What is diaper rash?
Diaper rash is redness and rash on a baby’s bottom or genital area. It is a very common rash. Most babies will get it from time to time. Normally, diaper rash can be treated easily at home.
Symptoms of diaper rash
The most common symptom of diaper rash is red, tender-looking skin in the diaper area (buttocks, thighs, and genitals). It could be a few spots, or the rash could cover much of the diaper area. Babies with diaper rash often fuss or cry when the area is touched or cleaned.
In bad cases, the rash can cause pimples, blisters, or other sores on your baby’s diaper area. If the rash gets infected, it may become bright red and the skin may get swollen. Small red patches or spots may spread beyond the main part of the rash, even outside the diaper area.
Diaper rash can be traced to a number of sources, including:
- Irritation from stool and urine. Prolonged exposure to urine or stool can irritate a baby’s sensitive skin. Your baby may be more prone to diaper rash if he or she is experiencing frequent bowel movements or diarrhea because feces are more irritating than urine.
- Chafing or rubbing. Tightfitting diapers or clothing that rubs against the skin can lead to a rash.
- Irritation from a new product. Your baby’s skin may react to baby wipes, a new brand of disposable diapers, or a detergent, bleach or fabric softener used to launder cloth diapers. Other substances that can add to the problem include ingredients found in some baby lotions, powders and oils.
- Bacterial or yeast (fungal) infection. What begins as a simple skin infection may spread to the surrounding region. The area covered by a diaper — buttocks, thighs and genitals — is especially vulnerable because it’s warm and moist, making a perfect breeding ground for bacteria and yeast. These rashes can be found within the creases of the skin, and there may be red dots scattered around the creases.
- Introduction of new foods. As babies start to eat solid foods, the content of their stool changes. This increases the likelihood of diaper rash. Changes in your baby’s diet can also increase the frequency of stools, which can lead to diaper rash. If your baby is breast-fed, he or she may develop diaper rash in response to something the mother has eaten.
- Sensitive skin. Babies with skin conditions, such as atopic dermatitis or seborrheic dermatitis (eczema), may be more likely to develop diaper rash. However, the irritated skin of atopic dermatitis and eczema primarily affects areas other than the diaper area.
- Use of antibiotics. Antibiotics kill bacteria — the good kinds as well as the bad. When a baby takes antibiotics, bacteria that keep yeast growth in check may be depleted, resulting in diaper rash due to yeast infection. Antibiotic use also increases the risk of diarrhea. Breast-fed babies whose mothers take antibiotics are also at increased risk of diaper rash.
The best way to prevent diaper rash is to keep the diaper area clean and dry. A few simple strategies can help decrease the likelihood of diaper rash developing on your baby’s skin.
- Change diapers often. Remove wet or dirty diapers promptly. If your child is in child care, ask staff members to do the same.
- Rinse your baby’s bottom with warm water as part of each diaper change. You can use a sink, tub or water bottle for this purpose. Moist washcloths, cotton balls and baby wipes can aid in cleaning the skin, but be gentle. Don’t use wipes with alcohol or fragrance. If you wish to use soap, select a mild, fragrance-free type.
- Gently pat the skin dry with a clean towel or let it air dry. Don’t scrub your baby’s bottom. Scrubbing can further irritate the skin.
- Don’t overtighten diapers. Tight diapers prevent airflow into the diaper region, which sets up a moist environment favorable to diaper rashes. Tight diapers can also cause chafing at the waist or thighs.
- Give your baby’s bottom more time without a diaper. When possible, let your baby go without a diaper. Exposing skin to air is a natural and gentle way to let it dry. To avoid messy accidents, try laying your baby on a large towel and engage in some playtime while he or she is bare-bottomed.
- Consider using ointment regularly. If your baby gets rashes often, apply a barrier ointment during each diaper change to prevent skin irritation. Petroleum jelly and zinc oxide are the time-proven ingredients in many diaper ointments.
- After changing diapers, wash your hands well. Hand-washing can prevent the spread of bacteria or yeast to other parts of your baby’s body, to you or to other children.
In the past, it was common to use powders, such as cornstarch or talcum powder, to protect a baby’s skin and absorb excess moisture. Doctors no longer recommend this. Inhaled powder can irritate a baby’s lungs.
The best treatment for diaper rash is to keep your baby’s skin as clean and dry as possible. If your baby’s diaper rash persists despite home treatment, your doctor may prescribe:
- A mild hydrocortisone (steroid) cream
- An antifungal cream, if your baby has a fungal infection
- Topical or oral antibiotics, if your baby has a bacterial infection
Use creams or ointments with steroids only if your baby’s pediatrician or dermatologist recommends them — strong steroids or frequent use can lead to additional problems.
Diaper rashes usually require several days to improve, and the rash may come back repeatedly. If the rash persists despite prescription treatment, your doctor may recommend that your baby see a specialist in skin conditions (dermatologist).
Lifestyle and home remedies
Generally, a diaper rash can be treated successfully at home with these practices:
- Keeping diaper area clean and dry. The best way to keep your baby’s diaper area clean and dry is by changing diapers immediately after they are wet or soiled. Until the rash is better, this may mean getting up during the night to change the diaper.
After you’ve gently cleaned and dried the skin, apply a cream, paste or ointment. Certain products, such as zinc oxide and petroleum jelly, work well to protect the skin from moisture. Don’t try to scrub off this protective layer completely at the next diaper change, as that could hurt the skin more. If you do want to remove it, try using mineral oil on a cotton ball.
- Increasing airflow. To aid the healing of diaper rash, do what you can to increase air exposure to the diaper region. These tips may help:
- Air out your baby’s skin by letting him or her go without a diaper and ointment for short periods of time, perhaps three times a day for 10 minutes each time, such as during naps.
- Avoid airtight plastic pants and diaper covers.
- Use diapers that are larger than usual until the rash goes away.
- Applying ointment, paste, cream or lotion. Various diaper rash medications are available without a prescription. Talk to your doctor or pharmacist for specific recommendations. Some popular over-the-counter products include A + D, Balmex, Desitin, Triple Paste and Lotrimin (for yeast infections).
Zinc oxide is the active ingredient in many diaper rash products. They are usually applied to the rash throughout the day to soothe and protect your baby’s skin. It doesn’t take much – a thin covering will do. The product can be applied over medicated creams, such as an antifungal or a steroid, when necessary. You could also apply petroleum jelly on top, which helps keep the diaper from sticking to the cream.
Ointments, pastes or creams may be less irritating than lotions. But ointments and pastes create a barrier over the skin and don’t allow it to receive air. Creams dry on the skin and allow air through. Talk with your doctor about what type of product would be better for your child’s rash.
As a general rule, stick with products designed for babies. Avoid items containing baking soda, boric acid, camphor, phenol, benzocaine, diphenhydramine, or salicylates. These ingredients can be toxic for babies.
- Bathing daily. Until the rash clears up, give your baby a bath each day. Use warm water with mild, fragrance-free soap.
When to see a doctor
If your baby’s skin doesn’t improve after a few days of home treatment, talk with your doctor. Sometimes, you’ll need a prescription medication to treat diaper rash.
Have your child examined if the rash:
- Is severe or unusual
- Gets worse despite home treatment
- Bleeds, itches or oozes
- Causes burning or pain with urination or a bowel movement
- Is accompanied by a fever
Combat Diaper Rash Through Prevention
Diaper rash is an inevitability that starts with irritation, peaks with screaming, and promises to be repeated often. Controlling it is all about controlling moisture. If a baby’s wet, change them. Clean the area with water, then dab it dry.
The best way to counteract is to prevent it. Don’t let babies stay in wet or dirty diapers for too long. If there’s a little bit of redness, you can apply diaper cream (preferably a zinc oxide-based one), but really the way it’s going to heal fastest is to keep it dry. Use water to clean, and dabbing to dry.