Almost every baby will have a diaper rash at some time. Most are due to exposure to the moisture, bacteria, and ammonia naturally found in urine and feces. These skin irritants are present in variable amounts in each child. It is not surprising that bouts of diarrhea are more likely to cause diaper rashes in infants and toddlers. Diaper rashes occur equally with cloth and disposable diapers.

With appropriate treatment, most diaper rashes are usually better in 3 days. If they do not respond, a yeast infection has probably occurred. You should suspect this if the rash becomes bright red and raw, covers a large area, and is surrounded by red dots. You can use over the counter Lotrimin (or generic equivalent) 2-3 times a day to the area if you suspect a yeast rash. Use this until the rash is gone. Cover the area with a barrier diaper cream such as Triple Paste or Butt Balm when you are not using the Lotrimin.

Change Diapers Frequently. The key to successful treatment is keeping the area dry and clean so that it can heal itself. Check the diapers about every hour, and if they are wet or soiled, change them at that time. Make sure that your baby’s bottom is completely dry before closing up the fresh diaper.

Increase Air Exposure. Leave your baby’s bottom exposed to the air as much as possible each day. Practical times are during naps or after bowel movements. Put a towel or diaper under your baby as a “safety net.”

Rinse the Skin with Warm Water. Washing the skin with soap after every diaper change will likely lead to more irritation. Use a mild soap such as Dove after bowel movements, as the soap will remove the film of bacteria left on the skin. After using soap, rinse well with warm water. If the diaper rash is quite raw, use warm water soaks for 15 minutes three times every day.

Please call our office (704-542-5540) if the area begins to look infected (yellow pus, blisters, red streaks) or if your child begins to act as if they are uncomfortable.