on his face because, well, none of that stuff will help because the rash is due to moisture, not skin sensitivity. Use plain old vaseline to try to keep a barrier between skin and moisture - putting anything else on the rashy area will only irritate his skin more.
Have you tried tylenol or baby orajel at all to try to soothe his pain?
So, the three things that you need to do reiterated: (1) try to keep the area dry (2) limit binky use during the day to cut down on the excess drool (3) use a thin layer of vaseline to create a barrier against moisture.
This is a VERY COMMON occurance, and unless he is ill in some other way, there is nothing more sinister going on. Children that have any sort of oral habit - thumb sucking, blanket sucking/chewing, a binky habit - usually go through this drool rash phase at some point. Once the worst of the teething is over, the amount of drool will diminish and the rash will subside.
A.C. answers from San Francisco on August 30, 2008
Have you tried Aquaphor? That worked great for my son. He had the same thing you are describing. Though it never fully went away due to constant binky use, it did help.
K.C. answers from Sacramento on August 30, 2008
Hello A. my 3 year old son has red tiny spots on his chin just from always rubbing his lips with drool. I asked his pediatrician if this was a rash. She said no this is an eratent from drool. She asked if he uses a binkie I said no, but he is always rubbing his libs down with his hands. She suggested to apply hydraqortazon cream a few times daily. Then it should go away.
I hope this works for you.
D.P. answers from Sacramento on August 29, 2008
I used Neosporin(sorry not sure of the spelling) It worked great!
K.B. answers from Yuba City on August 30, 2008
I disagree with the OINTMENTS, they trap and hold the problem. Drool is different when they cut teeth-it has acid or something to help the gums break through the teeth.
Two of my kids had that rash, it also came when my son would eat (sloppily)
brightly colored stuff or spaghetti (tomato base). I myself have sensitive skin. I don't know your ethnicity, but fair skin is often sensitive. I NEVER EVER use ointments anymore, anywhere. If you must use Neosporin, I recommend CREAM base.
It's hard to find, but it is out there.
Cream is water based, ointments are petroleum (yes, as in gas) jelly based. Ointments don't dry out. You need to dry out the area.
Aquaphor didnt help either.
It is just excess moisture and teething drool causing the rash. But you may be accidentally worsening it. I doubt it is the binky if he's had one all along. But do sterilize the binky or buy new ones. And make sure he drinks LOTS of water, and avoid artificial dyes/colorings. Good luck.
T.R. answers from Yuba City on August 30, 2008
lanolin before using the paci and any other time you can think to do it. This is perfect because there is no harm like Aquador in case of ingestion. It is more than likely just a moisture rash.
C.C. answers from San Francisco on August 30, 2008
Your child is very likely allergic to the plastic base of the pacifier. You have to be very careful. The rash could become a serious problem, i.e., infection.
Bring him to your Pediatrician or Homeopath to get it cleared up. Hopefully other mothers have information regarding a different kind of pacifier. Elephant Pharmacy might be a good resource.
Best,
C. CG
P.H. answers from San Francisco on August 30, 2008
pacificier rash is worse during summer & teething times due to sweat & excessive drool. We use vaseline or aquaphor on the area. We found that putting it around their lips/chin before giving them their pac (they only get it during naps/bedtime in their cribs)helps prevent it. Also just keep the area dry of drool. Are you using baby wipes to wipe his mouth/face? it may be the problem. one of our twin girls face reacts to kirkland wipes (no problems using them for diaper changes though).
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