If it doesn't improve after I make some changes at home, how would I approach daycare about what they use? I've actually been suspecting it is something potty related because it popped up just after we ditched diapers during the day and she went full time potty at school and the rash started on the part of her butt cheek that touches the potty. Maybe they use some harsh chemical to wash the potty seat? Do you think I can convince them to use something more natural? Or are those things determined by state regulations?
I actually read in my potty book today that you shouldn't wipe potties down with anything harsher than a baby wipe because some kids can get a reaction to the harsher stuff...might be at least worth asking what they use? Not sure where to go from there but it's a start...
I agree with Leigh. Since she has a rash on her bum, I'd inquire about what they use just straight up. "Hey my kid has an allergic rash on her bum and I need to know what you use to clean the potty at daycare." Surely they can understand that.
I'd just tell someone up front about her rash on her butt and not being able to find a cause at home for awhile now. Ask what they clean the toilet rims with. They'll have to contact whoever does the actual cleaning, but you should know by the end of the day (at least we would at the centers I've worked at). It happens and as good as your center sounds they'd want to help you get to the bottom of this.
I hope it's as simple as toilet cleaner!
I have no advice on the rash but I love that you had to clarify that it was going to be a pic of Tegan's butt and not yours :-P
When DS had a diaper rash it seemed like forever & tried several different types of creams, we finally used Triple Paste at the advice of my daycare provider & that helped. It was a different type of rash but another possibility for creams to try? I agree with pursuing checking with daycare about how they clean the potty seats, etc.
Have you tried an oatmeal bath to help with the itching? It won't solve the problem, but she might feel better! You just grind up loose oats and throw like a 1/2 a cup to 1 cup in with bath water. Don't use soap/shampoo with this though! It really improves itchiness and even reduces redness. It won't make the bumps go away, but it will make her feel better!
I hope you find out what it is soon!
Google Chronic Cumulative Irritant Contact Dermatitis...would make sense if it's a reaction to something built up over time since nothing you're aware of has changed recently. And a lot of pics I'm seeing do look very similar to T's rash.
From here: National Guideline Clearinghouse | Guidelines for the management of contact dermatitis: an update.
The words "eczema" and "dermatitis" are often used synonymously to describe a polymorphic pattern of inflammation, which in the acute phase is characterized by erythema and vesiculation, and in the chronic phase by dryness, lichenification and fissuring. Contact dermatitis describes these patterns of reaction in response to external agents, which may be the result of the external agents acting either as irritants, where the T cell-mediated immune response is not involved, or as allergens, where cell-mediated immunity is involved. Contact dermatitis may be classified into the following reaction types:
Subjective irritancy – idiosyncratic stinging and smarting reactions that occur within minutes of contact, usually on the face, in the absence of visible changes. Cosmetic or sunscreen constituents are common precipitants.
Acute irritant contact dermatitis – often the result of a single overwhelming exposure or a few brief exposures to strong irritants or caustic agents.
Chronic (cumulative) irritant contact dermatitis – this occurs following repetitive exposure to weaker irritants which may be either "wet," such as detergents, organic solvents, soaps, weak acids and alkalis, or "dry," such as low humidity air, heat, powders and dusts.
Allergic contact dermatitis – this involves sensitization of the immune system to a specific allergen or allergens with resulting dermatitis or exacerbation of pre-existing dermatitis.
Phototoxic, photoallergic and photoaggravated contact dermatitis – some allergens are also photoallergens. It is not always easy to distinguish between photoallergic and phototoxic reactions.
Systemic contact dermatitis – seen after the systemic administration of a substance, usually a drug, to which topical sensitization has previously occurred.
In practice, it is not uncommon for endogenous, irritant and allergic aetiologies to coexist in the development of certain eczemas, particularly hand and foot eczema. It is important to recognize and seek in the history, or by a home or workplace visit, any recreational and occupational factors in irritant and allergic dermatitis.
How's the rash? Any luck finding out daycare's cleaning products?
I put the stronger prescription steroid on her butt and thighs last night and its actually looking somewhat better today. I didn't want to cover like 80% of her body in the stuff and send her to sleep. I had DH put it on from the waist down this morning. I hope this kicks it.
Apparently, this sort of contact dermatitis can be the result of something she came in contact with weeks ago. Its not necessarily something she's still coming on contact with. I plan to kick its *** and then do a spot test. My two primary candidates are 1) something on the toilet at daycare and 2) mine & DH's body wash. I gave DH instructions to ask T's teacher about cleaning products this morning. No news came from that. I plan to talk to the program director later today. The reason I'm suspecting the body wash is that our shower was a little clogged about 2-3 weeks ago. Before I got fed up and Draino'd it, it was to the point that about an inch or so of water was collecting on the shower floor. So, T was kinda sitting in the shower water for a week or so. Her legs, bottom, and probably the backs of her arms were coming in contact with the soap that came off me or DH when we shower together. I've noticed in the past that she'll have a little redness after DH gets lazy and uses our soap on her. So maybe her sensitivity increased and she just got a whopping dose because of the drainage issue. That would be super easy to fix. I'm hoping its that and not a daycare thing.