One of the most common ailments under the age of three! Luckily diaper rashes are never urgent or emergent but they can cause discomfort for your baby.
Diaper Creams & Ointments
Diaper rash is best prevented by prompt changing of soiled diapers. Any contact to the skin from stool or urine starts to create immediate breakdown. This is why over the counter ointments are so helpful. Yes they soothe and promote healing with their various ingredients (everything from Vitamin A to Calendula…) but the true benefit is that they act as a ‘barrier’ between stool and urine and your babies skin. Really any ointment will do but generally the thicker the better.
Examples of clear: Vaseline, Aquaphor, A&D…
Examples of thick: Desitin, Balmex, Triple Paste, Butt Paste…
When your baby has a diaper rash the key is to apply these ointments generously! There should be no visible skin and the ‘barrier’ should be interrupted as little as possible (do not wipe away every diaper change; if not soiled with stool, simply continue to add more ointment to the areas that have thinned out.)
Giving your baby a plain bath at the end of the day and letting them ‘air out’ before application of more ointment is often helpful. Adding colloidal oatmeal to the bath can be drying and useful for the more stubborn rashes.
Discontinue the use of commercial wipes with severe rashes. The wipe itself may be a contributing factor, plus the alcohol in the wipes will likely be painful for your baby. Instead use a soft, wet washcloth to clean.
*Sometimes switching diaper or wipe brands is the key to ending an ongoing rash.
You may need an appointment if the rash:
Has bright red areas which start and are worst in the folds or creases of skin, and which spread outward by way of little red pimple-like bumps at the edges.
Has blisters, pustules or oozing areas.
Is not responding to the methods discussed above.