Posts Tagged ‘ lotrimin ’

Diaper Rash War: Miracle Paste?

Wednesday, February 29th, 2012

My Miracle Paste

Battle lines are drawn–with white creams. Instead of a bulletproof vest, I wear a pee-proof one. Yes, I’m in combat against Emmett’s diaper rash and I’m determined to win.  And I think I am—at least right now. But just like war, I know it can change by the minute/hour. For 3 days we’ve been holding our ground.

All your comments were super helpful. Thank you so much. Now to update  you guys.

Even though I had such angst at the last pediatrician visit, I took his advice and ordered the stomahesive powder and pure zinc oxide from the pharmacist.  I also got a tube of miconazole, which is an antifungal cream for yeast infections.  I had been using Lotrimin (athlete’s foot). The pharmacist told me to switch to the miconazole (and that may be the key to all this, not sure).

I mixed together:

1 part miconazole

4 parts pure zinc oxide

Stomahesive powder until it made a sticky paste (honestly, unless there is something special about the powder I think cornstarch would do the same).

Every diaper change I dab the area where the poop is (I don’t rub) with damp Viva paper towels. Then I put the paste on, followed by a huge dollop of Aquafor.

This is what Children’s Hospital of Los Angeles uses and they swear by it. I think I may too.

I’m using Seventh Generation Diapers so no chemicals.

We’ve been airing him out for about 40 minutes at a time, twice a day.

Here’s the other half of the equation that some of you swore by (@Amanda, @Mariane):

I have cut down quite a bit on my dairy intake. I put rice milk in my cereal and just a small amount of 2% milk in my coffee. A little cheese on my salad. That’s about it from the cow.

I don’t know what is making the difference. Maybe both the concoction and my diet??? But I am happy to report his bum looks so much better.

Consequently, our good friend who is an ER doctor (and helped counsel us on our circumcision decision) has said all along to use pure zinc oxide. People swear by Triple Paste and Desitin, but those are weaker in the zinc amount. And some of this stuff, like Desitin, has a fragrance, which the pediatrician said could make it worse.

I also don’t think Em is pooping as much—which could be attributed to my modified dairy intake. Could also be that he’s 5 weeks old today and his gut is getting more mature. As we all know, it’s such a guessing game with infants, so I’m sticking to what seems to be working.  I’ll plead with my troops to keep up the fight. We will win this war!

QUICK UPDATE: THE F-CKING RASH IS BACK. I AM GOING TO SCREAM. IT LOOKS WORSE THAN EVER. LIKE I SAID, IT CAN CHANGE IN A SECOND…. BACK TO THE DOC….AGAIN.

 

 

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The Diaper Rash That Won’t Go Away…

Monday, February 27th, 2012

He's as perplexed as I am...

I switched pediatricians 5 times with Fia. I finally found one I liked—Dr. Gold with Tribeca Pediatrics. She has since become my friend and was kind enough to call me the other night, even in her exhausted state, to give me a refresher course on newborns.  Problem is, she’s in Brooklyn and I’m in LA.

Out here we found a place that came highly recommended by several friends. But once again, I feel like I’m getting mixed messages. This is a field that often seems to me to have no consistency in all the various theories and diagnosis. It seems like it’s often a guessing game, since newborns can’t speak their mind.

Emmett’s diaper rash never really went away. Our main pediatrician said it was a bacterial infection. She gave us prescription ointment to put on. It didn’t do much. It got a little better, then worse again. I bought an anti-fungal (Lotrimin) and mixed that with Desitin. Then I tried Triple Paste. Then I tried Calmoseptine. Nothing seemed to make a dent. So today I took him back to the doc and saw a different guy.

This one tells me it’s not bacterial (even though it looks exactly the same. The first one told me you can tell if it’s bacterial because the skin starts to break down, which is exactly what is happening). He recommended I make a paste of pure zinc oxide, lotrimin and something called stoma-paste powder. The latter you have to order from your pharmacy, which I did. He said to mix it until it’s like a glue that will stick to his butt and provide a semi-permanent barrier.

I told him how Emmett seems to poop constantly. Perhaps (his theory, of course) is that whatever I’m eating is making Em’s poop extra acidic. This, despite my friend’s pediatrician who told her it rarely has to do with the diet (so more conflicting information). I also told him Emmett has gas pains because he often stiffens up and cries, grunts and groans. He told me that gas pains don’t exist.  Huh? What? He said it’s not the gas that causes those pains, but rather something inflaming the digestive tract. I am so frustrated and confused.

Then he started talking about my diet. He told me to eliminate, in this order:

Milk

Soy

Nuts

Eggs

Fish

Seafood

Citrus

He said 90% of the reactions babies have to breast milk are in these foods. He said to start with the first two and see if that helps. Then work down the list.

This is already starting to feel like too much work.  My head is starting to spin.

Then I showed him how Em’s eye looks red again. My main doc said that when the whites of the eyes are red it shows an infection. He negated that. Then went on to say bacteria in the eye is normal. So now I honestly don’t know who to believe and what to do.

I ordered the powder and found the zinc oxide and I’ll give it a try. But I’m already thinking I need to find another practice. If it’s going to be a guessing game, I at least want it to be consistent. I can’t have different doctors in the same office giving me absolute opposite information.

I walked into the parking lot with Emmett and started to cry.

 

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