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Post by laurasnowbird on Feb 10, 2007 9:25:36 GMT -5
Honestly you guys, my poor little Aidan's bottom looks like raw hamburger. I am so frustrated. If anybody has a sure-fire remedy for me, I'd be grateful if you'd share.
He's on Augmentin for an ear infection he had. It's his first antibiotic (and seriously, now I know why I don't want my kids to get antibiotics, LOL!) Thankfully, his last dose was last night. It has made him have the weirdest diarrhea, absolutely NO smell, which you may think sounds like a good thing, but definitely isn't. We have no idea when he's gone unless we check his diaper every few minutes all day. This diarrhea has absolutely burned his butt, and it is literally raw and weeping in several spots. Poor kid won't even sit down in the bathtub! I took him back to the doctor on Thursday, and his suggestion was to put hydrocortisone on it, because it wasn't a yeast infection (I'd already tried a yeast cream, even though it didn't look like yeast to me) The hydrocortisone is not helping AT ALL, and last night I was shocked to see that he now ALSO has yeast along with this other horrible irritation. (I started putting some acidophilus in his milk yesterday to try to help get the yeast under control). He was supposed to be on the antibiotic for TEN days, but after seeing his behind, the doctor told me I could quit after seven, so at least we're done with that.
We're not using any soap on his bottom, and now I'm putting yeast cream on before coating him really well with Desitin. I tried the Boudreaux's butt paste, and it made no difference either. Anyone got a tried and true method? I've just never seen anything like this!
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Post by MB on Feb 10, 2007 10:45:59 GMT -5
This has worked for us, but antibiotics were not involved just stomach flu diarrhea.
We use Tuck's or Preparation H medicated wipes (they are the size of baby wipes, not small round discs) to wipe the affected area. We then leave a clean wipe tucked into the rear end between bouts of diarrhea to keep medicating. It has resulted in no soreness or chaffing.
When one of my relatives was in ICU for a few weeks, an ICU nurse suggested the use of a product called "Diaper Doo" for chaffing. You usually have to ask the pharmacist for it. They sometimes have to order it. I would start with some of the larger chains like CVS or Walmart to see if they have it in stock.
Good luck!
mb
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Post by Chris on Feb 10, 2007 10:48:30 GMT -5
Laura,
I'm so sad for poor little Aidan. I refuse to use augmentin since I took it last year and had horrible diarrhea, stomach cramps and an unbelievable yeast infection. There must be a better antibiotic. I had no idea how horrible the side effects were until I took it myself. I think it was worse than the illness.
I'm sure you're not using wet wipes. When Sarah has a bad diaper rash, I always rinse her bottom with lukewarm water in the sink. Boudreaux's works well for us. It is usually significantly better overnight.
Chris
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Post by Chris on Feb 10, 2007 11:57:02 GMT -5
I happened to see a post on another website about diaper rashes and thought I would pass the information to you.
1. Soak in baking soda and water 2. Apply olive oil 3. Use Calmoseptine ~ they say it's the best 4. Lotrimin AF for yeast infection
Chris
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Post by laurasnowbird on Feb 10, 2007 12:32:40 GMT -5
Thanks for the ideas, you guys. You were right Chris, I'm not using wet wipes, those are h*ll on diaper rash. We've been doing the baking soda soak since he started the antibiotic because they said it might cause diarrhea, and I was trying to ward off any rash. Every time he poos I take him straight to the bathtub cuz he's so raw I don't even want to be using a washcloth with warm water on him! Aidan has really sensitive skin. We went through a period a while ago where he had (what I thought then was) a really bad rash. It was right after we took him off formula, so we were eliminating one thing after another from his diet to figure it out. Turns out he can only have one cup of juice (half juice half water) a day or he gets incredibly loose stools.
Seriously, this is getting worse, rather than better. I'm changing his diaper about every hour. I'll try the olive oil. I looked up Calmoseptine and the active ingredients are zinc oxide (which is in the Desitin we're using) and menthol.
MB, I'm going to call my pharmacist and ask him about the Tuck's pads. Since there is a large area that the skin is broken, I'm not sure we can use it. I'll ask about Diaper doo while I have him on the line.
Chris, I'm with you on the Augmentin experience. This has been horrid. I have no previous experience with it cuz my other kids haven't needed antibiotics. After reading the description of how bad you felt, I'm wondering if that was why Aidan has been so miserable this week. Since he started this antibiotic, he's lost almost a pound (! and the pediatrician didn't seem concerned, although he's a chunky kid) and been miserable. I was chalking it up to his inflamed bottom, but now I'm wondering if the medication was also making him sick. Poor thing. I took him back to the pediatrican after five days on the antibiotic cuz his bottom was a mess and he still seemed MISERABLE. Ooooh, I hate this. Poor sweet little thing.......
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Post by kellyds on Feb 10, 2007 13:29:31 GMT -5
Try the colored stuff that is used to protect noses from sunburn. It has zinc oxide in it. You want the really pasty stuff that coats very well and is difficult to wash off . . . not the creamier stuff that rinses off easily.
Dry his bottom with a hair dryer before you apply the medication. Keep your hand on his bottom with the back of your hand next to the dryer as you blow. That way, the dryer is also blowing on the most sensitive skin of your hand and you can make sure it isn't too hot for his bottom.
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Post by laurasnowbird on Feb 10, 2007 14:25:21 GMT -5
Thanks for the ideas Kelly. We have been drying his bottom with the hair dryer on the cool setting.
I talked to the pharmacist and went over all the things we have done with him. He said that if the yeast was spreading rather than improving with the Clotrimazole, that we would need a prescription for Nystatin, because we couldn't get anything stronger than what we are using over the counter.
So, I called the doctor, and she is calling in a prescription for Nystatin (for yeast) and Silvadene for his bottom. Hmmm, I just looked up Silvadene and that looks like pretty serious stuff. I can't tell you how much I appreciate all the suggestions, guys, you're the best.
Oh, and MB, the doc said no to the Tucks pads because the rash is open and weeping. Egad.
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Post by Renee' on Feb 10, 2007 15:11:42 GMT -5
I hope he starts to get better. With Faith I have to get her clean in the tub at least once. It hurts her but you really need to get the area nice and clean. I found that the desitin origional formula works the best for her. Silvadene is good. They use it on burns in the hospital.
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Post by Kristin on Feb 10, 2007 16:18:48 GMT -5
For future reference...we used to cover both of the girls bottoms with Maalox. It neutralized the acidity of the diarrhea. We alternated coating with Maalox on one diaper change and using Resinol. Resinol is thick and white like Desitin, but works better. It comes in a jar. I had to call around to a couple of pharmacys before I found one that carried it.
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Post by ALLISA on Feb 10, 2007 16:45:16 GMT -5
Oh my gosh...that sounds so painful....poor little thing !! I have NO advice because we haven't had to suffer like that....but the first thought that came to me as I read your post was....can you just do without the diaper ( at least for small amounts) ? It must irriate his bottome so much.....is he sitting on his own at all ?....can you just let him play in the tub ( no water) and just let his bottom get some air and not be in the dipe ? I hope you get some relief soon.....poor little guy !!
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Post by laurasnowbird on Feb 10, 2007 17:22:02 GMT -5
Renee,
We were putting him in the tub after each poo, cuz the wipes would irritate, and so would using a washcloth. So we gave him a 15 minute soak (with baking soda) after each poopy diaper, dried his bottom with the blow dryer, then put the meds on. I have stains from the Desitin on my couch and carpet, cuz I literally let him loose with no diaper on at all for an hour or more at a time. I was getting desperate, and figured I could try to figure out how to get the stains out later (by the way, anybody know how to get zinc oxide out of a couch, LOL!). And I'm with you on the Desitin original formula. The creamy kind is useless, only has 10% zinc oxide as opposed to 40% in the original.
Oh no, I think I just heard him poo in his diaper, gotta go check.
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Post by Cbean on Feb 10, 2007 19:54:27 GMT -5
Oh poor Ethan!!! I remember the same thing happening to my son Ryan! I would load him up with A&D with Zinc and coat it with Caldasene Powder. Both have Zinc. The powder would keep the A&D from rubbing off on his daiper. Poor guy. I remember that way too well. Hope it gets better soon!!!
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Post by Emilysmom on Feb 10, 2007 20:25:49 GMT -5
Laura, Unfortunately, I've seen LOTS of "hamburger" bottoms over the years (usually on much larger patients after having Cdiff). We use a combination of a good barrier cream (not over the counter) and an antifungal (such as the Nystatin your doc called in) and Silvadene. Silvadene is the stuff docs put on babies (and olders) who have burns. It is great for getting rid of infection......and the open skin with poo on it is at such risk for getting infected, and it has a soothing quality to it. It's a good combo! Rinsing with cool water is better than any kind of wipe. Keep up the good work, Laura. I know it's hard!! Susan
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Post by Jessie on Feb 10, 2007 20:39:21 GMT -5
Oh, poor baby! I have no advice to offer, Ellie's only had minor diaper rashes twice and they've cleared up with just one does of A&D.
Give him a hug from his future MIL.
Jessie
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Post by laurasnowbird on Feb 10, 2007 22:03:54 GMT -5
Jessie,
Thanks for the well-wishes, that's the kind of MIL I like!
You guys, I am so ticked right now. I changed a diaper and it had gotten so bad he was BLEEDING. Snarl. My husband's older brother is a doctor, and he lives about 20 minutes away, so I called him and asked him if he would take a look at it if I brought him out. I think he thought I was getting a little overexcited about a diaper rash, but he's a great guy, so said bring him out.
He took a look at it and said it was a RAGING yeast rash, and was basically a first degree burn. He said the Nystatin was the best thing for it, not to put the Silvadene on it cuz it can burn like h*ll in people with sensitive skin, and we've already established that Aidan is one of those people. He recommended that I get the plain zinc like Kelly said, because Aidan might be one of those people whose rash is worsened by Desitin. Given what I've seen, that is probably true. He gave me a prescription for something else to get filled in a couple of days if it doesn't start turning around.
He recommended that we avoid acidic foods (like tomato-based), juices, and milk until the bacteria in his GI tract re-colonizes, and said that yogurt would help with that. He said to give him water or Pedialyte, but in Aidan's case it has to be mixed with water or the sugar in there will give him a rash. I told him I'd been giving him acidophilus powder in his milk, and he said to continue that, but use soy milk. He was pretty shocked that Aidan had been given Augmentin for his first ear infection, and said he couldn't imagine giving that to a toddler, that usually they start out with something like amoxicillin. I'm not too happy with my pediatrician right now.
I thought the rash he got from drinking juice was bad, but man, that was nothing compared to this. Rod's brother also said don't use soap on his bottom, just lukewarm water, no baby wipes, and when it clears up to use a mild soap on him like Dove. He also recommended using a dryer to dry their little butts.
Anyway, just thought I'd share all that, cuz Rod's bro is a GREAT doctor, and if anybody else is faced with this, those are the things he recommended. I felt bad that it had gotten so out of hand, and he gently pointed out that it probably would have been much worse had I not already been doing the things I was, and giving him the acidophilus. Seriously, I shudder to even think about it being any worse!!! The other bad news is that the nasty Augmentin is not totally out of his system yet, so we have to be patient while the remnants of that clear out and his GI flora starts to recover.
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