red and raw bottom

For incontinence dermatitis, the manufacturer of calmoseptine ointment recommends cleansing with a gentle wound cleanser, pat dry, applying karaya powder to the denuded areas to help the calmoseptine to adhere and protect the skin. Use baby oil to remove it and only when necessary. This method does work.

If the patient is a child with severe ulcerative colitis the physician may recommend an ileostomy. That might be an improvement to her quality of life compared to having a PICC, TPN and severe diarrhea.

*not a nurse, yet, but am a mom* the best diaper rash cream I have ever found is called Calazyme. Worked very well for when my LO had severe diaper rash

Z-guard worked very well too in my experiences.

Thank you for your replies.

The Calmoseptine ointment explained above by icuRNmaggie is good. Calmoseptine is OTC and available at most any Walgreen's.

Pediatric facilities often have a recipe for a "butt cream" - equal parts of nystatin ointment, Bacitracin ointment and zinc oxide mixed together. You can stir the ointments together with a tongue blade if you don't have a compounding pharmacy.

At my facility we use calmoseptine and triad cream. I find triad works much better, but it is more expensive.

We use Questerin paste, our pharmacy mixes it. Wonder if you can find somewhere to compound it. It really cuts the acid in the stool and used with other skin care products, it really works. Hope you find something, sore butts are the worst

Aquaphor and Maalox mixed together.

My son is 9 and has had problems with constipation and then it goes into severe diarrhea. His little butt gets so red sometimes. Here is what clears it up for me. First, I have him sit in a sitz bath for 15-20 min. Just about 2-3 inches of warm water, then I will put a preparation h cream on the red areas. Everytime I have done this, the red, raw areas are gone the next morning. Some days he could barely sit it hurt so bad. I have him lay on his stomach those nights to sleep and let his butt get some air.

I've previously used a chux heavy duty dish cloth in the nappy, covered the child's butt in amolin (almond oil, calamine and zinc) nappy rash cream and when I've changed the nappy, blow dried before applying the cream with a hair dryer on cool. This has usually cleaned up the issues within 12 hrs. This included the chemical burns my son got from a different brand of disposable nappy.

A&D mixed with diaper cream. It's a simple. It classic trick bc the diaper cream is so thick it is often counter-productive