A diaper rash is common but very uncomfortable skin rash that is seen in infants. This red, painful rash thrives in warm, moist environments and may even cause the skin to be scaly, bumpy, or raw. It accounts for about 20% of all childhood visits to a dermatologist.

Some infants are prone to this rash and may get it frequently especially if they have an underlying condition such as eczema.

CAUSES

rashes on diaper area

A diaper rash is often a type of contact dermatitis. Contact dermatitis occurs when the skin reacts after getting in contact with an irritant, in this case, in the diaper area. Some of these irritants include the following:

Urine
Feces
Soaps
Scents and chemicals in diapers or wipes

In some cases, the rashes may be a result of yeast infections and seborrheic diaper dermatitis.

RISK FACTORS

If any of the following factors apply to an infant, preventive measures might be necessary:

Infrequent changing of diapers
Diarrhea
Use of antibiotics
Receiving breastmilk from someone taking antibiotics
Wearing ill-fitted diapers
Acidic foods such as citrus
Underlying condition such as eczema

WHEN TO SEE A DOCTOR

baby check up for diaper rash

Most cases clear up overtime, especially with proper hygiene. In some cases though, it may be necessary to see a doctor especially when an infant has any of the following symptoms:

Blisters
Fever
Persistent rash
Swelling
Rashes with pus

TREATMENT AND PREVENTION

diaper rash treatment

Change diapers often

Allowing an infant to remain in wet or soiled diaper especially when they already have a rash can make the symptoms worse.

Switch diaper brands or laundry soaps

Frequent diaper rash could mean that the culprit may be the diaper itself. Switch to a new brand with little to no harmful ingredients that could potentially harm the skin. If you choose to use cloth diapers, get a type of laundry detergent that is unscented, to help clear persistent or recurring rashes.

Allow the affected area to breathe

When an infant has a diaper rash, it would be best to have them spend time during the day with no diaper or bottoms to help the area breathe and heal.

Avoid tight diapers

Diapers come in sizes. Ill-fitting ones may irritate the baby’s skin. Caregivers and parents should check that all diapers fit correctly and ensure that they get larger sizes as the infant grows.

Try diaper creams and ointments

diaper cream

There are many barrier creams that can sooth babies’ skin while wearing diapers. Look for creams that contain zinc oxide, and apply a thick layer to the affected skin and allow the area to dry.

Avoid using baby wipes

While it is essential to keep the area clean, baby wipes can sometimes further irritate an existing rash. It is better to clean the diaper area with scent-free soap and water before patting it dry. In situations where it is not possible, choose a scent-free and alcohol-free wipes.

Considering removing any new foods

diaper rash prevention

Introducing new foods to infants is usually beneficial, but certain acidic foods such as citrus fruits and tomatoes may cause infants’ feces and urine to become acidic, which can irritate the skin. It is better to introduce them in small quantities and monitor their diaper area if a diaper rash develops at the same time.

Do not scrub the area

Keep the infant’s diaper area clean and dry. Also remember that when cleaning, gentle cleaning is key. Scrubbing the area or rubbing it dry can further irritate the rash and damage the skin.