Types and Treatments of Diaper Rash | Dermatology

Diaper Rash

What is a diaper rash?

Diaper rash grows in warm, humid places. They are particularly comfortable in your baby’s diaper. These rashes can look like red spots on your baby’s bottom or red scales in the genital area.

Diaper rash can be caused by:

  • Irritation from faeces and urine
  • New foods or products
  • Sensitive skin
  • Too tight a diaper

What causes a diaper rash?

Diaper rash is usually the result of irritation, infection, or allergy.

  • Irritation: A baby’s skin can become irritated when the diaper is left on for too long and the poop (or the diaper itself) rubs against the skin repeatedly.
  • Infection: Urine (pee) changes the pH levels of the skin and that allows bacteria and fungi to grow more easily. Substances that prevent diapers from leaking also impede air circulation, creating a warm, humid environment where bacteria and fungi can thrive and cause a rash.
  • Allergies Babies with subtle skin can also develop rashes. Some types of cleaner, soaps, diapers (or diaper dyes), or baby wipes can move sensitive skin and cause a rash.
  • Also, preliminary new foods can change the content and frequency of a baby’s poop, which can occasionally lead to a diaper rash. And diarrhea can make a current case of diaper rash worse.

Diaper rash that lasts for more than a few days, even with changes in the diaper-changing routine, can be caused by a yeast called Candida albicans. This rash is usually red, slightly raised, and has small red dots that extend beyond the main part of the rash. It often begins in the deep folds of the skin and can spread to the skin on the front and back of the baby. Antibiotics given to a baby or breastfeeding mother can cause this by killing the “good” bacteria that prevent Candida from growing.

What parents can do to prevent diaper rash?

In general, try to limit the contact of urine and feces with the skin:

  • Change diapers frequently: Moisture from leaving a wet or dirty diaper for too long can cause skin irritation. The urine in the diaper can also break down over time to produce irritating chemicals. Also, the digestive enzymes contained in the stool can start to wear down on the skin.
  • Cleanse the skin gently during changes: For wipes, choose a product that does not contain alcohol or fragrance. You can also cleanse the skin with water and a mild / soap-free cleanser, which may be less painful than cleaning if the skin is irritated or has open sores. Use a spray bottle of water for severe rashes, if possible, to rinse without rubbing. Tap gently and allow the skin to air dry.
  • Cover the skin with a thick layer of protective paste: The brand is less important than the ingredients. Zinc oxide and petroleum jelly are good options, and fragrance-free products are the best. Think of diaper paste as a shield that is placed between the skin and the contents of the diaper. If the paste is not dirty, it is not necessary to rub it during changes; just add more pasta on top. In general, there is not much diaper paste. Apply a thick layer, like frosting on a cupcake.
  • Choose a highly absorbent diaper: The more absorbent the diaper, the better it will maintain dry skin. Although there is no current evidence to show which type of diaper does the best job of preventing diaper rash, cloth diapers are generally less absorbent than most disposable brands. If you use cloth diapers, you may want to reflect using disposable diapers until the rash heals.
  • Leave a little room to breathe: Make sure the diaper is not too tight, especially at night. A loose diaper is less likely to rub against the skin.
  • Keep the area clean: If the diaper area is annoyed, a daily bath will help remove debris, irritants, and conceivable bacteria. Don’t forget to apply a thick layer of barrier paste to the diaper area after bathing.

Symptoms and signs of diaper rash

A diaper rash is an alteration in the skin enclosed by a child’s diaper. Most often, the affected skin is reddened and may or may not have erosion of the superficial layers of the skin. There may be pustules or small blisters. If the irritated skin is sensitive, changing the diaper may be a bit uncomfortable for the child.

Home remedies for diaper rash

Home remedies for diaper rash include:

  • Exposure to air (such as not wearing diapers for short periods of time),
  • Additional bath (10-15 minutes in warm water),
  • Application of topical barricades to the diaper region. Petroleum jelly (Vaseline) and zinc oxide (Desitin) are habitually helpful. Powders are not recommended. Neither are high absorptions of baking soda or boric acid baths.

Risk factors

Some babies are more likely than others to develop diaper rash. If any of the following risk factors apply to a baby, preventive measures may be necessary:

  • Changing diapers infrequently
  • Have diarrhea
  • Using antibiotics
  • Receiving breast milk from someone taking antibiotics
  • Wearing diapers that don’t fit well
  • Irritating new acidic foods, such as citrus fruits
  • Have a fundamental skin condition, such as eczema

When should I be concerned about diaper rash?

If you don’t notice an improvement in two to three days, if your baby has a fever, or if the diaper rash gets worse, for example with blisters, see your baby’s healthcare provider.

Prevention of recurrent diaper rash

  • Change diapers more often. Focus on preventing skin contact with stool.
  • Rinse your baby’s skin with plenty of warm water when cleaning the stool. Don’t rely solely on diaper wipes to clean your skin.
  • Make sure to clean the stool from all skin folds. Cleaning the scrotum can be challenging.

Types of diaper rash

There are many different types of diaper rash. The following sections will discuss each of these in more detail.

Irritant contact dermatitis

Irritant interaction dermatitis is the most common type of diaper rash. It develops when rather in the diaper, or occasionally the diaper itself irritates the skin. This type of dermatitis tends to be worse when a baby sits in a wet or dirty diaper for a long period of time.

Irritant contact dermatitis can cause red knocks or spots to appear in the area. If it becomes severe enough, there may also be hives that can break open and bleed. Open sores make it easier for fungi and bacteria to enter the skin, increasing the risk of a secondary infection. Changing the baby’s diaper more often and using a diaper rash cream until the rash clears can help treat irritant contact rash.

Candidiasis, or candidiasis, infections

A group of fungi called Candida normally lives on the skin and the diaper area. However, when they overgrow, it can cause a painful diaper rash called yeast infection or a yeast infection. The rash may look red and inflamed and may include fluid-filled white blisters or swollen patches with a white, scaly outer layer. Sometimes a child gets a yeast infection after a severe diaper rash that breaks open and bleeds.

Applying a diaper rash cream can help treat some yeast rashes. It is also significant to keep the area clean and dry. If symptoms get worse or do not improve within a few days, a doctor may recommend the use of an antifungal cream.


Eczema can cause sore spots to develop around the diaper area. A parent or caregiver may notice that the skin looks very dry and irritated. There may be red patches or hard, scaly areas of skin. Many babies with eczema will also have it on other parts of the body. It is rare for it to occur only in the diaper area and nowhere else.

Moisturizing the area can help relieve eczema, but it can also keep the diaper area moist, increasing the risk of other types of diaper rash. Therefore, a doctor may recommend a steroid cream or other treatment, depending on the severity of eczema.

Bacterial skin infections

Bacterial infections of the diaper space can cause red, swollen, and inflamed skin. Without treatment, these infections could also spread to other areas of the body and be life-threatening. Babies with bacterial infections may develop a fever or appear ill. However, some may not show symptoms other than diaper rash.

In most cases, a doctor will prescribe antibiotics. Because bacterial infections can enter the body if diaper rash becomes severe and causes open wounds, preventing diaper rash can also prevent secondary infections.


Intertrigo is a type of inflammatory skin condition that is most severe in the folds of the skin and hot, humid places, such as the folds of the thighs or the buttocks of a baby.

Intertrigo sometimes contracts secondary fungal or bacterial infections that require additional treatment. Babies with intertrigo diaper rashes can also have other inflammatory rashes in adulthood. In most cases, it is possible to control intertrigo by eliminating the source of the irritation. For babies, this usually means more recurrent diaper changes.

Psoriatic diaper rash

Psoriatic diaper rash is a type of psoriasis. Psoriasis is a chronic skin condition that causes the body to attack healthy cells, resulting in thick, scaly patches of skin. These scales can itch and often appear pink or grey. Children can also have psoriatic patches on other parts of the body, particularly the scalp.

Psoriasis does not improve with treatment for diaper rash. However, some people may find that certain irritants, such as a wet diaper, can trigger psoriasis flare-ups. Therefore, preventing diaper rash is still important when a baby has psoriasis. Numerous remedies can help treat psoriasis, including steroid creams and prescription medications. Some people can also find relief with phototherapy.

Treatment of diaper rash

No matter how cautious you are, your little one will probably get diaper rash at some point. Most babies do. Fortunately, there are problem-solving creams and ointments and knowledge about diapering that can help prevent it before it happens.

Diaper rash occurs when:

  • You leave a wet or dirty diaper in too long
  • Your baby’s skin rubs or rubs against the diaper.
  • Your baby gets a yeast infection
  • Your baby gets a bacterial infection
  • Your baby has an allergic reaction to her diaper.

Babies get diaper rash more often when:

  • Aging, especially between 9 and 12 months
  • Sleeps in diapers with poop
  • Have diarrhea
  • Start eating solid foods
  • You are taking antibiotics, or if you take antibiotics and are breastfeeding.

These products are intended to soothe the baby’s sore skin or create a protective barrier, or both.

  • Cream or ointment with zinc oxide or petroleum jelly (petroleum jelly). Apply it to your baby’s clean, dry bottom before putting on a clean diaper.
  • Baby powder. Keep it away from your baby’s face. Talc or cornstarch in the powder can cause respiratory problems. Place it on your hand and then apply it to the diaper area.
  • Antifungal cream, if your baby has a yeast infection
  • Current or oral antibiotics, if your baby has a bacterial infection
  • Bounce the steroid creams you’ll find at the drugstore (hydrocortisone) unless your physician tells you to use one. They can irritate your baby’s lowest even more if you don’t use them in the right way.

Tips for treating diaper rash

These basic steps can help prevent diaper rash:

  • Wash your hands beforehand and after each diaper change
  • Check your baby’s diaper frequently and change it as soon as it gets wet or dirty
  • Use plain water. When you need to remove stool from your baby’s skin, use a mild cleanser
  • Clean and pat the area dry, rather than rubbing
  • If you use wipes, choose soft ones. Try to avoid those with fragrances or alcohol. Or use a clean, soft cloth.
  • Make sure the area is completely clean and dry before putting on a new diaper.

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