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red swollen foreskin (I read the sticky) **update** - Page 2

post #21 of 49
Thread Starter 
thanks for all the input ...

Quote:
Has she taken a swab and cultured it to see what comes up? This is an absolutely basic step and it verges on medical negligence that she has not done so.
No, she hasn't ... what exactly does that involve?

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Does he have a rash anywhere besides his penis?
No other rashes, although he had a few red spots show up where the diaper ends at his waist and leg, I thought they were from irritation, but then they turned into what looked like little pimples.

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If it is yeast, discontinue the use of any barrier cream and use some OTC anti-yeast cream on it such as Lotrimin. Coconut oil is not going to get rid of yeast - this is really a time to bag on the natural treatments and go for the meds. If it is yeast, any antibiotic ointment will only make it worse, BTW.
We're not currently using barrier cream, just the antibiotic cream.

Quote:
Have you tried switching to fragrance free sposies for a week, or perhaps he's sensitive to artificial fibers such as fleece, what about trying him in prefolds for a week?
Could fleece be an issue that would pop up at 9 months? We've used some fleece topped diapers in our rotation since birth.

Quote:
And running any diapers through multiple hot washes to strip them of detergents. What kind of detergent do you use? Is there any fragrance or color in it?
I did this when the problems first started, we've only use 2 detergents, the first came w/ our front loader, fragrance/color/etc. free. We used that for 9 months, then switched to Tide Free (I think that's what it was) then back to the original and washed diapers thoroughly.
post #22 of 49
Next time there are blisters, insist on a culture to rule out herpes. If it is herpes, wouldn't you want to know so you could be sure not to spread it elsewhere- eyes, and other areas? My dd (4) had blisters that came and went around her eyes, and after having it be labled impetigo, I finally insisted they culture it and yup- it was herpes. Whenever she starts getting red around her eyes, I have a script to head it off. She hasn't had blisters since then.
Not saying it is herpes, but you should definitely rule it out with a culture. And no, circumcision won't do a thing for it if it is herpes.
post #23 of 49
Thread Starter 
I'm certainly not against having it cultured and I must admit my ignorance of herpes ... I tried to do some research but everything seems to point to STD's ... what am I missing?
post #24 of 49
Herpes is a type of virus - yes, it can be sexually transmitted but it can be transmitted by other means as well - if someone has a cold sore and kisses you, for example, you can get herpes. It's an incredibly prevalent virus family (there many different types) and pretty much everyone will end up with at least one herpes virus in their lifetime. So don't get too squicked out by the whole herpes thing - it's not like your ds has been going around having casual sex!

A culture will just be a swab on the affected area that gets sent off to the lab to see what grows. Like if you've ever had a swab for GBS while you were pregnant or a swab for possible strep throat. That is the only way to tell what's really going on here - see if anything grows in the petri dish at the lab.

I would stop the abx cream if it obviously isn't doing any good. I would also march back into the ped and demand that she figure out what the heck it is - my guess is she's blaming it on the foreskin (hence her suggestion to cut it off ) without bothering to diagnose the root of the problem.

It's definitely possible to develop sensitivities to detergents or materials over time, which is why I'm suggesting doing some elimination trials to see if you can pinpoint any sensitivities he might have. I would stop using fragranced anything, including soap. Use plain water only to wash, even for diaper changes - you don't actually need to use soap, essential oil, anything like that for diaper changes and it can be quite irritating.
post #25 of 49
You know cold sores on the lips- that is a form of herpes that can be spread to other parts of the body- eyes, genitals, or any area of broken skin. Genital herpes (the std) is another type of herpes- can't remember the exact name-one is herpes simplex 1, the other is herpes simplex 2 I think. My dd most likely got hers around her eyes from me, even though I am always very careful. I have to be careful to be sure she doesn't spread it to her genitals.
post #26 of 49
If I were you, I'd switch to All Free and Clear. I didn't realize you were using only the detergent that came w/ your machine and Tide Free, or I would have suggested this the first time. I tried Tide Free once and it cause THE EXACT SAME THING YOU DESCRIBE on my ds2's foreskin and bum. Most detergents now contain enzymes which can be very very irritating to some people, especially when they're on cloth diapers, which get wet, allowing the enzymes to get on the skin. AFAIK, All Free and Clear and natural detergents are the only ones that don't contain these enzymes. Please try switching and wash those dipes and rinse them a billion times. See what that does. HTH!
post #27 of 49
Oh, and oxi-clean also contains the enzymes, so don't use oxygen bleach unless it specifically says it doesn't contain enzymes.
post #28 of 49
Quote:
Originally Posted by mama~bear
We're not currently using barrier cream, just the antibiotic cream.
If yeast may be the culprit, I can imagine antibiotic ointment could be part of the problem. Antibiotics kill good bacteria as well as bad which opens the door and rolls out the red carpet for yeast to come in and have a party.

Here is a message I posted to another thread:

http://mothering.com/discussions/sho...65#post4283165

And no, I don't sell culturelle, I just think it's great!

Good luck~
post #29 of 49
As far as detergent goes, try something chemical free like Sun and Earth. www.sunandearth.com has a store locator. It's fabulous for everything, even diapers.
post #30 of 49
Thread Starter 

some clarifying questions, I hope ... just trying to explore each avenue

Quote:
It's definitely possible to develop sensitivities to detergents or materials over time, which is why I'm suggesting doing some elimination trials to see if you can pinpoint any sensitivities he might have.
Okay so just to clarify, we used the HE detergent for our front loader for 9 mo. everything was great, then we switched to the other, some sort of Tide which I thought was free of whatever! Anyway, after about a month we switched back to original detergent and washed diapers. We've now been using that for about a month. So could it be the original detergent?

Quote:
I would stop using fragranced anything, including soap. Use plain water only to wash, even for diaper changes - you don't actually need to use soap, essential oil, anything like that for diaper changes and it can be quite irritating.
We've always used plain water to wash and had used lavender soap/EO for diaper changes since birth but stopped that about a month ago.

Quote:
I tried Tide Free once and it cause THE EXACT SAME THING YOU DESCRIBE on my ds2's foreskin and bum.
So if this is causing it would we see it affecting other areas and not just the foreskin? Also, to switch, which seems like the best option right now, do we wash the diapers a bunch of times with the new detergent or just plain water?

Same question with yeast ... would it affect other areas of his bum as well and not just the foreskin?

I can't thank you all enough for all the input!!!
post #31 of 49
I'm not sure if anyone mentioned this but you might get him on some acidopholous especially if he's been on all those antibiotics. That will help internally if it is yeast.

Ditto on stripping your diapers. Rinse rinse rinse. And use a thermometer to check the temp of your water and adjust as necessary, make sure it's good and hot but not so hot it wrecks the PUL if you use FBs or whatever. I dunno what temp yeast dies at but PUL gets messed up at about 130 (I think that's right).

Ditto all PPs on the culture. What's she waiting for?

In fact, scratch that, why is she even bringing up circumcising? Oh, the old "foreskin is the root of all evil" diagnosis. Poor foreskin....it's a just a piece of skin like everywhere else on the body and yet it gets blamed for everything. All it does is hang out all day and protect the glans and it's regarded as such a little troublemaker. I could be wrong, I mean, I'm no dawkter, but wouldn't the glans just have all that redness and stuff on it if the foreskin wasn't there to protect it if it's diaper rash or detergent irritation? And doesn't that contribute to meatal stenosis? Anyhoo, fire that dr and get a new one, that's my 2 cents. There are only so many things that could be causing the redness,etc and she doesn't seem to have been very methodical about ruling things out. Randomly prescribing creams and pills isn't very scientific. She must come from the " Take a Stab in the Dark" School of Medicine. And if it is herpes, you don't treat that with antibiotics, you treat that with an antiviral like acyclovir or something. She has actually been to medical school, hasn't she ? Good luck and keep us updated.
post #32 of 49
DD had yeast rash, lotriminAF cleared it up.

Any doctor who suspects herpes but gives an antibiotic, and suggests cutting off the foreskin would help is a QUACK! Some things I've learned having genital herpes:The virus hangs out on the nerve ganglion near the base of the spine; the blisters may often appear in the same place but then again at a subsequent outbreak can be somewhere else. The virus is deep in the body and if you cut off the foreskin of course you can't get blisters on it anymore because it is gone, but you can get them on the glans or shaft or perineum or anus or buttocks; pretty much anywhere between the waist and knees.
That said, this doesn't sound like herpes to me anyway. But if it was, antibiotics and amputations wouldn't help. Shouldn't a doctor know that? What else doesn't she know? I would find a new doctor and tell her why.

Good luck with your boy!

Jen
post #33 of 49
Quote:
Has she taken a swab and cultured it to see what comes up? This is an absolutely basic step and it verges on medical negligence that she has not done so.

Quote:
Originally Posted by mama~bear
No, she hasn't ... what exactly does that involve?
A culture is one of the most basic diagnostic tools available to physicans, right along with the thermometer. It is a means to identify a bacteria or fungi. To take a sample for a culture, the doctor simply swabs the infected area. Think rubbing a Q-Tip on the infected area. The doctor then transfers what was collected on the swab to a petri dish containing a growing medium that is *I think* gellatin. Think of spreading seeds on freshly tilled and fertilized soil. They then wait to see what grows, collect the growth and spread it on a slide to examine under a microscope.

Think of it this way . . . I found some seeds in an envelope that I collected last year. I forgot to label the envelope and now I don't have a clue what kind of plant will grow from those seeds If I plant them without knowing, I could be planting impatiens or cleomes. The seed look almost identical but impatiens grow about 18" tall and cleomes grow to as much as 72" tall. Now I could just go ahead and plant them and see what comes up but I could end up with impatiens in the back where they would never be seen or I could end up with cleomes in the front where they would tower over everything else. The answer is to culture or test plant a few seeds to see what comes up. They look very different as plants. This is what a culture does. It lets the doctor see what grows so that he/she can tell what it is so they can prescribe the appropriate medication. It is so basic that I would seriously question this doctor's competency at this point for not having used this very basic tool.

If you continue to use this doctor, insist that a culture be sampled and grown. However, as long as this has gone on without a successful identification of the pathogen and without using a culture, personally, I would be looking for a new healthcare provider.



Frank
post #34 of 49
His rash sounds a lot like what I'm currently battling with my DD. I know part of it is teething. When DD teeths she poops a lot! It makes it harder to get rid of a rash when it's exposed to poop every couple of hours.

After 2 weeks of fighting it ourselves DH took her to the ped's yesterday. Her ped looked at it and said that it looked like a combination of a strep rash and yeast. She recommend a cream to target the yeast. She also gave us a script for an antibiotic if the cream doesn't clear it up in 5 days. (She and us would prefer to only use the anitbiotics if really required.)

If it isn't improving in about a week we will take her back. I can't belive your ped just keeps giving you the same thing.

I second all of the other posts about it being time to get a second opinion and a culture!
post #35 of 49
Just another who thinks that it is time for another doctor. Circumcising will absolutely not have any affect on herpes except perhaps making his penis more vulnerable since the virus may spread more easily to tissue that is damaged.

ditto on getting a culture, you need to know what it is to succesfully treat it. You also want to know if it is herpes so you can be sure that the cells that slough off are not transfered to other areas (that is how the virus spreads). Once a person has herpes they always have herpes, however, they may not always have an outbreak. And yes most adults do have herpes of some sort whether or not they display any symtoms. Do you have any other herpes questions? You can also google "cold sores" since that is a form of herpes which may not lead you right to STD info. Oh and sweet melissa can help heal herpes lesions but there are no herbal treatments that I know of which effectively stop an outbreak. Medicines can work in this way when given as soon as a sore appears.

Yeast rashes can blister too.

Definitely find a probiotic and if you are nursing find one with bifidus in it, not just acidophilus.

Keep on doing
post #36 of 49
don't they know about sportwash in the dipe forum anymore? (with my babies potty-trained i haven't been there for ages.) surprised i didn't hear about it yet.

it is the stripper par exellence; it is for hunters, to remove ALL SMELL from their clothing. you can find it (in hunting season) at walmart or sports stores. nothing strips diapers better. it is the single best cd tip i got from the forum in years (the best of all was from weebees- ah, the dry pail. )
post #37 of 49
Quote:
Originally Posted by suseyblue
don't they know about sportwash in the dipe forum anymore? (with my babies potty-trained i haven't been there for ages.) surprised i didn't hear about it yet.

it is the stripper par exellence; it is for hunters, to remove ALL SMELL from their clothing. you can find it (in hunting season) at walmart or sports stores. nothing strips diapers better. it is the single best cd tip i got from the forum in years (the best of all was from weebees- ah, the dry pail. )
My ds is allergic to Sportswash, so I always forget about it. I also did not find that it rinsed out any better than any other detergent. In fact, I had to strip MORE often when I used Sportwash than when I use All. Wehave weird hard water here, though, which is why I had to quit using natural detergents.

To the OP, I would wash on hot 2 times w/ detergent, 3 times without and 3 more cold rinses. Wen my ds had a similar rash, it was mostly on his foreskin, 1 small spot on his butt. And I think that spot started out as a scratch that got bigger/worse from the enzymes.
post #38 of 49
I'm having similar issues with my son. Despite stripping and even new diapers and all the other things that others have recommended, the only thing that consistently keeps my ds free and clear of penis irritation is disposable diapers (which I hate). I've tried all the different types of lining, avoiding PUL, and the list goes on and on for all the alternatives I've tried and yet when he's in a sposie, he's consistently back to normal. An hour in a CD of any type - brand new or one of our oldest and he gets irritation and some tissue swelling. I'm still looking for other solutions but so far that's the only thing I've found that works.
post #39 of 49
Hmmm, I'm having some problems with my cloth dipes now too. It is frustrating to be using disposies- because for me sometimes they clear up the problem and other times they make it worse.

On another note though, maybe check out Elimination Communication so you can use less diapers????

There's a forum here at MDC and you can also find out inforamation at www.diaperfreebaby.org

Jessica
post #40 of 49
I just went back and reviewed this thread and something hit me! ( Musta been my hand!)

Herpes is a episodic condition! That is, the symptoms only happen in episodes. They will appear, be present for a few days and then dissappear to reappear weeks months or years later. That is not what has happened with this child. This infection has been going on on a pretty much continious basis for months as would a bacterial or fungal infection. I'd put some pretty serious money on it that it's not herpes.

Now here I'm going to be giving some of that "bad medical advise" that I've been accused of giving lately. : To diagnose this infection, a culture is absolutely essential. It's not expensive, painful, invasive or anything else. It is also very accurate and a basic diagnostic tool. Since the doctor hasn't used it and has allowed this to continue so long, I think it's time to give her the boot and find a doctor that is competent. Just do it!

Now, bear in mind that although a medication is recommended for specific pathogens, (bacteria or fungi) a particular medication does not always work on those pathogens. If the NEW doctor recommends the same medication, just ask him/her to prescribe a different med or brand. We're gonna get this thing whipped!

Just slightly OT . . . Many years ago, I had regular outbreaks of cold sores as caused by the herpes simplex I virus. I would have an outbreak on average of once every 8 or 9 months and I just hated them. It would also affect my job because I had a lot of public contact and I tended to go into seclusion when I had these outbreaks. I just had to do something!

I got to thinking about the virus. It does not survive outside the body and the way it is transmitted is through kissing. Likewise, herpes simplex II that is responsible for genital herpes is transmitted via sex. You simply can not get either one from the toilet seat because of the short life span outside the body.

So, I thought, what can change just one factor that would change the virus's environment so that it couldn't survive? The only thing I could think of was to change the temperature. When I would be in the very begining stages of an outbreak, I would feel a tingling sensation in my lip. I started applying ice to that tingling spot and I would keep applying ice for most of the day. In the 20 or so years since then, I have not had a single cold sore erupt. I've had a slight red bump but the cold sore never came through. The red bump was so slight that no one other than me noticed it. I've also noticed that the episodes came farther apart and the last was more than 6 years ago.

I told a GF about this and she tried it and now she is a believer. She hasn't had an eruption in years either and I told two other friends and they have had similar results.

If my theory is wrong about the mechanics of how this works, it appears that the ice has something to do with it. Are there any medical researchers lurking on this forum looking for their next research project?




Frank
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