VERY Persistent Rash - Mothering Forums

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#1 of 6 Old 08-22-2015, 12:27 PM - Thread Starter
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VERY Persistent Rash

Hey There!,
I have a baby boy that will be seven weeks tomorrow.

We've been struggling with a diaper rash for over a month now.

It will heal and come back time and time again.

We have used cloth, huggies, honest company, and seventh generation disposables. Cloth wipes with just water.

Lots of air time. Making sure he is bone dry before applying ointment.

Ointments we have tried:

Antifungal (since his on call ped thought it was that. Didn't do much of anything after 72 hours)

A+D: Nothing

The high oxide butt paste: I felt made it worse

Homemade: coconut oil, shea butter, chamomile

Calendula salve with calendula, coconut oil and beeswax

Bentonite Clay: Redmond's as a powder to help soothe

We have had the most success with calendula.

Change diapers every hour except at night. Not necessarily worse in the morning.

Here yesterday it was 98% healed and is now back after a poop.

Since it has come back so fast and with a poop it makes me wonder if he's not allergic to something. But I wanted to post everything because an elimination diet is no small fete. But obviously something I'm happy to do if it helps him.

Our diet is gluten free, our meats are organic. Mostly raw dairy with the occasional not raw. Dirty dozen produce. Soy free except a very rare case. I do eat nuts and legumes, eggs too.

I'm really discouraged and frustrated. I just want my baby better!

He has no other symptoms to my knowledge. He's gassy once in awhile but usually if we don't burp during night feedings. Otherwise he's a very happy little guy. Not colicky. No other rashes.

Could REALLY use some help. Thank you!!
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#2 of 6 Old 08-22-2015, 01:01 PM
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You could try cotton cloth diapers for a while or even just don't put a diaper on him (you say he gets lots of air time, but maybe try more if possible). Try cutting down on or out with acidic foods - oranges and tomatoes. We had to do that with my daughter, her poops get really acidic. She never had it that bad though. If you are nursing are you completely emptying out each side? Usually too much foremilk causes other symptoms, such as gassiness, but you could try that just to see (whatever side you stopped at last feeding start on that side again to make sure there is lots of fat hindmilk). It sounds as if your little guy has some inflammation issues since it is so prevalent. Does he have any other inflammation symptoms? Eczema? You could try eliminating dairy and see if that has an effect. Usually raw milk is less likely to cause issues, but he maybe more sensitive. Also, maybe just rinse him off after pooping and don't rub the skin. Good luck! Hope you find some help.
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#3 of 6 Old 08-22-2015, 04:12 PM
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If the doc thought it was fungal did you treat systemically? I found with my son I had to nake sure the yeast was out of his GI tract as well as his xloth diapers to get long term relief from the yeast rash.
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#4 of 6 Old 08-24-2015, 03:21 PM
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That's quite a list of what you have tried.

My son has a zinc allergy, so anything with zinc in it gave him a rash.

I would go very plain : plain diaper, no cute printing; plain water wipes; no ointment of any kind ; no powder of any kind; use a plain soap for washing (Era Free and Clear worked best for us,Tide was the worst). Keep this up for a week. See what happens.

If there's no improvement, then try diet changes.

When changing anything, make sure you are giving it time to work before moving on. And change only one thing at a time when you try new things.

Hope this helps.
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#5 of 6 Old 08-26-2015, 04:09 PM - Thread Starter
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@Nemi27 @marilyn612 @usually-lurking Thanks for your responses!

I held off on cloth when it was possibly yeast, as I didn't want to worry about reinfecting him. Really the only time he's in a diaper is overnight (and we usually have 2-3 changes), and if we're out and about, so not really able to have more air time.

I cut out tomatoes and citrus since I posted this, and not a ton of improvement. We backtracked though on Monday when he was in a diaper for a longer period of time (we drove over an hour to see my midwife, so there and back, and then had to right away go over to our new house for the inspection) so even though I had him in 100% cotton clothing, and Honest diapers, he got bad heat rash, which just aggravated everything. We've been doing baking soda baths twice a day. Making sure he is super dry, and no ointment, only time we do powder (bentonite clay) is when he has a diaper on so that way he isn't hot and clammy. So kinda doing the "plain" part. Been doing more active rinsing with my peri bottle for changes and patting with cloth wipes that have been soaked in water.

I'd be shocked if it were yeast, and I totally understand about it being treated systemically. I've upped my probiotic, and I'm seeing how it goes if it is something on my part with my gut that he's getting through breastmilk, and seeing how that goes. I have a baby probiotic for him that I can give him, too. I haven't had antibiotics for years, and have been actively trying to heal my gut for the past two years. He didn't have any antibiotics either.

Our laundry detergent is homemade, just oxyclean, washing soda, and borax. We have an "old fashioned" top loader washer, and I wash all his clothes on hot with an extra rinse.
@usually-lurking how did you know your son had a zinc allergy? What were his symptoms? Just curious since my son's rash seemed to get worse with the use of the high zinc butt paste.

I had my midwife look too and she was super puzzled as well. He has his 2 month check up on the 11th, so I'm hoping his ped will have some insight...

Thanks again for your responses and thoughts! Appreciate the support
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#6 of 6 Old 08-26-2015, 07:14 PM
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It seems to me that you are washing with too much stuff. Borax is washing soda with stuff added. At least that's what I remember from my research. I'm not sure what's in oxyclean.

Zinc oxide gave my son really red, almost raw, skin. Snaps that touched his skin gave him a rash. We still have to be careful with metals, most of which contain some zinc and nickle (another possible allergen).

If it were me I'd stop using the clay. I'm not familar with Honest diapers, so I can't comment on those.

I react to Tide, but could tolerate Era, so that's what I used. Then Era changed their formula, so now I use liquid castille soap and washing soda with a vinegar rinse. If the rash is limited to the diaper area your laundry choices may not be contributing. If, however, there's also slight rash under clothing, you may want to make some changes.

Identifying the cause of a rash is detective work and trial and error.

Good luck!
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