When To See Your Babys Healthcare Provider
If your baby exhibits any of the following, you may need to see her provider:
The diaper rash doesnât seem to go away, or worsens after two to three days of treatment
In addition to the diaper rash, there are also pimples, blisters, peeling skin, or pus-filled sores that are oozing or crusty
Your baby is on antibiotics and develops a rash thatâs bright pink or red with red spots around the edges
The rash is very painful when you touch it
In addition to the rash, your baby develops a fever.
Is Really Bad Diaper Rash Dangerous
Theres no strict answer to this question, as its solely dependent on the root cause. If confirmed to be induced by diarrhea and the underlying sickness is being successfully treated, its unlikely your babys really bad diaper rash will be serious. However, if an infection is the cause, antibiotic treatment could be required to avoid potentially sinister consequences.
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Keep The Area Clean And Pat Dry
Chemicals and fragrances often found in soaps and wipes can cause irritation and further inflame an already painful rash. To avoid worsening the problem, wipe gently with a clean, wet washcloth. Alternatively, you can use the tub or shower to wash the area with warm water and pat dry with a clean towel.
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When Does Diaper Rash Occur
In clinical practice I see diaper rashes among a range of ages but for a variety of reasons. In the neonatal period, diaper rashes are most commonly due to frequent stooling. Breastfed infants can often pass small stools up to six times a day. This frequent skin contact with stool can cause irritation. Prolonged exposure to moisture is a common cause of diaper rash in older infants and toddlers. This can be due to not changing the diaper frequently enough or from sweating during warm weather months. Toddlers who are toilet training often develop rashes overnight from a soiled pull-up.
Dr. Leah Alexander, MD, FAAP
Youre most likely to notice diaper rash when your baby at an age when he or she is sitting most of the time, and also eating solid foods that alter the acidity of his/her bowel movements.
There are, however, certain factors that can make your baby more prone to diaper rash. Chafing, skin sensitivity, and wet or infrequently changed diapers are often the culprits, according to Mayo Clinic.
Diarrhea or frequent bowel movements can also make your baby more likely to get diaper rash, says Johns Hopkins Health Library.
Also according to Johns Hopkins Health Library, babies taking antibiotics or who are breastfed by mothers taking antibiotics are more susceptible. This usually leads to a yeast infection in the diaper area.
What Does Diaper Rash Look Like
Common signs of diaper rash include:
Red bumps along with larger reddened areas of the skin around the diaper area or in the folds of your babyâs upper thighs
Peeling, flaking, or scaly skin
The affected area may look puffy and tender, and feel warm to the touch
Your baby seems irritable or fussy.
If the rash comes from a skin infection caused by yeast or bacteria, for example, then you might see more severe diaper rash signs, such as
Blisters or open sores
Watery fluid or pus seeping from reddened patches.
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Symptoms Of Diaper Rash
The most common symptom of diaper rash is red, tender-looking skin in the diaper area . 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 babys 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.
- Pimples or small ulcers form.
- The rash bleeds or oozes fluid.
- Your baby has a fever.
- The rash spreads to other areas, such as the arms, face, or scalp.
- The rash gets worse despite home treatment.
- The diaper rash occurs in the first 6 weeks of life.
What Are The Treatments For Diaper Rash
No matter how careful you are, your little one will probably get diaper rash at some point. Most babies do.
Luckily, there are creams and ointments to take care of the problem and diapering know-how that can help prevent it before it strikes.
So, plan ahead. Learn how to treat diaper rash and prevent flare-ups. Your baby’s little bottom will thank you!
Diaper rash happens when:
- You leave a wet or dirty diaper on too long
- Your babys skin rubs or chafes against the diaper itself
- Your baby gets a yeast infection
- Your baby gets a bacterial infection
- Your baby has an allergic reaction to their diaper
Babies get a diaper rash more often when they:
- Get older — especially between 9 and 12 months old
- Sleep in poopy diapers
- Are taking antibiotics, or if you take antibiotics and are nursing
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Yeast Infection Diaper Rash In Babies
Another common cause of diaper rash is a yeast infection, resulting from an overgrowth of fungus located in the digestive tract.In some instances, the same fungus that causes oral thrush, candida, may be responsible for your babyâs diaper rash. This type of yeast infection can occur if your baby has a weakened immune system, which can lead to an overgrowth of the candida fungus.A yeast infection can sometimes develop after your babyâs completed a course of antibiotics or if youâve taken antibiotics while breastfeeding. Antibiotics donât differentiate between good and bad bacteria, killing both kinds, and this can lead to a yeast infection or cause diarrhea, which irritates the diaper area.What to look for: Shiny, bright red patches with sharp edges. There may even be pink bumps or pimples, sores, or cracked skin that oozes or bleeds. A fungal diaper rash is often more severe when it appears in the folds of your babyâs groin, and this is another indication that it may not be your standard diaper rash.What to do about it: If you suspect this kind of diaper rash, contact your babyâs healthcare provider, who may prescribe a topical antifungal cream. Be sure to wash your hands before and after any diaper change to prevent the spread of the fungus.
Combating Diarrhea And Diaper Rash
If youre a parent of small children, you know that diaper rash is no joke. Diaper rash ranges from mild to severe and can be caused by chafing or irritation, a bacterial or fungal infection, or frequent urination or diarrhea. It is typically red and tender to the touch, so changing diapers or clothing touching the affected area can be quite painful.
Not only is diarrhea a common cause of diaper rash but it can also exacerbate an existing case of diaper rash, which can be especially painful for a child. Read on to learn how you can prevent and combat diaper rash and help keep your little one comfortable and pain-free during a bout of diarrhea.
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How To Prevent Yeast Diaper Rash
The best way to prevent yeast diaper rash is by keeping babys skin healthy and dry. Heres what to keep in mind:
Reduce skin contact with pee and poop. Ideally, change babys diaper as soon as it gets soiled. That could be about as frequently as every two hours. Opt for diapers that have super-absorbent gelling material, which helps wick away moisture, and protect skin with a petrolatum product , which acts as a barrier between the skin and any urine or fecal matter.
Let the skin breathe. Do this by making sure diapers fit properly and arent attached too tightly. Using breathable disposable diapers will help. (We list some of them in this guide. So can letting baby go diaper-free during the day whenever you can.
Treat regular diaper rash as soon as possible. If redness occurs, treat it early with a diaper cream with zinc oxide in it, Fisher says.
Danelle Fisher, MD, is an LA-based pediatrician and the vice chair of pediatrics at Providence Saint Johns Health Center in Santa Monica, California. She received her medical degree from Albert Einstein College of Medicine of Yeshiva University.
Gina Posner, MD, is a pediatrician at MemorialCare Orange Coast Medical Center in Fountain Valley, California. She earned her medical degree from New York Medical College and for over 10 years has volunteered with various organizations in the US and Dominican Republic mentoring and educating children and parents on different health topics.
Plus, more from The Bump:
What Is Diaper Rash
Diaper rash is a common condition that typically forms when the sensitive skin around your babyâs diaper area is in contact with urine or stool for too long.Diaper rash can make your babyâs skin red, very tender, and flaky. With proper treatment, it will usually clear up within three or four days. However, if the diaper rash doesnât noticeably improve within a couple of days, or, if it gets worse, call your babyâs healthcare provider for guidance.Protecting your baby against diaper rash means regularly changing his diapers. Fortunately, you can turn all those diaper into rewards and deals. to get access to special offers.
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How Long Does It Take Diaper Rash To Heal
Diaper rash can take up to four to seven days to heal, Levine says, although it can often clear up in a couple of days. Again, call a doctor if babys diaper rash doesnt get better, if it gets worse or spreads beyond the diaper area, if the area appears to be infected or if its associated with diarrhea, she adds. Some rashes in the diaper area may be symptoms of another illness and call for further treatment.
Triple Paste Diaper Cream
So, you probably already know that you are supposed to use diaper cream. But, there are SO MANY KINDS. We tried Vaseline, Butt paste, Desitin, and Aquaphor and they dont compare to the quality of Triple Paste! Plus, its a medicated ointment!
Triple Paste is the best, probably one of the top baby products Id suggest that every parent needs! Even if you dont use it daily as we do, you should bust it out at the first glimpse of a rash!
Triple Paste is the only diaper cream weve used since trying it! It heals my son much faster than even the prescription Nystatin. It is completely worth the money!
to Buy Triple Paste Diaper Cream
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Symptoms Of Severe Diaper Rash From Diarrhea
If watery diarrhea is the settled culprit, there are numerous symptoms to watch for. When sudden liquid bowel movements are contributing, its likely your babys red rash wont slacken and will gradually worsen in darkness and irritation. Intermediate flakes and scales could also arise, alongside miniature red swellings. Your babys skin may even start to peel as a result of severe diaper rash from diarrhea, and it will feel more uncomfortable for your child than milder conditions especially when paired with the likelihood of sickness causing the diarrhea in the first place.
Acidic Diaper Rash Treatment
Evaluating and changing your babys diet can be time-consuming, but dont worry. While youre working towards removing the foods that are upsetting your babys tummy, you can treat the acidic diaper rash with Triple Paste! This medicated diaper rash cream is loved by parents around the world for quickly relieving diaper rash symptoms. Simply apply the cream each diaper change until the redness and discomfort subside.
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What Causes Diaper Rash
The two biggest causes are wetness and friction. Basically, urine and stool from the diaper can irritate your babys skin over time. Diapers can also chafe or rub against your babys bottom, creating friction.
Changes in the pH of the skin from pee, poop or some skin products can cause rash.
In addition, soaps can break down skin over time, just as they break down germs and dirt. And, rarely, babies can be allergic to a specific ingredient in a diaper, wipe or soap.
While diaper rash can occur at any age, it is most common in babies 9 to 12 months old. It is also more likely to happen when your baby:
- Starts eating solid foods
- Begins sleeping through the night
- Has a cold or diarrhea
- Is taking antibiotics
Diaper Rash Caused By Allergens
Your baby may be sensitive or allergic to certain substances or ingredients, such as
dyes in soap or laundry detergent
the elastic in diapers
fragrances in soap, laundry detergent, fabric softeners, or diaper wipes
preservatives in ointments and creams
ingredients found in baby powder, lotions, and oils
What to look for: A rash may show up shortly after exposure to the allergen.What to do about it: Consider switching to another type of diaper, wipe, or cream for a two-week period to see if that helps clear up the rash. If a food allergy is suspected, remove that food from your babyâs diet. See your babyâs healthcare provider for diagnosis, possible testing, and treatment recommendations.
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Can Diaper Rash Be Prevented Or Avoided
In many cases, diaper rash can be avoided or prevented. Make these steps part of your daily routine.
- Check your babys diaper often and change it as soon as its wet or soiled.
- Allow your babys skin to dry completely before putting on another diaper.
- Secure diapers loosely to allow for airflow.
- Dont allow adhesive tabs to stick to your babys skin.
- Wash your hands before and after changing diapers to prevent spreading germs that could cause infections.
- Some babies get rashes often. You can apply a barrier ointment at every diaper change to prevent irritation. Products that contain zinc oxide or petroleum are good choices.
- Dont use powders, such as cornstarch or baby powder, on your babys bottom. Inhaled powder can irritate their lungs.