Severe Diaper Rash

Tamren - posted on 05/24/2016 ( 3 moms have responded )

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My 4 year old son has a really sever diaper rash, he has an appointment with a specialist coming up in a couple weeks, however the rash is really bad and i need some advise as to things i can do to help him. The rash covers his entire fanny, is real red, he has open sores ( around the hole as well as randomly spread around his fanny ) it's real painful for him when i have to clean him after going number two, and it seems to burn a bit when he is put in the bath. At the moment i am using a variety of things on the rash ( one prescribed by his pediatrician ) I put neosporin on the open sores ( directed by his doctor ) cover red area with vaseline to lock out wetness, use maximum strength desitin for the rash, and use an antibacterial cream to help clear it all up. Now my problem is my son has gastro intestinal issues and has diarrhea all day every day and it's making clearing the rash almost impossible. Do any of you mom's have any advise as to what i may be able to do for this rash. Any advise will help. Thank you all for your time.

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Sarah - posted on 05/24/2016

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Well at least June 8 isn't too far out, stool is such a caustic substance and it really does burn the skin. The other thought I had is silvadene cream, it is a prescription cream used for burns.

Tamren - posted on 05/24/2016

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Thank you for your advice. He has been having this issue for well over 6 months. His pediatrician has treated it will antifungals, and antibiotics but nothing seems to be helping. It started that he would only have cut like sores around his anal opening from going so much and having to be wiped but has progressed to the sores being all over. I wasn't letting him go without a diaper on before because of how often he goes to the bathroom but i have gone and bought a pad for him to lay on after he has his bottom rinsed with warm water and a mild soap ( dove ) so that it can air dry and just get air in general. I have got sensitive wipes to use as well. Our pediatrician recommended almost 2 months ago that he see the specialist and she handled the referral. However the first available date they had isn't until June 8. In the meantime i am just trying to get my poor baby better. He just cries whenever he goes because he knows he has to get cleaned. I haven't tried putting the maylox on him but i will give that a try. Again thank you so much for the advise.

Sarah - posted on 05/24/2016

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Sometime the more your try to fix it the worse it will get. If he is in this much distress I would not wait a few weeks before having it evaluated. It could be skin breakdown from the alkalinity of his stool. It could be a fugal infection, like yeast or bacterial like staph. Personally, I prefer Aquaphor over Vaseline as it is not petroleum based. Can you try to leave his bottom open to air at all? How long has he had diarrhea like this? Is the doctor you are going to see a GI doc or a dermatologist? IMO the best advice would be from a wound care nurse, you can get a referral for one from your doctor. This is a specially trained RN, to care for colostomies, bedsores, poorly healing wounds and skin irritation and infection. Who is currently treating the rash? The pediatrician?
An old trick that nurses used in the past was to apply liquid Maalox (antacid) to the area. The theory being that since the stool is so alkaline that the Maalox would correct the pH and therefore lesson "poop scald" I don't think I would try this unless your doctor approves because his skin is already broken down and has open sores. Poor guy.
For now, clean his bottom with lukewarm water and either pat dry or air dry (you can use a hairdryer on cool, low setting) and follow your docs orders. I'd call and try to push up a visit.

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