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My mom has incontinence issues and needs to wear disposable briefs. Unfortunately, my mom is developing a really bad rash/sore right at the panty line in the upper leg crease. She is an amputee and is wheelchair bond. The rash is developing into a sore, and this concerns me in many different ways. She doesn't have the luxury to stand up and readjust her panties, and with the incontinence issues I'm afraid her rash/sore can and will get infected. We have been treating the skin area with a really good over the counter skin ointment, but as soon as she pulls down her briefs it just breaks open the sore and irritates the skin. I know that the paper/elastic part of the briefs are to blame for this irritation. Does anyone have any suggestions as to what she can wear that can become a barrier against the skin and disposable brief?

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Me too! Let the healing begin!

Would a course of physical therapy help? The doctor might order aqua therapy if/ when there is no open sore?
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I'm so glad you had it checked Max, I never would have suspected a pressure sore in that location. I hope you are successful in relieving the pressure and it starts to heal soon!
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I had a doctor look at her sore, and she said it was a pressure sore, and that it didn't look to be infected. Her suggestions was that she needs to get out of her wheelchair more and sit in a recliner where she can adjust her sitting position. She also suggested that she lay in bed to totally relieve the pressure, but that may confuse her if she should fall asleep. It won't be as confusing if she should fall asleep in the recliner. The ER suggestions would be nice if I had 6 hours to spend in the ER and pay more money for an ER visit. I do wish doctors offices would use exam tables that are more adjustable and compatible for both doctor and patient. I was actually with her Alzheimer doctor, and in their exam room they had an adjustable table that was convenient for all.
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Cwillie! Good idea-everyone thought the E.R. doctor was foolish to buy the same 'stretchers' for his office. Adjustable, up, down, raise head/feet, raise rails up/down for safety, wheels unlocked for transport, turns 360° , he slept there too!
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I have often wondered myself why doctor's offices aren't more accessible, it is difficult if not impossible for anyone older, disabled like your mom or of smaller stature to get up on those exam tables, and one up there they are so narrow that many oldsters are afraid of falling! Is it possible to arrange for an exam at the local hospital where they could use an adjustable bed/stretcher or at least have staff available that can assist?
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Thank you for all the advise, you presented a lot of good ideas and gave me something to think about and act on. I will have her doctor look at the sore. Our challenge is that many doctors tables are elevated, and you need to step up on the step to get on the bed. This is a very difficult task for her since she is an amputee, but I'm sure with extra help from his nursing staff we should be able to get her on the table. I know they try to do all her exams while sitting in her wheelchair just so we don't have to get her up on the exam table.
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And, you are correct-caused by the diaper as you said.

Not to scare you, but pretty sure this is a developing bedsore, which can cause an infection down to the bone.

That is why the doctor, these issues, if it is a pressure sore as well as an irritation
it can lead to death. Red flag-amputee = lack of circulation in that area.

Bed sores/pressure sores/ rash.
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A bed sore or pressure sore is likely to be caused by: The burn of urine; the pathogens (germs) infecting the sore; lack of circulation in the area-a breakdown in the skin.

It may also be yeast infecting the area. The sore should not be neglected, and should be first diagnosed by a doctor, the pathogen identified etc. Then, one can prevent and treat the sore/rash.

The suggestions above are good to loosen the iritating diaper and prevent the urine from burning.

I you look up bed sores and rash, there will be suggestions on how to treat, including a short video suggesting a recipe for a generic liquid antacid to neutralize the urine, and a cream to provide a barrier.

Take appropriate action to first get this diagnosed, please.
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There are antifungle spray powders that are meant for feet but will work in other areas. Also antifungle powders are good for areas like you mentioned as well as areas such as under the breast - if it's yeast it will help and with the added benefit of reduced chaffing.
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Apply miconazole cream from the women's section in the drugstore. Although it is used for vaginal yeast infections, it is excellent on the skin and toes. Try the next size up for the disposables so the leg holes are big enough.
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Agree Sunnygiirl, a yeast infection in that area is pretty common, and if l6sft untreated, could get red, sore and angry, it may also be an allergic reaction to something in the type or brand or the material itself! I'd definitely have the sore/redness/rash looked at by a Dr.
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I don't know much about this at all, but, I might suggest that you get a medical opinion just to make sure what the rash is. If it's yeast that is causing it, it might need a special kind of med to help it heal.
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I've been battling this same problem for several weeks now, you need the elastic gathers to help prevent leaks but they can chafe. Mom's rash got so bad it was actually bloody so I tried many different measures, I'm not sure which one is working or if it is a combination of them all.

Try different brands of briefs, I'm pretty sure it was my switching to a different supposedly better overnight style that started the problem in the first place.

I started snipping the elastic around the legs, I thought it better to leak that to be sore. You can place a disposable chuck under herself just in case.

Cover the area completely with a barrier cream. There are zinc ones and silicone (dimethicone) ones, I used a combination of both. The dimethicone one is longer lasting and doesn't wash off easily but I think the zinc has more healing properties.

I bought and continue to use a good peri wash to keep the area clean and PH balanced.

I've been using a hair dryer to make sure the area is completely dry before I renew the barrier cream... gives a whole new meaning to the idea of a blow dryer.
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