I've tried different brands of nappies, inserting pads, etc but nothing is working yet. He is in the biggest size nappy now. Can you tell me how absorbant a dry nights is compared to a nappy? I'm wondering if I could put a dry nights over his nappy, as I am assuming the smallest dry nights would be too big for him. We can't limit his liquid intake any further and he is nowhere near ready for toilet training yet. I suspect that he doesn't feel that his bladder is full so it only empties when it's completely full and therefore soaking the nappy and overflowing and leaking out. He now has a permanent rash on his tummy and legs, not where the nappy is but where it leaks onto clothes. Any suggestions?
Hi Jo, while it is common for children with global developmental delays to take longer to achieve continence the age at which they do this really depends on the individual child. Children’s overnight urine output can be quite variable. You can try and reduce his urine output by making sure he fully empties his bladder just before he goes to sleep and by limiting drinks high in sugar as well as the amount of dairy and citrus he drinks in the evening as these are known to stimulate the kidneys. DryNites will offer the same level of absorbency as his nappy however I’m not sure how effective these would be when worn over nappies, as any kind of gaping will result in leakage. Parents of children who seem to pass a lot of urine overnight sometimes find it easier to change their child’s nappy just before they retire for the evening. You could also try plastic outer pants to stop the urine leaking through. Nappy rash typically results from skin contact with a wet or dirty nappy. If he has particularly sensitive skin he may be more prone to developing a rash. In terms of managing his nappy rash – I would use some form of barrier cream. I found paw paw cream good for treating nappy rash with my own children. You will need to bath him in the morning to remove all traces of urine. Avoid using irritants such as soap as this will only irritate his rash even more. If the rash continues or gets worse you should have him checked by your GP to determine whether he is prone to eczema, which may be causing him to develop the nappy rash.
Regards,
Dr Cathrine
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Clean your baby's bottom. You can do this using fragrance-free and alcohol-free baby wipes or a mild, moisturizing soap. Rinse your baby's bottom in plain water and pat her skin dry.
http://www.allmothers.net/nappy-rash.html
Christino – about 1 year ago
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