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Diaper rash is a general description for skin irritations that occur under the diaper area in babies. If the rash is mild, and does not involve the skin fold regions, it is usually the result of contact irritation (friction with the diaper) or an allergic reaction to ingredients and fragrances used in the diaper or washes. However, more severe diaper rash is often caused by a bacterial (Staff and Strep) or yeast (Candida) infection. Fungi and bacteria thrive in the warm moist, environments that result from diapering.
In the case of yeast infections caused by Candida, bright red areas form on the skin, often with lesions at the borders. Candida mostly takes hold in skin folds and creases. Bacterial infections are normally associated with tiny blisters or pustules that are easily ruptured.
The first step is to ensure frequent diaper changes and limit fecal and urine exposure to the affected area. (Frequent diaper changes are also the number one preventative measure for diaper rash)
Use water and soft cloths for cleaning. Disposable wipes may contain irritating chemicals so should be avoided. Take steps to ensure that the skin is completely dry before applying a new diaper. The use of talcum powder or other moisture absorbing powders is a good preventative measure.
If the rash is mild and likely to result from contact irritation, the application of a ‘barrier’ cream or ointment may help to protect the skin from further friction. Again, it is vital that the skin is completely dry before applying a ‘barrier’ cream. It is thought that a zinc oxide based ointment may be more effective than petroleum jelly (Vaseline) as these have an astringent (drying) quality.
Exposing the irritated skin to the air for as long as possible between diaper changes is a very simple, but effective, diaper rash remedy.
As bacterial and yeast infections can progress to secondary areas of the body, if the diaper rash persists or is severe, it is important that you discuss the symptoms with a pediatrician. Diaper rash home remedies may not be effective and your health professional may suggest an antibiotic ointment for the treatment of bacterial infections, or an antifungal topical treatment for yeast infections (diaper Candidiasis). A mild topical corticosteriod preparation is sometimes considered to relive irritation.