What to Do About Diaper Rash

Diaper rash is a common and often uncomfortable condition that affects babies, causing redness, irritation, and discomfort in the diaper area. It is typically caused by prolonged exposure to moisture, friction, or irritants like urine, stool, and certain chemicals in diapers or wipes. To address diaper rash, it is important to keep the area clean and dry, changing diapers frequently and using gentle wipes or a soft cloth. Applying a barrier cream, such as one containing zinc oxide, can help protect the skin. If the rash persists or worsens, consulting a pediatrician is recommended to rule out infections or other underlying issues.

What Is Diaper Rash?

Diaper rash is a common skin condition that affects babies. It usually occurs due to irritation from the diaper and moisture, but other causes are also possible.

What Are the Signs & Symptoms of Diaper Rash?

Most diaper rashes are caused by irritation from contact with pee, poop, or sweat. Occasionally, babies may develop a diaper rash from an allergic reaction to certain diapers, or from fragrances in laundry detergents, fabric softeners, soaps, or wipes.

Common signs of diaper rash due to irritation or allergy include:

  • Soreness
  • Redness in areas where the diaper touches the skin
  • Peeling or scaly skin
  • Fussiness or discomfort

Infections caused by yeast or bacteria can also lead to diaper rashes. Signs of an infection may include:

  • Red bumps
  • A red area with spreading red bumps
  • Red patches in skin folds
  • Blisters or open sores
  • Pus-filled sores
  • Fluid oozing from the affected areas

What Should I Do if My Baby Gets Diaper Rash?

  • Keep the skin dry: Allow your baby to spend time without a diaper whenever possible. Use a crib with a waterproof mattress cover or place your baby on a towel on the floor.
  • Check the diaper frequently: Change it as soon as it becomes wet or soiled.
  • With each diaper change:
    • Gently clean the diaper area with warm water. If your baby has a rash, avoid soaps and baby wipes, as these can further irritate the skin.
    • Let the skin dry completely before applying a diaper ointment or paste containing zinc oxide (like Desitin, Triple Paste, Balmex, or similar products).

When Should I Call the Doctor?

You should contact a doctor if:

  • The rash doesn’t improve after several days
  • There are pimples, blisters, or open sores
  • Your baby has diarrhea along with a fever or shows signs of dehydration
  • Pus is draining from the rash
  • Your baby seems very uncomfortable
  • Your baby has a fever of 100.4°F (38°C) or higher

How Can I Prevent Diaper Rash?

To prevent diaper rash, keep your baby’s skin as dry and clean as possible. This includes:

  • Frequent diaper changes: To minimize contact with pee and poop, which can irritate the skin.
  • Use a diaper ointment or paste: Apply it during every diaper change.
  • Opt for fragrance-free wipes: If you use wipes, choose ones without added fragrances.
  • Cloth diaper care: If you use cloth diapers, wash them with dye- and fragrance-free detergents. Avoid fabric softeners and dryer sheets.

Preventing diaper rash involves simple steps like maintaining good hygiene and choosing the right products for your baby’s sensitive skin.