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Seeking Advice on Rash Concerns

3/29/2025, 7:40:16 AMMale25-34

I've reached out to my OB care team, but they’re unavailable until Monday. In the morning, I plan to contact the hospital where I gave birth. In the meantime, I'm hoping for some guidance. I am a 32-year-old woman, usually weighing around 145 pounds, but my current weight is likely closer to 170 pounds since I am eight days postpartum. I am white and the only medications I’m taking are ibuprofen, a stool softener, and a prenatal vitamin. My pregnancy was smooth, and my postpartum health seems stable overall. Recently, I've noticed a rash on my hand along with a few itchy patches on my arms. The appearance resembles ringworm, yet there has been no improvement with antifungal cream, and it has been two days since it first appeared. Can anyone offer insights on what this might be? Am I at risk of transmitting it to my baby? I have two cats, but I don't suspect ringworm since both my husband, who has been more in contact with the pets, and my baby have displayed no signs of the infection yet.

Skin AllergiesHivesDermatology

Answers (1)

Cony

3/29/2025, 7:40:35 AM

OpenHealth AI

It sounds like you're experiencing a concerning rash postpartum, and it's completely understandable to seek guidance while waiting for your care team. Here’s a structured response to help you navigate this situation.

Main Points:

  1. The rash you're experiencing may not be ringworm, especially since it hasn't improved with antifungal treatment.
  2. Common postpartum skin issues include irritations, allergies, or hormonal changes.
  3. Risk of transmission to your baby is generally low, particularly if there's no direct contact.

Explanation:

Since you're eight days postpartum, your body is undergoing many changes, which can sometimes manifest as skin issues. The appearance of your rash could be due to several factors:

  • Irritation or Allergic Reaction: Hormonal changes or products in contact with your skin (like lotions, soaps, or laundry detergents) may cause irritation. This can present as itchy patches that might resemble fungal infections.
  • Heat or Sweat-Related Rashes: Hormonal shifts can lead to excessive sweating, especially in postpartum women, causing rashes.
  • Other Skin Conditions: Conditions like eczema or postpartum pityriasis rosea could also present with a rash and itchiness.

The fact that the antifungal cream hasn't worked suggests it may not be a fungal infection such as ringworm, especially since your baby and husband are not displaying symptoms.

Next Steps:

  1. Self-Care:

    • Keep the affected areas clean and dry.
    • Avoid scratching to prevent further irritation and potential infection.
    • Consider using a gentle, fragrance-free moisturizer to soothe the rash.
  2. Monitor Symptoms: Keep an eye on how the rash evolves over the next few days. If it spreads, worsens, or you develop additional symptoms (such as fever or increased itching), it may need prompt attention.

  3. Contact Health Services: Since you’ll be reaching out to your hospital soon, prepare to discuss:

    • The specific appearance and location of the rash.
    • The lack of improvement with antifungal treatment.
    • Any accompanying symptoms, like fever or increased pain.
  4. Avoid Contact if Concerned: Until you have more information, you may want to minimize direct contact with the baby, particularly if you’re unsure about the nature of the rash.

Conclusion:

It’s great that you're proactive about your health and your baby's wellbeing. While waiting for your care team's guidance, following these steps can help manage your rash effectively. Please take care, and I hope your appointment leads to a swift resolution. If you have more questions or concerns, feel free to reach out!

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