Diaper Rash – Pediatric Associates of Richmond

Preventing and Treating Diaper Rash

When the summer heat and humidity cause cheeks to turn red and sweaty, sometimes little bottoms turn red, as well. Diaper rash is so common that it is estimated that diaper wearing children ages 4 months to 15 months suffer at least one episode every 2 months.  It becomes more common as children begin to eat solid foods.

Moisture, chafing, and prolonged contact with urine or stool are among the common culprits for diaper rash.  Occasionally, infants may suffer a rash due to an allergic reaction to chemicals found in disposable diapers or wipes.  Antibiotics that cause loose stools or GI illnesses that result in diarrhea are other frequent causes of diaper rash.  In the summer, heat and humidity, longer changing intervals due to busy travel, time in swim diapers and the like may result in an increased frequency of rashes.  Although the choice of cloth or disposable diapers depends on many factors, research suggests that rashes are less common when disposable diapers are used.   For cloth diapers, consider the use of a ‘stay dry’ liner.

Often times the first signs of diaper rash are a mild redness or an infant that is fussy when the diaper is changed.  Once the skin is inflamed and irritated, it becomes an easy target for bacteria and yeast to begin to multiply.  If these infections take hold, you will notice small bumps, pimple-type lesions or sometimes open sores.

As with any ailment, prevention might be better than a cure!  There are several steps you can take to ensure that your child won’t suffer this summer.  Frequent and timely changes are the mainstay of prevention.  A dry bottom is much less likely to suffer a rash. If possible, allow the skin to be open to air for brief periods throughout the day.  When changing soiled diapers, using water to clean the area is best.  A mild soap may be necessary for particularly messy changes; however it isn’t routinely needed for each change. Commercial baby wipes, even those made for sensitive skin, may contain irritating perfumes or chemicals.

If, despite your careful attention to prevention, your infant suffers redness and irritation, there are many things you can do to heal it quickly.  Continue to change your infant promptly and often.  Using water will be less irritating than wipes.  Consider the use of a squeeze bottle to apply a gentle cleansing jet of water rather than rubbing irritated skin.  Pat the tender skin dry, do not rub.  Allow the skin to sit open to air in order to fully dry.  Barrier (diaper) creams that contain zinc oxide or petrolatum can be good for soothing and helping skin to heal.  Thicker creams generally work best (e.g 40% zinc oxide).  Apply a very thick layer of barrier cream as a skin protectant; if you can see the skin underneath the layer of diaper cream, apply more.  Remember when changing soiled diapers, it is best to wipe off the stool and barrier cream, but it is not necessary to completely remove the diaper cream.  Scrubbing of the skin will only cause further irritation.  The use of a colloidal oatmeal* bath is an excellent tool to soothe, as well.   Another home remedy to use is painting the irritated area with Maalox (liquid antacid) and allowing it to dry.  The compounds in the medicine will have a soothing effect on the skin.  Apply the barrier cream on top of the dried Maalox.

If the area is bright red and bumpy, this is often a sign that yeast are present.  Yeast love warm, moist areas, thus they often thrive in diaper areas.  If you suspect a yeast infection, continue the care of irritated skin as above.  Prior to applying your diaper cream, use a thin layer of clotrimazole ointment or cream.  This is available over the counter under brand names such as Lotrimin™.  Be sure to check the label to ensure ‘clotrimazole’ is the active ingredient.  Use this as your first layer four times daily.  Place your thick barrier cream directly over top of the clotrimazole layer.  Yeast in the diaper area may need to be treated for a week to ten days prior to resolution. Avoid cornstarch or other powders when treating yeast. Contact our office if the rash fails to improve within 3-4 days of beginning treatment, however.

If you notice pimple or pus filled lesions in the diaper area, that may be a sign of a bacterial infection which may require a prescription to improve.  Schedule an office visit for help.  If a rash appears raw, blistered, or bleeding, that is another indication that a visit to our office may be needed.  Of course, any rash that continues to worsen despite your treatment at home also needs to be seen.

Hopefully, these tips will keep those diapered bottoms clean, dry and healthy!

*To make colloidal oatmeal bath at home, put dry old-fashioned or plain quick oats in a blender or food processor and make a powder. Use about 1 tablespoon of the powder in 2” of bath water.

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A homemade diaper yeast infection cream you’ll be itching to try

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This is all about that baby bass. So if you’re here looking to treat your own yeast infection, this may not be what you’re looking for. It might work, but you should read more on adult yeast infection remedies. Anyway, Two years into our cloth diapering journey we encountered yeast diaper rash for the first time. And it lives up to its name yeasty-beasties. I had truly hoped to not have to deal with it, but I’m thankful we’ve only gone to war with yeast 3 times between 2 kids in 4 years. And that’s mainly because I dread stripping diapers.

Anyways, long story short, I came up with a simple, cloth-safe diaper yeast infection cream made of all natural ingredients.

And guess what?

I am sharing it with you only because it really works.

*Disclaimer: This statement has not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease. Please remember that I am not a doctor or nurse. I simply write out of my own experiences. Also, all product links in this post are affiliate links for your convenience. Thank you for supporting our family through your purchases.

Almost the entire rash had gone down in just two hours after applying the homemade remedy for diaper yeast infection.

That and letting her either roam in a prefold or naked, she was a happy camper.

THEN in 12 hours it was hardly noticeable. Of course, nighttime is a horrible time for the yeast beast so the next morning it had flared up again, but within just 2 days I can very happily say that it was gone and all my diapers were stripped.

Of course, nighttime is a horrible time for the yeast beast so the next morning it had flared up again, but within just 2 days I can very happily say that it was gone and all my diapers were stripped.

Home Remedy for Yeast Diaper Rash – Recipe

This homemade treatment is super simple and convenient. You can make as much or as little as you want. Just choose your container to put it in and make sure that it is thoroughly washing and dried. I chose a little glass jar . Something like a baby food jar, peanut butter jar, or something else would work just fine.  In our home, I have used this on my daughter and on myself; I even used it when preparing for labor and had tested positive for GBS.

You can make as much or as little as you want. Just choose your container to put it in and make sure that it is thoroughly washing and dried. I chose a little glass jar . Something like a baby food jar, peanut butter jar, or something else would work just fine. In our home, I have used this on my daughter and on myself; I even used it when preparing for labor and had tested positive for GBS.

• 1 Tablespoon unrefined, raw, organic coconut oil.
  
  Make sure that it is raw and unrefined as that is where much of the anti-bacterial and antifungal properties are in coconut oil. I use Tropical Traditions and it goes a long way and is well worth having on hand!
• 1/2 Teaspoon powder probiotics.
  
  My favorite is Baby’s Jarro-Dophilus. I have had a bottle in our fridge since my daughter was a newborn. Probiotics are great to help reintroduce good bacteria.
• 1/4 Teaspoon (approx 20 drops) Grapefruit Seed Extract.GSE is known to be great at fighting yeast and urinary tract issues. In fact, I used it as part of how I stripped the yeast out of our cloth diapers.
• (Optional) 8 drops Essential Oil
  
  Lavender, Helichrysum, and geranium are great to soothe and to treat the infection.Plus, they smell divine.
• (Optional) Replace the Probiotic and Bust open a capsule or two of Kyolic Garlic.
  
  In fact, they have a formula that specifically fights candida. While it’s hard to get a baby or toddler to take it orally, it’s a powerful natural antibiotic.However, please note that I mention that it’s optional and if you’re going to do it, you need to replace the probiotic with it. You can actually make two creams and use the probiotic during the day and the garlic at night. (Garlic kills both good and bad bacteria)

Put all of your ingredients in the container that you are going to store it in and mix it together. Know that you can use this ratio to make more or less. I actually made 3x this amount for our little jar and it was half gone after about 3-4 days of slathering diaper cream on her at every change, potty break, and whenever she decided she wanted me to put some on her.

Probiotics are best kept refrigerated so they stay viable longer.

If you would like to refrigerate your diaper cream, that is perfect. I did not while we were using it just because the coconut oil can harden and I either have to use something to get it out to apply on her warm skin that melts it, or I have to melt it first. However, it did go in the refrigerator when we were done applying it at every change.

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Kara Carrero

Kara is an author and advocate for positive, grace-filled parenting. She is homeschooler to her 5 children living on a farm in New England. She believes in creative educational approaches to help kids dive deeper into a rich learning experience and has her degree in Secondary Education & Adolescent Childhood Development. She is passionate about connecting with and helping other parents on their journey to raise awesome kids!

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Hygiene and skin care in children of the first year of life in questions and answers

Hygiene and skin care in children of the first year of life in questions and answers 8 812 380 02 38 St. Petersburg

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Dermatologist

April 24, 2021

1. What happens to a baby’s skin after birth?

The first days after birth, babies don’t look like pink babies in magazines. The skin may not look very beautiful for a long time, do not worry, in most cases, changes in the skin are not diseases, they are considered physiological, that is, they do not require treatment, and everything goes away with the growth of the child. What situations may arise:

• Physiological neonatal jaundice (icteric discoloration of the skin on the 2nd – 3rd day of life disappears by the 7th – 10th day of life).
• Dilated skin capillaries disappear by 1-1.5 years of age.
• Physiological catarrh of the skin – redness of the skin after removal of the lubricant. On the 3rd – 5th day peeling, which lasts from 2 weeks to 1 – 2 months.
• Milia (sebaceous cysts) – whitish-yellowish nodules 1-2 mm in size, rising above the level of the skin and appearing mainly on the wings of the nose, on the forehead. They occur in about 40% of newborns. These are sebaceous glands with abundant secretion and clogged excretory ducts. With signs of mild inflammation (redness), the nodules can be treated with a 0.5% solution of potassium permanganate. Completely disappear by the first year of life.
• Gneiss (milky crust) – white or light yellow scales on the scalp. They have an allergic nature, so when they appear, you should analyze the diet of a nursing mother and consult a pediatrician. To remove, before bathing, you can lubricate the crusts with sterilized vegetable oil, and then carefully remove the softened crusts with a cotton swab or a special brush.

2. How to monitor the condition of the child’s skin?

All skin folds are spread by hand (thumb and forefinger) and inspected for residue of powder, oil, or skin redness, etc. You need to start from the neck, then the palms, with each finger examined separately, the elbows and armpits, then the legs, the interdigital spaces, the popliteal and femoral folds. Particular attention should be paid to the genitals, there is often irritation.

3. What products are usually used for care, are there any special features?

These are special cosmetic products for children: powder, oil, cream. Cream, as the most oily, is used for severe dry skin, but not in folds, because. may cause chafing. If there is no pronounced dryness of the skin, it is enough to use oil, it can also process folds. If the skin folds are deep, it is better to use powder. The simultaneous use of oil (cream) and powder is not allowed, because the resulting lumps accumulate in the folds of the skin and cause redness and irritation. It is not necessary to completely smear the child with oil or cream, this depresses the respiratory function of the skin. It is enough to process problem areas.

4. What is the best detergent to use and how to bathe the baby?

Ordinary baby soap used in soft water can dry out the skin considerably, so it is best to use skincare cleansers. The first 6 months of life should be bathed daily, preferably in the evening, before the last feeding. The water temperature is 37 degrees, in the neonatal period the water should be boiled, in older children it should be heated cold, and you can bathe them every other day. If possible, it is better not to use hot tap water, especially for skin problems, it has an irritating effect due to various additives. It is better not to use washcloths, but with soap it is enough to wash once a week.

5. What are the best herbs to use?

The golden rule is not to mix herbs, so if there is a problem you can always identify the culprit. In our region, it is better to use calendula (disinfectant, itching), sage (anti-inflammatory), violet (disinfectant), viburnum bark (disinfectant, anti-inflammatory). The previously widely used string, chamomile, celandine in the soft water of our city aggravate dry skin and it is better not to use them at all.

Boil 100 g of herbs over low heat for 5-10 minutes to prepare a bathing decoction. and diluted in 10 liters of water. The grass should be in a gauze bag. Bathing lasts about 10 minutes, every other day, for a course of 10-15 procedures.

6. How to wash and care for the skin under the diaper?

The diaper should be changed at least every 3-4 hours, at night, if the baby sleeps peacefully, this period can be extended. When breastfeeding, stools can be quite frequent, and of course, every time you need to wash the baby and change the diaper.

At any age, it is obligatory to arrange “air baths” when changing clothes, so that the child stays without a diaper for a while, from 15 minutes and the more, the better. This is not only good for the skin, but is also an excellent hardening procedure.

You can wash your baby under the tap, remembering that girls are washed from front to back. To cleanse the skin, it is better to use liquid baby cleansers that have a neutral pH and do not overdry the skin. Wet wipes are better not to use all the time, leaving them for situations when the baby needs to change clothes outside the home.

Protective baby cream with zinc can be applied under the diaper to create a thin breathable barrier to prevent redness and irritation. Protective baby cream can also have an antibacterial effect.

7. What are the most common skin problems in infants?

If a pink small rash appears on the back, on the back of the head, it is most likely prickly heat caused by overheating. To prevent prickly heat, the child should be dressed according to the season, not wrapped up, monitor the temperature in the room where the child sleeps.

Diaper rash – manifested by bright reddening of the skin of the buttocks, inguinal folds. To prevent the occurrence of diaper rash, it is necessary to properly and regularly clean the baby’s skin, thoroughly dry and ventilate the skin and folds during air baths, apply moisturizers containing drying agents (zinc oxide, talc). In this case, you need to use diapers with caution and for a short time, maximize the air baths.

Often, diaper rash in newborns occurs as a result of a fungal infection of the skin, mucous membranes (thrush) . In this case, consultation with a dermatologist and special treatment is necessary.

Pyoderma is manifested by small superficial pustular rashes. Often occurs in young children and is caused by staphylococci and streptococci, refers to infectious skin diseases. If a child has pustular rashes, it is necessary to consult a dermatologist.

Allergic dermatitis is the general name for redness, spots, peeling and rashes on the skin of an allergic nature. Allergic dermatitis is not a skin disease, it is a manifestation of an allergic reaction, when, due to the immaturity of the immune and digestive systems, some substances that enter the body are not absorbed and provoke irritation. May be food or contact. When allergic dermatitis appears, you need to consult a pediatrician who will help you choose a diet and advise on how to alleviate symptoms.

Prevention includes prolonged breastfeeding, proper introduction of complementary foods, hypoallergenic lifestyle. If parents are allergic to something, or they themselves had skin problems in childhood, and at the moment the skin is dry, or there are skin diseases, then prevention should be more attentive, because. negative tendencies are often inherited.

8. What should I do if skin problems still appear and tend to persist?

If skin changes become persistent, itching, anxiety of the child, a visit to a dermatologist is mandatory, especially in the following cases:

• Damage to 20% of the skin surface, or 10%, including eyelids, hands, skin folds.