Diaper Rashes

A DIAPER RASH is any rash, which occurs in the area covered by a diaper. Almost all children will have a diaper rash at one time or another. Diapers trap in heat, moisture, and waste products. This combined with friction will eventually cause a diaper rash.

CAUSES OF DIAPER RASHES:

  • Contact with heat + moisture = perfect environment for yeast and fungus (diaper candidiasis)
  • Bacteria = bowel movements (contact dermatitis)
  • Ammonia = urine (contact dermatitis)
  • Allergies to soaps, detergents, diaper brands, wipes (allergic or contact dermatitis)

TYPES OF DIAPER RASHES:

  • Candidiasis (yeast/fungus): red, inflamed, raw, peeling skin surrounded by red satellite lesions (red dots)
  • Contact (allergic or non-allergic): red, raised bumps, may appear dry or with some open areas of the skin

HOME TREATMENT:

  • Anti-fungal creams and ointments for treatment of suspected yeast infection (clotrimazole, miconazole = eg. Lotrimin AF or store brands; Mycostatin = eg. Nystatin)
  • Protective barrier creams for treatment of contact rashes (Desitin A&D ointment, Vaseline, Triple Paste)
  • Change diapers immediately and frequently when soiled or wet
  • Leave diaper off and skin open to air as much as possible
  • Warm water rinses instead of wipes
  • Past of cornstarch or baking soda: this will decrease friction and prevent against future rashes
  • Cornstarch or baking soda baths: soothing to sore skin (add ½ to 1 cup to bath water)
  • For child with diarrhea: paint rash with Maalox so that when child has a bowel movement, the Maalox will decrease the acidity of the stool and therefore protect the skin
  • Paint Maalox over barrier cream

CALL IF ….

  • The rash appears infected (yellow pus, pimples, blisters, excessive red streaking)
  • The child is acting very sick
  • The rash is worsening with home treatment

RECIPE FOR MAGIC BUTT CREAM:

(Mix together equal parts and store in an air-tight container)

Lotrimin AF
Desitin (Zinc Oxide)
1% Hydrocortisone Cream

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