Diaper rash

Diaper Rash

What is diaper rash?

Diaper rash (diaper dermatitis) is skin irritation in the diaper area. It's usually caused by wearing wet or dirty diapers too long, which lets urine and stool irritate the skin. Diaper rash is common in young children, but it can occur at any age if diapers or incontinence briefs are worn.

What are the symptoms of diaper rash?

Diaper rash is a red rash in the diaper area (around the genitals, buttocks, upper thighs, or lower belly). It may look like the skin has been burned or scalded. If the rash is severe, it may blister and peel or become raw, ooze fluid, or bleed.

How is diaper rash diagnosed?

A doctor can usually diagnose diaper rash by asking some questions and looking at the rash. But most diaper rashes will go away with home treatment. A doctor visit may not be needed unless the rash continues or gets worse.

How is diaper rash treated?

If the skin in the diaper area is very irritated, the doctor may recommend a mild steroid cream to reduce inflammation. An antifungal treatment may be prescribed for a rash caused by a yeast infection. If the rash is caused by a bacterial infection, the doctor may prescribe an antibiotic cream or pills.

How can you care for your child's diaper rash?

  • Change diapers as soon as they are wet or dirty. Before you put a new diaper on your baby, gently wash the diaper area with warm water. Rinse and pat dry. Wash your hands before and after each diaper change.
  • Air the diaper area for 5 to 10 minutes before you put on a new diaper.
  • Use a diaper cream such as A+D Ointment, Desitin, Diaparene, or zinc oxide with each diaper change.
  • Do not use baby wipes that contain alcohol or propylene glycol while your baby has a rash. These may burn the skin.
  • Wash cloth diapers with mild detergent. Do not use bleach.
  • Do not use plastic pants for a while if your child has a diaper rash. They can trap moisture against the skin.
  • Do not use baby powder while your baby has a rash. The powder can build up in the skin folds and hold moisture. This lets bacteria grow.
  • If rashes continue, try a different brand of disposable diaper. Some babies react to one brand more than another brand.

Diaper rash in children: When to call

Call your doctor now or seek immediate medical care if:

  • Your baby has pimples, blisters, open sores, or scabs in the diaper area.
  • Your baby has signs of an infection from diaper rash, including:
    • Increased pain, swelling, warmth, or redness.
    • Red streaks leading from the rash.
    • Pus draining from the rash.
    • A fever.

Watch closely for changes in your child's health, and be sure to contact your doctor if:

  • Your baby's rash is mainly in the skin folds. This could be a yeast infection.
  • Your baby's diaper rash looks like a rash that is on other parts of their body.
  • Your baby's rash is not better after 3 days of treatment.

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The content above contains general health information provided by Healthwise, Incorporated, and reviewed by its medical experts. This content should not replace the advice of your healthcare provider. Not all treatments or services described are offered as services by us. For recommended treatments, please consult your healthcare provider.

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