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Experts Corner

Pediatrics/Children's Health

PH Sensitivity With Baby Urine
By Barbara Parker, RN, ARNP, CNM

Q. My son is 18 months and has a diagnosis of Ph sensitivity to his own urine. He has skin breakdown on his penis and testicles and occasionally in the leg creases and groin. This presents more as blisters than raw red spots . . . as you can imagine my child is extremely uncomfortable. This issue arose when he was 3 months old. He is a very healthy boy in every other aspect. His treatment so far has included every sort of barrier cream and steroid/cortisone cream. We have been instructed to end the latter due to the effects of skin thinning with prolonged exposure. We have tried allowing air to the area but our son scratches at it until it bleeds. Any suggestions?

A. The poor little guy! Your health care provider is right; you can only use the steroid products for a limited time since it will cause more skin problems than it fixes.

You have probably tried these things, but here's what I would recommend: A & D ointment, which is great for the skin, petroleum based and water proof. You might try Bag Balm, which was originally used on cow udders for their poor raw skin, later discovered to be great for quilters' raw fingers. It is also petroleum based and waterproof, and has lanolin in it, which helps the skin. The largest medical center for children in my state uses this exclusively for diaper rashes.

You might mix either one of those with an anti-fungal, such as monistat cream from the pharmacy, to help eliminate the fungal component.

Poor little fellow, sounds just miserable!!


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