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26 Jan 2010

Baby with recurrent bottom rash
Hi Docter,

I really need help please. We are currently living in China with our 7 month old daughter. For the past 2 weeks she has had a rash on her bottom. At first I thought it was diaper rash and treated it with Bepanthen (which I had flow in from SA as it is not available here), it did not respond and I applied Mycostatin ointment. The rash was almost gone, but then I ran out of ointment. Went to the pharmacy (language is really a problem as English is not widely spoken) to get something similar. The next morning the rash was so bad and she was constantly crying when awake. I took her to the Docter who prescribed an antifungal cream, to be applied once a day. I have been doing this since Monday and there seemed to be improvement, but this morning it is really bad again. I give her probiflora probiotics, let her go without nappy for approx 3 hours per day, apply Bepanthen during the day and over the antifungal cream at night, change her nappy every 2 hours (immediately if it' s dirty), and only rinse her bottom with warm water and cotton balls. I am really desperate at this stage and any advise will be much appreciated.. Could it maybe be something in her diet? She eats fruits and vegetables (Organic Baby food), and a little bit of protein at night (chicken and sweet potatoe or something similar). She has also been teething and I gave her teething rusks to chew on..

Many thanks in advance..
Answer 492 views
Expert
childhood diseases
paediatrician

01 Jan 0001

It is difficult to know what is causing your baby to have such a severe nappy rash. Change the brand of her nappies and use the rival brand. Also do not give her any fruit for at least 5 days. Apply Antipeol cream after every nappy change.Keep up the probiotics. If she does not improve she may need a zinc supplement such as Zinplex for babies.
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