I can't do it anymore! I can't handle Matthew being in pain. I have dealt with so many sick kids in my profession and do very well, not getting too emotional. Sure, I breakdown at times but not like this and it is only over a sore bum. I just started crying when he cried over anything touching his bottom.
My poor boy has been on antibiotics for about 4 months now for his multiple ear infections. He started getting a diaper rash during the first cycle and it has never really gone away. It has gone in cycles and looked better and worse at times but NEVER this bad. Since the ear tubes his ear infection has gone away but his bottom still looked really bad. 6 days ago I finally took him into the doctor because the sores on his bottom were bleeding down his legs. They swabbed his anus and told me he had type A strep and that was what was causing the deep red rash right around his anus. They gave me MORE antibiotics and told me to put Nystatin, Triamcinolone, Neosporin, and a barrier cream on his bottom every diaper change.
I went away feeling discouraged because after all, wasn't it the antibiotics that put us in this mess in the first place and why didn't the antibiotics for his ears take care of the strep? I was hopeful, however, that these antibiotics would help and he would be healed quickly. Well, I was wrong. I think the antibiotics are killing the strep however his bottom looks just as bad or worse than it did last week. I am trying to change his diaper frequently but I work and have little control of what happens between the time I drop him off and the time I see him at 6 or 7 at night when he gets his bath. It's times like this that I HATE that I work. I just wish I could be a stay at home mom. It makes me feel so guilty that I can't just make it all better and it's because I work that it isn't better by now. It rips my heart out when he cries. He cries whenever his bottom is touched, wiped, washed, etc. I even got sensitive wipes and they still hurt him. He loves his baths but is now afraid of them because the water hurts when it initially hits the water. He cries and squirms whenever I put him on his changing table.
I am hoping to get any advice any of you have to help heal his bottom. Let me tell you what we are doing now. He is on Kepra (an antibiotic) to kill the strep. He takes a few acidophiles capsules a day to counteract the antibiotics killing all the good bacteria so that he doesn't have diarrhea (right not thankfully no diarrhea). At each diaper change I apply with a cotton ball some gentian violet (this is an antiseptic that is herbal similar to iodine that is supposed to kill everything) that stains everything purple (that is why spots of his legs and scrotum are purple in the picture). I have made a concoction of Nystatin (an antifungal), Triamcinolone (a steriod), Bacitracin (an antibiotic cream), and Tripple paste (a barrier cream) that I put on his bum after the gentian violet. It seems to work well for a few days then it breaks down again and bleeds. The problem is I know it needs to scab in order to heal completely however it is always moist so it never scabs. I have taken a cool hairdryer to his bum also but he HATES it and cries the whole time. I am out of ideas! I plan on finding someone to help give him a priesthood blessing tomorrow. Please, if any of you have any ideas on how to heal this PLEASE let me know!
I have to say I have a little more understanding and compassion for the mothers of my patients and what they go through watching their own children suffer as the do. I am blessed that this small things is the biggest thing I have to worry about.

The picture doesn't give it justice. His whole bottom is pitted and weeping. The purple is stain from the gentian violet. The redness goes all the way up his bum crack in the back also.

These are not even all the meds he is taking now. From top left to right:
Keflex (antibiotic), Acidophillus (probiotic), Gentian Violet (antiseptic), Nystatin and Triamcinolone (Antifungal and Steriod), Tripple Paste (Barrier cream), Desonide Cream (for Ecxema), Prevacid (for Reflux).
I forgot to put his Tylenol and oral Nystain (he ran out) in the picture.
WAAAAAAY too many meds for a little toddler.