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Dealing with Diaper Rash: Everything You Need to Know

A sore bum can be misery for a baby—and his parents. Here’s how to get to the, uh, bottom of it.

By Jackie Gillard

Dealing with Diaper Rash: Everything You Need to Know

Charmaine Ralph, of Conception Bay South, remembers discovering the painful red rash on her son Gavin’s bum when he was a baby. She used warm water on a gentle cloth to clean him, let him run around without a diaper as much as possible, and used a generous amount of petroleum jelly when he was in a diaper, which banished the rash.

There are different causes for diaper rash: Your child’s skin can quickly become irritated from rubbing against a dirty diaper, or he could have a sensitivity or allergy to soaps, lotions or wipes. Formula (due to a higher pH level than breastmilk), teething, antibiotics or starting solids can also lead to a rash.

Dealing with diaper rash

How can you help soothe and heal your babe’s sore bottom? Kimberley Foster, a family doctor in Victoria, suggests frequent diaper changes (immediately after bowel movements), and cleaning with alcohol- and fragrance-free baby wipes or simply warm water. Keeping the area clean and dry is especially important.

She says that disposable diapers are better during the rash outbreak, because they contain a compound that holds moisture away from the skin. Letting your baby go naked for periods of time will help dry out the skin, too. And, if you're worried about messes, try creating a waterproof zone. This could be as simple as using a leak-proof tablecloth for bare-bum playtime after a diaper change.

Use unscented baby soap for baths and laundry, and apply a thick layer of a topical ointment containing zinc oxide or petroleum with each diaper change, or try pure aloe vera or tea tree oil directly on the rash (tea tree oil can also be added to homemade wipes and cloth-diaper rinses).

If the rash isn’t healing, is becoming worse or oozing, appears in the folds of skin, or if your child has a fever or diarrhea, it’s time to call the doctor. You could be dealing with more advanced bottom troubles in that case.

Ralph can attest to that. When her younger daughter Maci’s diaper rash got so bad that Maci was unable to sleep well or be held in certain positions, Ralph got worried and took her to the doctor. She learned it was actually a yeast infection, which can occur when the amounts of harmless yeast naturally found in the body multiply in the warm, wet environment of a soiled diaper.

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“I felt guilty for trying to treat it myself,” recalls Ralph.

Is yeast a type of diaper rash?

But Foster says it’s common for parents to confuse the two rashes. “Yeast is actually a form of diaper rash,” she explains of yeast diaper rash, but it will usually need prescriptive ointment to heal.

“With irritant diaper rash, the areas not in contact with the diaper, like the folds of the skin, aren’t affected.”

It can take trial and error to figure out what heals your baby’s diaper rash, but the right remedy will have that little bum—and its owner—back to their normal selves within a week or two. The most dramatic improvement is likely to happen on the second day after treatment, though. That means you and your little one may be back to a more comfortable lifestyle in a matter of hours.

Gear you'll need to treat diaper rash of most types

If you're new to parenting, make sure you stock up on the helpful items below. Add them to your newborn checklist and best baby registry—thank us later.

This article contains affiliate links, so we may earn a small commission when you make a purchase through links on our site at no additional cost to you.

This article was originally published on Sep 08, 2015

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