Super Servere Diaper Rash

[Infernus]

Im usually pretty careful with stuff like this, treating the skin before.

I slept in a nappy last night, it was wet for the most part, messy toward the end.

However im all showered and changed now, but my testicle area is red raw, unbelievably painful (like very very bad sunburn).

they looked kinda moist and so dabbed them, and it appears to be a little puss.

Sorry for the graphic detail

Im hoping i dont have to go to the doc about this, but i feel i may need anti-biotics.

But before we get to that stage, is there anything i can do ?

[Rani]

Ouch, poor you.

Any possibility of running around naked for an hour or two to let the air dry your skin out a bit? A bit of medicated talc might help too if you have or can get any. Other than that I'll leave to someone else to suggest something.

Hope it heals quickly for you.

[Daddy Fred]

Infernus, I endorse camomile lotion, that pinky stuff with distinctive small. Sometimes it's called calamine lotion. Old-fashioned but good! I never have on a messy one more than an hour or so, but then I'm lucky with a very thick skin.

Daddy Fred.

xxxx.

[Zander]

Be very careful self-medicating!. That said, the obvious and general advice I can think of is this:

Make sure you clean the area thoroughly using anti-microbial soap (this will probably hurt a bit!). If the skin is not raw (i.e. not weeping and 'wet' to the touch) then carefully remove collections of pus (i.e. very sensitive yellow/greenish dots on the skin) using a needle/pin to scratch them (this will burst them). Wipe the pus away and sanitise the area again. This will help remove some pain (due to pressure) and help your immune system by getting toxic waste products out of your body.

Do not wear diapers or close fitting underwear for the next few days (if possible). Try to keep your legs apart to allow air to access the area to remove sweat and assist the healing process.

Sudocrem or some other dedicated nappy-rash treatment is probably the best option for now*. Failing that you might want to try a very mild carbolic acid based treatment (I think they sell this as "Germolene") - but check with the pharmacist if its suitable. If you're not seeing significant improvement in 3 days, see your doctor - its not that unusual to see adults with conditions like nappy rash (you'd be amazed how many people get so drunk they wet themselves and pass out in it for 10 hours, and many drug addicts - particularly heroin ones - have messed themselves at night without knowing and slept in it.). The treatments are pretty similar for most infected and inflamed skin-conditions, we have surprisingly good treatments for this kind of thing, thanks to research in to eczema, psoriasis and other forms of dermatitis.

Let me wrap up with a disclaimer: I'm not a qualified expert in this field. That said, by necessity I've had to work with dermatology specialists for the past 25 years.

*: If its really bad as you describe, then it sounds like you might need some *mild* antimicrobial topical steroids. You can get some over the counter in the US I believe (fucidic acid mixes etc.), but if you need this stuff I advise you really see your doctor. Apply these 3 times a day, every 6 hours, rub in carefully and complete the course for 5 days (even when it looks healed, finish the 5 days!). If it is infected I would personally avoid hydrocortisone and cortisone based treatments - they will help reduce the inflammation and pain, but frankly if its raw and infected its just not the right treatment unless twinned with an anti-biotic and/or anti-fungal as needed. Except on the advice of your doctor, do not use stronger preparations; the skin down there (particularly for men) is very thin and there are very good reasons for the powerful topical steroids (betamethasone valerate, betamethasone dipropionate, clobetasol propionate, etc.) being prescription only!

[diaperbrownie]

When you get better, my recommendation is to think hard about sleeping in messy diapers again. The risk of infection and rash is high, and it will undoubtedly happen again. I've gotten a similar rash on my testicles after sleeping in messy diapers (but no pus like you) so i know the pain you are going through.

[SoakedinTexas]

When my granddaughter had real bad diaper rash I went and got bag balm and used that on her. Also used it on my nephew when his was so uncontrolable he had to be hospitalized for his rash. I don't know if you can find it in the UK or not but should be able to find something like it at your local feed store. It is used on cows and sheep utters when they get raw and chapped. It works wonders, I know it sounds odd but it works great.

http://www.buycheapr.com/us/result.jsp?ga=us3&q=bag+balm+uk

SoakedinIowa (Now in Oklahoma)

[adhb]

With a problem as severe as you describe, you should not try self medication. See a doctor ASAP.

[Infernus]

the redness and rash has pretty much gone from the rest of my testicles, apart from one very very sore spot about 1 -1.5cm , thats where the puss is coming from.

god this is so grim, and embarresing, i just know i gotta go to the doctors for this, ill give it 24 hours and see.

[LuvsGurl]

It's just bad diaper rash. Something similar happened to my husband when he went to bed in a wet cloth diaper a year or two ago. Keep it clean, let it breathe and it should heal within 48 hours.

[babykeiff]

From your description, what you have is a case of 'impetigo', which is a bacterial infection. What is required is medical intervention and antibiotics. Home treatment involves -

1- Cleaning the area well - luke warm water & antibacterial soap. Pat dry and let air dry.

2- Antibacterial cream, and allow it to melt into the skin.

If it doesn't improve in 12-24 hours, seek medial intervention.

In extreme cases, this can cause blood poisoning, liver failure and death. Symptoms include headache, lethargy, nausea.

All Babies....

Diaper rash occurs due to bad preparation. Diaper cream even the cheap stuff creates a barrier between your skin and the diaper, and is a must for babies that are chronologically older than 24-30 months.

Talc / baby powder does NOTHING to prevent or cure a diaper rash. Its has only two purposes 1- create a friction barrier to avoid friction burns AND 2 - to mask the smell of a fetid diaper.

[kadillac]

Urine is sterile. The messy diaper is the result of his rash.

[AutieAB]

Urine is sterile. The messy diaper is the result of his rash.

The mess will certainly not have helped but the whole urine is sterile thing is a misnomer. It is normally sterile when it comes out of the body. Leave it fermenting in a diaper for a few hours and suddenly it's not so clean. Why do you think that diapers start to stink so quickly? And if you're sick, it might not be sterile at all - that depends what your kidneys are kicking out of you.

If it heals up in a day or so, you're alright. If it doesn't or continues to ooze, it's time to swallow your pride and make a doctor's appointment.

Although in the UK you are allocated to a specific GP, assuming there's more than one in the practice, you can ask to see any of them. So if you'd rather not discuss it with your primary care GP, just ask to see a different one this time. If it's diaper rash, the doctor is going to know what it is and what caused it without you having to spell it out. They might ask if there's a continence problem you want to discuss with them, just say no and that should be the end of it. If they probe further, you don't have to answer...

[kadillac]

The mess will certainly not have helped but the whole urine is sterile thing is a misnomer. It is normally sterile when it comes out of the body. Leave it fermenting in a diaper for a few hours and suddenly it's not so clean. Why do you think that diapers start to stink so quickly? And if you're sick, it might not be sterile at all - that depends what your kidneys are kicking out of you.

If it heals up in a day or so, you're alright. If it doesn't or continues to ooze, it's time to swallow your pride and make a doctor's appointment.

Although in the UK you are allocated to a specific GP, assuming there's more than one in the practice, you can ask to see any of them. So if you'd rather not discuss it with your primary care GP, just ask to see a different one this time. If it's diaper rash, the doctor is going to know what it is and what caused it without you having to spell it out. They might ask if there's a continence problem you want to discuss with them, just say no and that should be the end of it. If they probe further, you don't have to answer...

Urine smells because it's excreted waste! But it's urine. You're talking to the son of a doctor, I'm not going to get into this. If your diaper is dirty or you're already dirty, then yes, diaper rash is possible from just wetting it. The genitals and the urethra isn't sterile, but since your skin isn't sterile in the first place, the sterile urine just catches the germs on your skin. So, the urine mixes with the germs on your skin, but that's not going to cause diaper rash. The amount of bacteria in feces doesn't react well with your skin and causes diaper rash.

[babykeiff]

Urine is sterile. The messy diaper is the result of his rash.

I presume that you mean 'the rash is the result of his messy diaper' not the other way around!!!

[babykeiff]

Urine IS sterile.... but only while it is within the bladder. Once urine exits the body, and lands in a diaper etc, it will mix with the collection of bacteria that are on the diaper, and also on your butt. These bacteria start breaking down the urine to release the smelly stuff we all know as ammonia. (basic chemistry) A side product of this is caustic to human skin.

Most diapers profess their magic properties of absorbing the urine before it has a chance to touch the skin. Physics prove this wrong. However, with a barrier cream, diaper rash can be avoided. The longer one stays in a diaper (wet OR dry) the more of the barrier cream will rub off = the higher chance of diaper rash. Diaper rash CAN be caused by bacteria breaking down human sweat (same process) and creating a caustic reaction to human skin.

Conclusion #1 : Wetness on the skin WILL cause diaper rash IF the skin is not protected.

Conclusion #2 : Longer time in a diaper = higher chance of rash.

Conclusion #3 : No diaper cream = DIAPER RASH.

[Diapered Jason]

From your description, what you have is a case of 'impetigo', which is a bacterial infection. What is required is medical intervention and antibiotics. Home treatment involves -

1- Cleaning the area well - luke warm water & antibacterial soap. Pat dry and let air dry.

2- Antibacterial cream, and allow it to melt into the skin.

If it doesn't improve in 12-24 hours, seek medial intervention.

In extreme cases, this can cause blood poisoning, liver failure and death. Symptoms include headache, lethargy, nausea.

All Babies....

Diaper rash occurs due to bad preparation. Diaper cream even the cheap stuff creates a barrier between your skin and the diaper, and is a must for babies that are chronologically older than 24-30 months.

Talc / baby powder does NOTHING to prevent or cure a diaper rash. Its has only two purposes 1- create a friction barrier to avoid friction burns AND 2 - to mask the smell of a fetid diaper.

You will definitely need to take antibiotics orally, which will require a prescription. The topically creams may not have much effect in this case.

[kadillac]

Urine IS sterile.... but only while it is within the bladder. Once urine exits the body, and lands in a diaper etc, it will mix with the collection of bacteria that are on the diaper, and also on your butt. These bacteria start breaking down the urine to release the smelly stuff we all know as ammonia. (basic chemistry) A side product of this is caustic to human skin.

Most diapers profess their magic properties of absorbing the urine before it has a chance to touch the skin. Physics prove this wrong. However, with a barrier cream, diaper rash can be avoided. The longer one stays in a diaper (wet OR dry) the more of the barrier cream will rub off = the higher chance of diaper rash. Diaper rash CAN be caused by bacteria breaking down human sweat (same process) and creating a caustic reaction to human skin.

Conclusion #1 : Wetness on the skin WILL cause diaper rash IF the skin is not protected.

Conclusion #2 : Longer time in a diaper = higher chance of rash.

Conclusion #3 : No diaper cream = DIAPER RASH.

Really? Alright, that's why I've gone for years without ever using a barrier cream. Nevermind. Urine only becomes caustic to the skin when it is mixed with the harmful material on the body (not being clean) or mixing with someone's mess. Flat out. This guy got severe diaper rash because he peed & messed in his diaper and didn't change it.

[babykeiff]

Urine IS sterile.... but only while it is within the bladder. Once urine exits the body, and lands in a diaper etc, it will mix with the collection of bacteria that are on the diaper, and also on your butt. These bacteria start breaking down the urine to release the smelly stuff we all know as ammonia. (basic chemistry) A side product of this is caustic to human skin.

Most diapers profess their magic properties of absorbing the urine before it has a chance to touch the skin. Physics prove this wrong. However, with a barrier cream, diaper rash can be avoided. The longer one stays in a diaper (wet OR dry) the more of the barrier cream will rub off = the higher chance of diaper rash. Diaper rash CAN be caused by bacteria breaking down human sweat (same process) and creating a caustic reaction to human skin.

Conclusion #1 : Wetness on the skin WILL cause diaper rash IF the skin is not protected.

Conclusion #2 : Longer time in a diaper = higher chance of rash.

Conclusion #3 : No diaper cream = DIAPER RASH.

Really? Alright, that's why I've gone for years without ever using a barrier cream. Nevermind. Urine only becomes caustic to the skin when it is mixed with the harmful material on the body (not being clean) or mixing with someone's mess. Flat out. This guy got severe diaper rash because he peed & messed in his diaper and didn't change it.

What, in my post, are you disagreeing about?

Really? Alright, that's why I've gone for years without ever using a barrier cream. ...

That is pure LUCK, not scientific fact.

and then you say,

Urine only becomes caustic to the skin when it is mixed with the harmful material on the body

which is in direct agreement to 'Once urine exits the body, and lands in a diaper etc, it will mix with the collection of bacteria that are on the diaper, and also on your butt.'

Primarily, the OP asked for some help with his problem. Many here have offered their help, and in this case of rash, medical intervention has been advised. Most here can understand the OPs reluctance of seeking medical help for fear of embarrassment etc. To the OP, he should not be worried. Most UK doctors have handled skin problems, and a bacterial infection like what he describes can be caused by damp underwear etc or even human sweat. Also, his doctor WILL keep his details completely confidential.

YOUR post does nothing to help the OP, and in my humble opinion, neither does your attitude here.

[Bettypooh]

....That is pure LUCK, not scientific fact....

Your logic is deeply flawed here If it happens (and it does because this is my own experience too ) then it is scientific fact An anomaly compared to the usual maybe, but totally factual nonetheless In my own case I do not credit luck, rather I believe my success is mostly due to the way I clean myself and to airing out regularly I had to learn a lot about skin care during my electrolysis treatments which abuse the skin terribly That did not prepare me for going 24/7 with diapers alone- it was DD and Repaid who got me to understand the need for regular 'airing out' too (thanks y'all ). Nothing is foolproof- I did have a rash recently and my inability to go without diapers exacerbated the problem of healing

The OP probably had the beginnings of a rash beforehand IMHO cleanliness is the key and the usual methods most people employ are not enough- the skin's pores must be cleaned or bacteria will hide inside them only to emerge with perspiration then causing the problem. Barrier creams also lock in what's under them, so while they help a lot of people they aren't as necessary as many people think they are And those with ingredients that mimic natural processes are counter-productive because they cause the body to do less of what it should be doing since it no longer has to, leading to a dependency on that product. Feces is toxic and that is why you can't stay in a messy diaper for long without problems. I hope the OP heals soon and learns to not do this again. Time is a big factor in this and you need to find your limits from the other end of the equation- start slowly and work upward The other way tends to be rather painful

Bettypooh

[babykeiff]

Your logic is deeply flawed here If it happens (and it does because this is my own experience too ) then it is scientific fact An anomaly compared to the usual maybe, but totally factual nonetheless In my own case I do not credit luck, rather I believe my success is mostly due to the way I clean myself and to airing out regularly I had to learn a lot about skin care during my electrolysis treatments which abuse the skin terribly That did not prepare me for going 24/7 with diapers alone- it was DD and Repaid who got me to understand the need for regular 'airing out' too (thanks y'all ). Nothing is foolproof- I did have a rash recently and my inability to go without diapers exacerbated the problem of healing

The OP probably had the beginnings of a rash beforehand IMHO cleanliness is the key and the usual methods most people employ are not enough- the skin's pores must be cleaned or bacteria will hide inside them only to emerge with perspiration then causing the problem. Barrier creams also lock in what's under them, so while they help a lot of people they aren't as necessary as many people think they are And those with ingredients that mimic natural processes are counter-productive because they cause the body to do less of what it should be doing since it no longer has to, leading to a dependency on that product. Feces is toxic and that is why you can't stay in a messy diaper for long without problems. I hope the OP heals soon and learns to not do this again. Time is a big factor in this and you need to find your limits from the other end of the equation- start slowly and work upward The other way tends to be rather painful

Bettypooh

Bettypooh,

you take care of your skin in a way that is unusual. Yes, cleanliness IS important, and we all agree to that. The airing out is not as important as protecting ones skin. Both work, and the airing out is much better than using a protection/barrier cream. However, unless you are healthy, (with healthy skin & urine etc) diaper rash in some form is inevitable without protection.

Consider the skin of a six - nine month old. He/she will wet & mess his/her diaper while asleep, and often spend a few hours asleep in a messy diaper. The child's parent's ensure that the skin is well protected to avoid diaper rash. The method of airing out the skin as you employ is NOT suitable for this child ( the child wets every 15 - 20 mins. average) Also, at that age, the child is also semi mobile, and if placed on a diaper / absorbent pad, will soon move off.

Like myself, you are dependent on diapers 24/7, and the only time are in a clean dry diaper is in the 30-60 minutes after you change. Spending this amount of time in diapers does effect the skin on ones butt. - it gets a little more resilient to rashes etc. However, since it is spending so much time wrapped up, the cleaning process is not a quick wipe. I, when I can, take a shower at each diaper change, and after same, clean the diaper area with baby lotion. At times I wake up (after 6+ hours of sleep) in a wet and messy diaper, and know that I need to change. Apart from the rare occasion - and that is due something I ate - I do not get rashes. Yes, I completely agree with you, a rash is not nice and experience has taught me how to avoid them.

I don't think that my logic is flawed.

#1 IF the circumstances suit the bacteria that live on ones skin is correct, a rash is inevitable

#2 Aminos in urine WILL be dissipated by the water content which WILL produce ammonia = caustic action to skin = rash.

In medical terms, if urine and anaerobic bacteria combine in a warm damp environment, the bacteria will reproduce, and convert the urine to urea, uric acid and/or ammonia. Urine is chemically neutral to the human body however, ammonia AND uric acid is caustic. As urine gets stale (even in a clinically clean environment) the amino groups will be slowly disapated by water, producing ammonia. This is caustic to the skin.

Factors that increase the alter the risk of diaper rash are...

# Concentration of ones urine

# Cleanliness of ones skin

# Time spent in a wet diaper

# Protection / barrier / strength of skin

... and all are EQUAL factors. Therefore, the fact that you have not got a rash is due to LUCK. Your urine concentration will change depending on diet. All it needs to create a rash is a deterioration of one of the above factors.

[kadillac]

... and all are EQUAL factors. Therefore, the fact that you have not got a rash is due to LUCK. Your urine concentration will change depending on diet. All it needs to create a rash is a deterioration of one of the above factors.

I'm not really into the mood to get into an internet argument, but this is not true. Your opinion. Everyone's an expert on the internet.

[willow]

Anyhow...

Just put some salt in a bath and soak for a while. Does wonders.

[Infernus]

Basically, i kept it clean, used some anti-septic cream a couple times.

It scabbed over the next day and now looks as good as new.

Scary stuff

I prep before i wear diapers, but extended periods of wearing still doesnt do you much good, everyones skin is different.

Though mine is usually quite resistant, i guess this particular day, my urine/poop was more volitile.

[ItchyTasty]

I've only messed once in a blue moon in nappies and that was years ago. As even 5 mins in a messy diaper, gives me severe rashes.

However almost a year ago I had an extremely bad rash from wearing some poor quality diapers that left my skin wet to the touch( lille supreme fit maxi) they are total shit as they don't wick at all well. And it's like sitting in a puddle of piss.

And I didn't use any barrier cream.

Wore about 7 diapers with only using wipes in between and had an extremely bad rash lasting months after it.

Privates area/ass and thighs were red raw/sore and dried out and felt hot to the touch.

Didn't wear at all for those few months and let my skin air, and had very salty baths once a day to try and clear it. As didn't want to go to the doctor as he may laugh or was worried that I may even get sectioned,if he thought I was crazy. Not sure if all doctors understand ab/dl's or not...

And also applied zinc oxide 3 times a day to it all.

Eventually it went....

So now I only wear 1 nappy at a time with a space of a few days in between. Still I get a minor rash sometimes lasting a week of feeling itchy and sticky between the legs, despite having a bath after I changed.

If I wear more than 1 at a time, I use barrier cream, cleaning foam/wash mousse between changes and dry myself carefully as well. And only wear nappies that wick properly like molicare super plus (they wick really well), tena slip maxi ain't bad, abena abri form x plus wick pretty well too.

Also nappies with a decent topsheet to stop wetness going back onto the skin help also like the new versions of tena slip maxi have.

[redneck diaper boy]

It is not healthy to lay around in shit.

As for the diaper rash, my doctor has written prescriptions for it. Check out Mycostatin.