The mysterious rash
The nice time of the year, you may call it ‘summer’ and others call it northeast monsoon, is over and the next season, the southwest monsoon has begun, strong and cold winds are coming from the south. That’s ‘winter’ here in Paradise. Temperatures drop to 29C/85F and it’s supposed to be dry. Well, it is kind of dry and because it doesn’t rain enough we might run into a severe water shortage soon. But nevertheless the air is filled with humidity and feels hot, hotter than during the ‘summer’-time.
Because of all this ‘Timan’ developed a Prickly Heat Rash and I treated it accordingly. But the rash behind his knees got worse, got infected because the tot was scratching, and one Saturday morning it looked really bad. So I sent my two men to our local clinic’s ‘casualties’ to get a treatment. They came back with an oral antihistamine (allergex elixir, ‘Timan’ refused to take it because it’s deep red, like blood according to him) and a cream for fungal infections (Clotrimazole). I was using Clotrimazole a couple of times when ‘Timan’ had a diaper rash and it used to work pretty good.
Not this time with Prickly Heat though. My poor tot kept scratching behind his knees, the pimples got bigger and spread over this leg. The following Friday we went to our private Pediatrician, it’s the only way to get a decent diagnosis and reasonably effective medicine. Of course you have to pay for it, and of course we are more than willing to pay.
One important thing I learned about our Paradise is, that if you have a choice, do not use the public health system. In those local clinics you have to wait for hours, get to talk to a doctor who probably knows less than you for not more than 5 minutes, get no explanation you might understand (not because you don’t have enough brain cells, but because you don’t understand what he’s telling you very fast with his Indian accent) and if you have to come back for a second treatment, you will not talk to the same doctor again. Everything is free of charge, also the medicines, and therefore they are not the best, but the cheapest on the market. Oh, I forgot to tell you, sometimes they run out of them as well. But it’s the only place you get a medical treatment during the weekend.
‘Timan’s pediatrician, the one who sent him to the hospital because of his stomach problems, treated his rash with oral antibiotics, topical antibiotics, an ointment with a low hydrocortisone content mixed with calamine and some tincture to dry out the prickly heat part. And advised me to come back by next Thursday if the rash is still there.
After the weekend I also noticed little pimples on his belly, the small of his back, his knees and ankles, his elbows and his cheeks. So I started to give him an oatmeal bath 4 times a day and I had the impression it was improving a little bit. But after the course of antibiotics and creams the tot’s face still looked like this:
His legs improved a lot but still looked like this:
Yesterday we went to see the doctor again and she started treating the rash with more Steroids, definitely not my first choice of treatment. But it’s getting better, a big relieve. Now the tot is taking 4 oral medications (Predine, Cetirizine, Polariamine, something to soothe his gassy tummy caused by the antibiotics), his Vitamins and I’m still applying the Hydrocortisone/Calamine cream.
The more I thought about it and researched on the internet, the more ‘Timan’s mysterious rash looked like an Eczema or Atopic Dermatitis to me. But what was the trigger?
There were no changes in our life, nothing, except the water in the two reservoirs on the island is getting less and less every day. And the little it rains doesn’t make a difference.
Could the tap water have triggered ‘Timan’s rash? Maybe the local PUC changed the chemicals to treat the water. And again I went online to find out more. Maybe they changed Chlorine to Chloramine (both of them are toxic and can cause skin rashes) and
failed to inform the public I missed the public announcement in creole because ‘Timan’ was babbling into my ear during the evening news? I tried to find out, but didn’t get an answer on the phone.
I still hope it was not the water and just the change in humidity. Because I have enough of the water problems in the past. (But that’s going to be the subject for another post).
How are you treating Heat Rash so it doesn’t turn into a secondary infection with a toddler/preschooler? Do you have experience with preventing and treating Eczema without the use of Corticosteroid Creams?
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Posted on July 22, 2011, in 'Timan', Banana Republic, Doctor, Eczema, Hospital, Paradise, Shortage, Southwest Monsoon, Water Supply and tagged chemicals in tap water, hot, itchy rash, medicine, rain. Bookmark the permalink. 26 Comments.