Diaper Dermatitis

Diaper Rash Information

What Is Diaper Dermatitis?

Diaper dermatitis is a medical term for when the skin under the diaper becomes red and irritated. It is also commonly known as diaper rash.

Diaper dermatitis will affect almost every baby at least once. While there are things you can do to decrease the chances of your baby getting diaper rash, it is likely to happen anyway. Baby's skin is very sensitive. Add to that a moist environment, friction from the diaper rubbing back and forth, and skin-irritating urine and stools; this is the perfect environment for problems.

If your baby gets a little diaper dermatitis, know that it is not your fault. It happens. The trick is catching it early and making it go away as fast as possible.

What Causes Diaper Dermatitis?

By far, the most common cause of diaper dermatitis is irritation of the skin from stool or urine. This is known as irritant diaper dermatitis. The condition can become more severe if infected with yeast or bacteria. This is more likely to happen if the rash is left untreated for more than a couple of days.

Diaper dermatitis can also be caused by a number of different skin conditions that are unrelated to diaper use and/or irritants and also can become infected with yeast or bacteria.

(Click Causes of Diaper Rash for more information.)

What Does Diaper Dermatitis Look Like?

Your basic run-of-the-mill diaper dermatitis is a flat, red rash within the diaper area. The buttocks, upper thighs, lower abdomen (stomach), and genitals are the most common areas affected. It is normally not found within the folds of skin between the body and thighs or body and genitals.

Unlike irritant diaper dermatitis, diaper rashes infected with yeast will often be found within the skin folds.

There is variation in what diaper dermatitis looks like based on how severe it is and what is causing it. In more severe cases, the skin can be painful and the rash raised, thickened, peeling, weeping, and/or bleeding. There may also be bumps, blisters, pimples, and/or open sores within the red area or on the outside of the main rash.

Diaper dermatitis can affect anyone who wears a diaper, although it is most common in infants and toddlers between 9 and 12 months of age.

Diaper Dermatitis Remedies

Most cases of diaper dermatitis can be treated at home without seeing your healthcare provider. Successful treatment focuses on minimizing moisture, friction, and irritation from stool and urine to the affected area. This means more frequent diaper changes, diaper-free periods, and being gentle (see Diaper Rash Treatment for specific suggestions).

A diaper dermatitis cream or ointment is also needed. Many different choices are available without a prescription. These products work as a barrier, either through the cream or ointment itself (such as with petroleum jelly or lanolin) or within the active ingredients (such as zinc oxide). Some brands include Desitin^®, Triple Paste^®, A&D Ointment^®, Balmex^®, Aquaphor^®, and Vaseline^®.

More severe cases of diaper dermatitis or those infected with yeast or bacteria may not get better with the standard treatment. These types of rashes may require a prescription cream or ointment from your healthcare provider.

(Click Diaper Rash Creams and Ointments for more information, including information about other options for more severe diaper rashes).

Things You Can Do to Prevent Diaper Dermatitis

While there is no guarantee that diaper dermatitis can be prevented, there are things you can do to help decrease the chances. Some tips include:

Change your baby's diaper as soon as it becomes wet or dirty. The less your baby is exposed to skin irritants like urine and/or stool, the better.
Clean well -- make sure that all the stool is removed from your baby's bottom.
Allow your baby's skin to dry completely before putting on another diaper.
Avoid baby wipes that are scented or contain alcohol and/or chlorine.
Apply a preventative cream or ointment to create a barrier between your baby's bottom and moisture. There are several great products out there, most of which are lanolin- or petroleum jelly-based. They all work to lock out the bad moisture and protect sensitive skin.
Avoid using plastic pants or diapers with plastic lining. These diapers limit any chance for airflow and trap moisture in.

(Click Diaper Rash Prevention for more tips.)

Cloth Versus Disposable: Does It Matter?

Diaper dermatitis does not necessarily favor a particular type of diaper. Both cloth and disposable diapers have pluses and negatives pertaining directly to the likelihood of an outbreak of diaper dermatitis.

Disposable diapers tend to do a better job at preventing leaks than cloth diapers. While that is a good thing, disposable diapers hold heat and moisture in so well that it could set up a good environment for diaper dermatitis.

Babies wearing cloth diapers, on the other hand, may get rashes often if they are not changed quickly enough after the diaper is soiled. This is because cloth is not as good at wicking moisture away from the baby's skin as the materials used in today's disposable diapers.

Regardless of your choice of cloth or disposable diapers, the best advice is to change them frequently. This will decrease the chances of diaper dermatitis happening in the first place.

Most cases of diaper dermatitis can be treated at home without contacting your healthcare provider.

When to Call Your Healthcare Provider

Fortunately, most rashes get better with home treatment and time. However, you should call your child's healthcare provider if the diaper dermatitis does not improve after the basic treatment steps are taken.

You should also call if your child:

Is less than one month old and the rash looks like tiny water blisters or pimples in a cluster
Has a fever above 100.4ºF or 38ºC
Has bloody stool
Has a change in the pattern of dirty or wet diapers (such as diarrhea, constipation, or increased urination)
Looks or acts very sick.

Or if the rash:

Becomes bright red, with red bumps around the diaper area
Has grown so that it is now visible in the skin folds
Has spread beyond the immediate diaper area
Is very raw, bleeds, or develops open sores
Does not improve after three days of home treatment.