"Over half of all babies suffer from a diaper rash once every two months. It is caused by prolonged wetness and non exposure to air on a babies bottom. Common causes range from diarrhea, infrequent diaper change, skin rubbing and chaffing, allergic reaction to diaper or diaper rash ointment and even sweat. Symptoms of diaper dermatitis is a red rash that can either be mild to severe. Treatment involves frequent changing of the diaper and treatment of the skin with over the counter or in chronic cases a prescription ointment. If a rash does not improve in 2 to 3 days using no treatment or over the counter ointments, or if it is accompanied by symptoms such as lethargy, fever, or puss filled pimples, see a Doctor for a prescription ointment or cream."
Another name for this condition is dermatitis and nappy dermatitis. It is a form of inflamed skin that develops in the region covered by diapers. It’s a commonly reported symptom in infants. But it can also occur in elderly individuals who suffer from urinary incontinence or are paralyzed. The rash likely develops due to a combination of factors, including, urine, feces, friction, moisture and microorganisms.
This problem is commonly seen in the area covered by diapers. However, it can also be present on the thighs and on the abdomen. Depending on the infants’ sensitivity, the rash can range from slight skin reddening to open, blistering sores. The problem may be seen covering the entire diaper area or only in certain areas.
With the most common form of diaper dermatitis, contact or irritant, skin folds are rarely involved. Skin infections, the second most common form, the skin folds are involved. The affected area may be puffy and tender.
The problem may be due to bacterial (strep and staph), skin infections, which can cause multiple elevated lesions like vesicles (blisters) and pustules (pus-filled). Skin conditions due to yeast or fungal (Candida) skin infection causes bright red skin lesions with multiple small surrounding lesions called the satellite lesions.
Care givers might notice changes in the baby’s disposition. Infants may cry or fuss during diaper changes or if the affected area is touched. This problem is commonly seen in babies less than 15 months of age.
There are several causes and specific types of diaper dermatitis:
Treatment depends on the underlying cause. The most common cause is prolonged wetness. Since this type of rash occurs due to prolonged contact of wet nappies with the skin, barrier cream can be applied to the skin which will prevent this contact. The barrier creams or ointments that can be applied are Zinc oxide cream (e.g; Desitin, petroleum jelly, A&D ointment and Burows solution.
Other treatment options include::
A rash usually goes away within 2 to 3 days with home care. Natural treatments or home remedies for diaper rash include:
1. Kids Health
5. Mayo Clinic