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Overview

Diaper Rash: Treatment, Procedure, Cost And Side Effects

What is Diaper Rash?

Diaper rash typically appears on the skin of infants and younger children under their diaper. It may happen to almost every baby at least for once during the first 3 years of life, and it is more likely to happen to the 9-12 months old babies. This is the time when the baby is still sitting most of the time and is also eating solid foods, which may change the acidity of the bowel movements.

Causes of Diaper Rash

Negligence in hygiene of baby results in diaper rashes. It is necessary to take some extra care on terms of hygiene of infants. The main causes of diaper rashes are not just limited to the baby's hygiene, but there are several factors which causes diaper rashes:

  • Friction: One of the main cause of diaper rash is when the sensitive baby skin is rubbed by wet diapers resulting in a red, shiny rash on exposed areas.
  • Irritation: The diaper or the acid in urine and bowel movements can cause irritation.
  • Fungal or yeast infection: Such infection is very common after the use of antibiotics. It usually has a bright, beefy red appearance.
  • Allergic reaction: Diaper wipes, diapers, laundry detergent, soap, lotion may cause a reaction that results in rashes on the skin.
  • Seborrhea: This may appear on the other parts of the body like face, head and neck of the baby in appearance of an oily, yellow-colored rash.
  • Bacteria: These causes are less common but bacteria like staph can cause rashes to the baby's skin.

Symptoms of Diaper Rash

It is fairly easy to identify a diaper rash. More usually the rashes appear on the skin underneath the diaper area. Diaper rashes make skin red and irritated. It may appear all over your baby's bottom or genital area, or only in certain places.The affected skin may also be warm to the touch.

An infant or young child with a diaper rash may complain or cry during diaper changes and become more irritable especially when the skin in the diaper area is being cleaned or touched.

Types of Diaper Rash

There are usually four types of diaper rashes:

  1. Irritants: This is the most common type of the diaper rash caused by diaper itself and wet skin being in contact with the diaper
  2. Candida: Candida is a kind of infection caused by fungal and yeast overgrowth. Diapers are the perfect place for yeast or fungal to thrive as it grows rapidly in a warm, moist environment.
  3. Allergic: Such diaper rashes occurs due to an allergic response caused by contact with chemicals and materials in the diaper, wipes, diaper cream, lotion, soaps, shampoos, or laundry detergents.
  4. Bacterial: The most common reason of bacterial dermatitis to happen is Staph. Bacterial rashes often occur when the baby skin is already irritated or has small cuts and abrasions usually from vigorous wiping or other reasons.

Treatment of Diaper Rash

A few steps may be taken towards tackling the diaper rash problem to baby's skin:

  1. Going by the old saying that prevention is always better than cure, it is more important in infant's case as preventing the diaper rash with proper hygiene and care is better to treat it later. however, the use of highly fragranced products, including fabric softeners and dryer sheets should be avoided. One should know that for most babies fragrance-free products are much less irritating. While treating diaper rash, one should keep a few things in mind:
  2. Keep it clean and dry Keeping your baby's diaper dry and clean is the most important way to prevent and treat diaper rash. Also ensure that diaper isn’t wrapped to the baby's skin too tightly.
  3. Diaper-changing Being a little more vigilant about the diaper changing is important. Change the diaper ideally as soon as it’s soiled.
  4. Use creams and jellies Using creams containing zinc to soothe the skin and prevent contact with feces and other irritants is a good idea.
  5. See your child’s pediatrician You must call a pediatrician when the diaper rash on your baby's skin becomes infected.

Popular Health Tips

4 Basic Skin Problems in Infants

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
4 Basic Skin Problems in Infants

Your baby's skin requires constant care and protection because it is exposed to the ravages of pollution, dust and harmful UV rays. A healthy skin also has aesthetic benefits apart from being disease resistant.
It takes about a year for the epidermis of a baby to develop and function effectively. Once the baby turns one, the skin gets thicker and more immune to skin problems.

Here are four common skin problems found in almost every infant:

  1. Prickly heat rashes: Prickly heat rashes are the rashes, which develop on the face, neck, back or the bottom of the baby because of heat. To deal with this situation you should try to keep the infant cool and dry (not let him/her sweat) and ensure that they wear loose and comfortable clothes made of cotton.
  2. Seborrhea: Rashes that develop on the scalp, eyebrows, cheeks, chest, and/or neck of a newborn baby (up to 6 months), are known as seborrhea. It appears to be gruesome, but does not bother the baby. It is recommended to use mild baby shampoo and creams to get rid of the problem. If there is no improvement, consult a dermatologist.
  3. Eczema: About 20% of the babies suffer from a very itchy skin rash known as 'eczema'. The affected area of the skin may turn red, ooze pus or crust over. It can be a result of an irritation caused due to sweating in a hot weather or due to the drying up of skin in a cold weather. Some clothing, specifically wool can even trigger this skin condition in a baby. A dermatologist or a paediatrician should be consulted in order to know what should be done.
  4. Diaper rash: Diaper rash is the development of red and inflamed skin in the area under the diaper. It is recommended to check the diaper for any wetness at regular intervals, and to change it when required. The diaper should not be too tight or left on too long. Applying a diaper rash ointment and keeping the area dry and open whenever possible can help in relieving your baby from the problem.
2618 people found this helpful

How To Deal With Rashes Due To Periods?

MD - Dermatology, MBBS
Dermatologist, Delhi
How To Deal With Rashes Due To Periods?

Periods, on their own, can be very uncomfortable but sometimes it can also trigger a rash making it all the more uncomfortable. This is a common problem faced by women who use commercial pads or sanitary napkins during this period. This is because they contain plastics, scents and chemicals that can irritate the sensitive skin in your genital area. Here are a few tips to help you deal with these rashes:

  1. Change Your Pads Regularly: Whether your flow is light or heavy, the same pad should not be worn for more than 4 to 6 hours. Change your pads even if your pad does not look full once this time has passed. Along with menstrual blood, sanitary napkins also soak up sweat and bacteria. The groyne area is naturally moist and warmer than the rest of your body making it the ideal condition for bacteria to grow. Changing your pad regularly keeps these bacteria from multiplying.

  2. Consider Alternatives: One of the main reasons pads cause rashes is because they rub against the skin and this friction irritates the skin. Hence, consider alternatives like tampons and menstrual cups that do not rub against the skin. You could also try cloth pads made using natural unbleached cotton.

  3. Wear Right Underwear: Avoid synthetic underwear and use the only cotton while you are on your periods. This allows the skin to breathe and keeps moisture from building up inside the underwear. Also, ensure that your underwear fits well and can hold your pad in place.

  4. Clean Well: Do not use wipes or tissue to clean your genital area but instead wash gently with water a few times a day. Once washed, dry the skin thoroughly before putting your underwear on. Do not use any type of soap, body wash or scents in the area. Also, avoid bubble baths and saunas.

See a Doctor: In some cases, a rash can also be a symptom of herpes or a vaginal yeast infection. If you alternate between pads and tampons, a rash could also be a sign of toxic shock syndrome. Hence, if the rash persists for a few days, consult a doctor. Your doctor can prescribe a topical cream to be used to relieve the itchiness and inflammation depending on the rash. You could also use an anti-chafing cream on your bikini line. Diaper rash cream is an over the counter cream that usually works well in such cases.

If you wish to discuss any Specific problem, Consult a Gynaecologist.

6251 people found this helpful

All About Diaper Rash in Children

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
All About Diaper Rash in Children

Your baby's skin is soft and sensitive. Being cautious can reduce the chances of skin infections, but it doesn't in any way refute the possibility altogether. Hence, you must be overly careful. Your baby could face intense discomfort if you happen to neglect the appearance of diaper rashes. Persistent rashes on your baby's bottom can make him or her irritable. Look into the causes and remedies of diaper rash in children to keep your baby cheerful.

Causes of Diaper Rash in Babies:

  1. Friction and lack of air circulation between the skin and the diaper can make your baby suffer from rashes. Make sure the baby doesn't rub against a diaper for too long; existing rashes can go worse in that case.
  2. You should never let your child remain in a dirty diaper for more than a while. A dirty diaper increases the risk of bacterial infections on your baby's bottom.
  3. Skin chafing could also be the reason behind diaper rashes.
  4. Yeast infections could surface in the form of rashes on a baby's bottom. Yeast or fungus is present in small amounts in every person's body. It can be easily developed in the moist yet warm atmosphere of a child's diaper. Being the mother, if you are on medications, your child's chances of contracting skin rashes is likely to be more. The side effects show in children as they are breastfed.

Ways to Treat Diaper Rash in Babies:

  1. Each time a diaper is changed; the area must be washed with lukewarm water and cleaned with a soft piece of cloth. The area should then be dried completely. It is best to avoid soaps as they can be harsh on sensitive skin.
  2. Applying ointments or petroleum jelly can soothe diaper rash. Powder can keep the area dry; it can also remedy itching.
  3. Feed your child liquids like cranberry juice; it makes his or her urine less concentrated. Concentrated urine can cause severe bacterial infection.

Related Tip: "Diaper Rash: 8 Questions Answered by Dermatologist"

3069 people found this helpful

Diaper Rash: 8 Questions Answered By Dermatologist

MD - Dermatology, MBBS
Dermatologist, Delhi
Diaper Rash: 8 Questions Answered By Dermatologist

Here are a few questions which every new mother wants to know when they see a diaper rash:

1. Should the baby's diet be changed during a diaper rash?
Certain food items such as fruit juices can lead to diarrhea in babies. This can lead to a diaper rash. When new food is introduced or antibiotics are given, then that might also affect the digestion of the baby.

2. Are teething and diaper rash related?
As per dermatologists, the two have nothing in common though they might occur at the same time.

3. Which ointment should be used for a diaper rash?
Ointments that contain zinc oxide can provide relief from diaper rash. A thick layer should be applied on the skin to keep away irritants as if all of it is rubbed off then it might cause pain.

4. Can cloth diapers be an alternative?
The fact is that there is no proof that a cloth diaper might be better than the other diaper in case of a rash. In case, disposable diapers are used, then care should be taken to change them frequently as rashes can occur due to a moist environment. If the baby is allergic to a particular brand, then changing the same could prove to be helpful. Diapers induced with fragrances and dyes can cause allergic reactions. Babies who are allergic to disposable diapers, can do better with cloth ones, though they should be changed frequently. The rule is one diaper per hour, so the needful should be done.

5. What type of wipes are best for the baby in case of a sore bottom?
In case of a diaper rash a mild, fragrance free wipe should be used. Wipes which are labeled as hypoallergenic or for sensitive skin should be used. If the baby poops then he or she must be cleaned with a cloth and water and later some mineral oil should be applied to the baby's bottom.

6. What should be done if nappy rash extends to the other parts?
In case there are red spots and patches outside the nappy area, then the baby might be suffering from infection. If this happens then consult your doctor.

7. What should be done to give relief to the baby?
The best thing to do is that the baby's bottom should get some air. Leave the baby without a diaper, as this gives his skin a break from the rubbing, and germs which might be present in wet places like a diaper. Application of the cream with zinc oxide, provides relief to a baby.

8. How long does the rash last?
Maximum 3 days.

3888 people found this helpful

Are Baths Good For Diaper Rash?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Skin & VD, DNB
Dermatologist, Raipur
Are Baths Good For Diaper Rash?

Here are a few questions which every new mother wants to know when they have a diaper rash:

1)Should the baby's diet be changed during a diaper rash?

Certain food items such as fruit juices can lead to diarrhea in babies. This can lead to a diaper rash. When new food is introduced or antibiotics are given then that might also affect the digestion.

2)Are teething and diaper rash related?
As per dermatologists, the two have nothing in common though they might occur at the same time.

3)What ointment should be used for diaper rash?
Ointments like zinc oxide can provide relief in diaper rash. A thick layer should be applied on the skin to keep away irritants. If all of it rubbed off then it might cause pain.

4)Are cloth diapers an alternative?
The fact is that there is no proof that a cloth diaper might be better than the other diaper in case of a rash. In case disposable diapers are used then care should be taken to change them frequently as rashes can occur due to a moist environment. If the baby is allergic to a particular brand then changing the same could prove to be helpful. Diapers induced with fragrances and dyes can cause allergic reactions. Babies who are allergic to disposable diapers can do better with cloth ones, though they should be changed frequently. The rule is one diaper per hour so the needful should be done.

5)Which wipes are best for a baby in case of a sore bottom?
In case of a diaper rash a mild, fragrant free wipe should be used. A product with minimum products should be used. Wipes which are labeled as hypoallergenic or sensitive skin should be used. 
If the baby poops then the baby should be cleaned with a cloth and water. A wet washcloth should be used and later some mineral oil should be applied on the bottoms.

6)What should be done if nappy rash extends to the other parts?
In case there are red spots and patches outside the nappy area then the baby might be suffering from infection. If this happens then consult your doctor.

7)What should be done to give relief to the baby?
The best thing to do is that the baby's bottom should get some air. Leave the baby without a diaper, as this gives his skin a break from the rubbing, and germs which might be present in wet places like a diaper. Application of zinc oxide pastes provides relief to a baby.

8)How long does the rash last?
Maximum 3 days.

4203 people found this helpful

Popular Questions & Answers

My baby will complete 5th month on 17th. Yesterday she did stool in evening then again in night .today also till now did 2 times watery stool. Due to this diaper rashes r visible what to do for the stool and the rashes. Please guide.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Gondiya
Hello. If your Baby is on exclusive breast milk. No need to worry for 2-3 loose stools. Donn apply diaper for too long. Keep parts dry. U can apply diaper rash cream.

My daughter has diaper rashes and mouth ulcer also please help me she's only 6 month old.

BHMS, Certified in Aesthetic Skin Treatments, Certified in Applied Behaviour Analysis
Homeopath, Mumbai
Hello, At the first sign of a diaper rash, try the following steps: Keep the skin dry, and make sure the skin is not in contact with urine and stool. Change the diaper every time it is wet. Do not use "baby wipes" that have alcohol Keep the diapers off as much as possible Give more fluids to make the urine less concentrated. Do not use baby powder while a rash is present. Apply plain petroleum jelly or Vaseline on the rash when using the diaper. Please go to your nearby doctor for physical examination if you see any of the following A rash in the diaper area looks like a rash on other parts of the body. Signs of infection develop. Symptoms become more severe or frequent. For mouth ulcers give homeopathic medicine Borax 30 4pills 4 times a day. Your feedback matters for further follow up. Take care.
3 people found this helpful

Table of Content

What is Diaper Rash?

Causes of Diaper Rash

Symptoms of Diaper Rash

Types of Diaper Rash

Treatment of Diaper Rash

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Having issues? Consult a doctor for medical advice