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  Health Information Center  :  I  :  Infant Care

 Diaper Rash

 


What is a diaper rash?
Diaper rash is the most common skin problem among infants. It is generally caused by moisture in the diaper area causing a wet environment that promotes bacterial growth. As its name suggests, diaper rash begins in the diaper area but may eventually spread down toward the thighs.

What causes diaper rash?
The most common causes of diaper rash are:

  • Baby’s prolonged contact with soiled diapers, which causes bacteria to produce ammonia
  • Changes in the baby’s diet
  • As a consequence of the baby's changeover to eating solid foods
  • As a consequence of the baby taking antibiotics
  • Harsh clothing detergents used on baby’s laundry
  • Harsh soaps and lotions used on the baby’s skin

What are symptoms of diaper rash?
Diaper rash is easy to spot and its location is key. Some symptoms include:

  • Slightly reddened skin
  • An area that may be warm to the touch
  • Sores or scabs in genital areas (doctor's office should be called to schedule an evaluation)
  • Pimples and blisters in the diaper area (doctor's office should be called to schedule an evaluation)
  • Secondary infection by yeast or bacteria (doctor's office should be called to schedule an evaluation)

If these symptoms do not improve in 2 to 3 days you may need to contact your pediatrician.

In severe cases, diaper rash will cause a large area of redden skin and be combined with fever, open sores, and even bright red skin that peels off in sheets. If these symptoms occur, contact your pediatrician as soon as possible.

How can I prevent diaper rash?
Awareness is the key to preventing diaper rash:

  • Expose your baby's bottom to fresh air by leaving the diaper off whenever possible
  • Be aware and change your baby’s diapers as soon as they are wet or soiled; clean, dry diapers reduce the risk of diaper rash
  • If possible use cloth diapers while at home; disposable diapers increase the risk of diaper rash
  • Use mild detergent on your baby’s laundry, such as Dreft
  • Carefully observe any changes in your baby's skin and digestion when introducing new foods. Stay on one particular food for 3 to 5 days. A rash may develop during this time if your baby is allergic to a particular food.

What is the treatment for diaper rash?
The best treatment for diaper rash is prevention, but because it’s very common, your baby still might get it. Once the rash is noticed here are a few things to do:

  • Change your baby often to ensure dryness.
  • After a bowel movement, wash your baby's bottom with mild soap and warm water.
  • Use mild detergents on your baby’s laundry. Do not use fabric softeners, bleach, detergents or harsh soaps.
  • Apply an ointment or cream, such as Desitin or Vaseline, as a protective barrier between your baby's skin and urine and stool.
  • Take note of any food or juice that may cause the diaper rash.
  • Allow your baby’s bottom to receive fresh air by leaving diapers off while at home, and especially during naps. Place your baby on a few cloth diapers or blankets over a waterproof pad.








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