Monthly Archives: April 2015

The truth about acidic poo and magic cream recipe for diaper rashes

Yes poo!

WARNING – THIS POST TALKS A LOT ABOUT BABY POO

I honestly thought we were done with messy diapers, smelly leaky poos and changing clothes (hers and mine) several times a day now that Baby B is over 12m old. I was so wrong.

Last week, Baby B had her third bout of what seemed like diarrhoea in 45 days. Since the first round, I questioned myself as to what was causing it, I couldn’t come up with an answer. We have fortunately not dealt with severe diarrhoea in the past unless Baby B was teething and that also corrected itself in a day or two without meds by tapering on certain foods and adding more binding foods in her diet. Unfortunately, this time was different – there was no change in her diet, no oil added, no chilli and neither did she have any unusual foods by mistake. We even considered lactose intolerance but she’s already been on soy milk because of her eczema and possible milk intolerance. She was going 9-10 times a day (without exaggeration) and all of this happens when our paediatrician is away on holiday for a month!

The first thing diarrhoea leads to in toddlers I believe is a diaper rash. For us, Baby B didn’t have much protection to begin with as her bum skin had already started peeling off two days prior to this onset when she was left to nap in a dirty diaper one afternoon while I was away. The result, of course, was not pleasant. For 5 days, we had a screaming, crying, trembling toddler in our arms. Baby B had the mother of all rashes (from what I have seen so far) and as the diarrhoea progressed that eventually turned into a bleeding bum. The entire area was so flared up and she cried in pain. At times she even banged her head against the floor and the wall and went ‘nah nah nah’ saying no more please.

We tried everything to soothe the flare up – by leaving her nappy-less, putting on layers of destin, her anti-fungal ointment and none seemed to help. All this while I was in consulting with my GP (he is 81years old and I have been seeing him since I was 5 years old). We had a stool examination done and it was all clear. I was going crazy trying to figure out what was going on and having Baby B’s paed out of town wasn’t helping any bit.

On day 5, I couldn’t bear to see her like that anymore. Her bum continued to burn, the skin was peeling off and there was blood when we tried to dab it clean. I was in tears looking our munchkin howling in pain. We finally took her to over to my GP to have her examined in person. He suggested that this was a result of ‘acidic poo’ which would burn her skin every time she pooped. His prescription comprised of an antibiotic to control the stools, anti-fungal powder, and a mixture of creams (anti-fungal, the rash cream and lactocalamine lotion). We tried that for one day and it seemed to get a tad bit better but I we weren’t seeing the progress we were hoping for.

I spent that all evening researching on acidic poo. What it was? What caused it? How can Baby B suddenly have acidic poo when nothing seems to have changed in her diet?

For me, diarrhoea means begin binding foods like rice, pasta, potato, bread…anything starchy right? And in fruits stay clear of citrus fruits and add pomegranate, apples etc to your diet while heaping on probiotics like yoghurt, buttermilk etc. Now to control acidic poo and looses there is very very little overlap in the diet for someone suffering from diarrhoea and someone having acidic poo (NOTE: Acidic poop is not the same as acidity). Most of the food items I’ve typed above to get diarrhoea under control is apparently acidic (according to this chart below I found on ). So now what do I do?

Screen Shot 2015-04-22 at 14.50.02

It seems that food’s acid or alkaline-forming tendency in the body has nothing to do with the actual pH of the food itself. For example, lemons are very acidic, however the end-products they produce after digestion and assimilation are alkaline so lemons are alkaline-forming in the body. Likewise, meat will test alkaline before digestion but it leaves acidic residue in the body so, like nearly all animal products, meat is classified as acid-forming. (http://www.trans4mind.com/nutrition/pH.html)

Uff – so very confusing! DH was super sweet and told me that it was great that I was trying to get to the root cause of the problem but whatever was happening to Baby B is very recent. Even though I was saying that her diet had not changed over the last few weeks, at least more than 90% of the diet was same and she has been thriving well, so there is no need to get bogged down with all this nutritional jargon and take drastic measures or change her diet. And he was right. We decided to do what we thought was right and go with our gut.

Fortunately, the next day I got hold of our paed’s good friend who visits the same hospital as we do and she also happens to be one of our close friend’s paed for several years. We went to see her right away on Day 6 and she put our minds to rest and she truly seemed God sent at that point in time. She had more or less the same prognosis as our GP besides the acidic poo. When I explained to her that nothing had changed, she suggested that it might just be an airborne infection – something I didn’t know happened with toddler diarrhoea. When I asked her about the acidic poo? She responded saying “What did you expect? Alkaline poo?”

In addition, she had Baby B’s stool re-tested and it came back positive for pus cells and mucous indicating we were right on track with the antibiotics and she was clearly suffering from a bacterial infection. The one and major difference between her recommendation and my GP’s recommendation was for the diaper rash. She too suggested a mixture of different creams and ointments and asked us to past it on Baby every time she ‘went’. It was a magical cream because Baby B didn’t twitch once with the cream mixture – it actually seemed to have a calming soothing and maybe even cooling effect on her. In this Mumbai heat of 36 degrees Celsius, I didn’t once hesitate to lap on a layer on her backside several times in a day and within less than 24hours of doing this, we could see her bum / rash healing already (even though the diarrhoea was still getting under control).

So what did this magic cream comprise of?

1. Nadoxin Cream (Nadifloxacin)

2. Fucidin Cream

3. Lignox Gel (Lignocaine)

4. Rashfree (Zinc Oxide “Desitin” equivalent)

5. Candid Cream (Clotrimazole)

I just mixed one tube of each of these into one sterilised container and it did the trick!

As far as her diet is concerned. Nothing changes…well, at least for now.

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Mess-free painting and “(F)ish”

Today we tried some non-messy painting at home. Instructions can be found on this blog (and others too):

http://hippiehousewife.blogspot.in/2012/01/mess-free-finger-painting.html?m=1

Baby B was super excited for the prep, but then didn’t know what to do when it was ready and preferred sitting on Mamma’s lap observing. After a while of showing her what had to be done, she finally gave it a shot. We mixed around the colours and then suddenly she lifted her head up, looked at me and said “ish” following which she showed me the sign for fish (one Palm on the other hand and then moving them – the fish – in different directions).

It was so imaginative! I was awestruck! She thought what we’d done was a fish and not the full pairing – just one bit in the corner that was blue. I asked once again:

M: where’s the fish? 

 

 B: there! (Pointing at the blue spot, again)

Love my creative imaginative cartoon😊

Week 1: From two naps to one

We’re trying to transition Baby B from two naps (9am and 130-2pm) to one long afternoon nap. I’ve read that it drops automatically but with our early 630-7pm bedtimes and two consistent solid naps in the day, I’m not sure how the 9am nap will disappear (given DD is up at 530-6am anyway!). The reason we think she may be ready is because we have her up at 5am now instead of the usual 6am and she seems confused and not really herself each morning. Here’s a log of what went on last week.
Monday

Wake up time – 520am

Pick up time – 540am

Nap 1 time – 845am (slept 1hr 15mins)

Nap 2 time – 2pm (slept 1hr)

Bed time – 7pm

Max awake time – 4hrs

Continued two naps as wake up time was too early.

Tuesday

Night sleep hours – 10hrs 30mins

Wake up time – 530am

Put back to sleep – 730am (slept 2hrs)

Wake up time (actual) – 930am

Nap time – 130pm (slept 1hr 30mins)

Bed time – 7pm

Max awake time – 4hrs

I think morning sleep gets broken because Baby B poos around 530am every morning. But as soon as she was in a clean nappy and had her milk, breakfast, she was ready to go back to sleep.

Wednesday

Night sleep hours -10hrs 15mins

Wake up time – 515am (poo leak, clean took while)

Put back to sleep – 620am (slept for 1 hour)
Wake up time (actual) – 730am

Nap 1 time – 1245pm (slept 1hr 45mins)

Bed time – 7pm

Max awake time – 5hrs 15 mins

I stretched her today and I think it was a bit much. The summer camp class in the middle might have helped us get over the 12pm mark. Unfortunately, the nap wasn’t long as Baby B had a bout of diarrhoea and cold/cough.

Thursday

Night sleep hours -11hrs 20mins

Wake up time – 620am

Nap 1 time – 830am (slept for 2hrs 10mins)

Bed time – 620pm

Max awake time – 7hrs 30mins

Today was another level of stretching. We skipped the mid-day nap morning nap was really long. If Baby B would have wanted to, I would have let her ‘rest’ for 30 mins or so but she was chirpy around 1-2pm that a late nap would eat into her night sleep. Right or wrong, we will know depending on what time she wakes up tomorrow morning.

Friday

Night sleep hours -11hrs 30mins

Wake up time – 545am

Nap1 time – 845am (slept for 1hr)

Nap2 time – 220pm (slept for 40mins)

Bed time – 7pm

Max awake time – 4hrs 30mins

We had to slip back into two naps today due to the early wake up time. However, overall a better day and more cheerful baby. Feel a bit uncertain about how ready or not she is about the second nap.

Saturday

Wake up time – 630am

Nap 1 – 920am (55mins)

Nap 2 – 155am (1hr)

Bed time – 7pm

Max awake time – 4hrs

Sunday

Wake up time – 422am

Back to bed- 515am

Actual wake up time – 7am

Nap1 time – 930am (1hr)

Nap2 time – 2pm (1hr)

Bed time – 710pm

Monday AM she was up again at 4am 😦

We are taking a break from the transition as it just doesn’t seem to be working. I would want to try an early afternoon nap ONLY but we’ve signed up for a summer camp for 10 days with a timing of 1130am to 1230pm. So napping around noon seems out of the question and with the early AM waking I am totally unable to stretch her until 1pm (5hrs awake time when she’s been up for 1-2hrs in the middle of the night seem unreasonable).