L.H. asks from De Mossville, KY on February 09, 2010
Diaper Rash . - De Mossville,KY
So my daughter has had these outbreaks of diaper rashes. I've went to the doctor and tried to get prescribed diaper creams. it seems like they work until i run out. then it comes back... they get so bad she's even bled before. it kills me to see her going through that. I changed her diaper too. She wears pampers now. cause she seems to break out worse when using the cheaper diapers. but her diaper area looks good right now... but they always come back. have any of you had this problem? what do you suggest?
J.K. answers from Columbus on February 10, 2010
A.C. answers from Cincinnati on February 09, 2010
here is some great info from teh Dr Sears website.... http://www.askdrsears.com/html/11/T081400.asp
SEVEN WAYS TO PREVENT OR MINIMIZE DIAPER RASH
If your baby does not have a problem with diaper rash, then you don't need to be too strict with these preventative measures. However, if you are constantly battling rash, here are some helpful hints to minimize it:
1) Change diapers frequently - at least every two hours in newborns. You can space this out as baby starts to urinate less often.
2) Change poopy diapers right away - this is a lot of trouble at first since newborns often have small, frequent stools. This will slow down as baby grows.
3) Try different brands - if using disposables, another brand may fit a little better and cause less friction.
4) Rinse cloth diapers - add a half-cup of vinegar to the rinse cycle. This helps remove alkaline irritants. Your diaper service can also do this.
5) Wipe well - be sure to wipe all the stool and urine away.
6) Use unscented wipes or just plain water - these are less irritating. You can even rinse out the wipes with water, although this takes more time.
7) Diaper rash cream - some lucky babies don't need any. More sensitive bottoms need cream with each new diaper. There are two basic types of barrier creams:
* Petroleum ointment (Original A & D ointment) - this is an excellent preventative every-day ointment. It's less sticky and less messy.
* White zinc oxide - this is thicker and may be better for babies who are more prone to rash.
FOUR WAYS TO TREAT DIAPER RASH FLARE-UPS
No matter how diligent you are with the above measures, your baby will still have a rash from time to time. Here are some tips to treating those rough spots:
1) Wash off bottom with water - don't wipe the sore areas. Instead, use a bulb syringe to gently wash baby's diaper area.
2) Gently dab or pat away any remaining stool. Blot baby's bottom dry.
3) Let it air out - leave the diaper off for a while, with no diaper cream on. Lay baby on a towel (with a waterproof pad underneath to catch accidents) with her bottom up. Do this as often as you can. This will help dry out the rash, which is important for the healing process.
4) Diaper cream - when you do put the diaper back on, use generous amounts of cream. Here are some suggestions:
*Zinc oxide - for the moderate rash.
*Acid mantle - this is a brand name sold in stores. It is outstanding for moderate diaper rashes. Can be used with zinc oxide over it.
*Butt paste or Triple paste - there are a variety of creams that a pharmacist can mix up for you that contain a variety of ingredients. These are good for severe rashes. One brand that is already mixed is called Triple Paste. Ask your pharmacist for some. It is non-prescription.
*Clotrimazole anti-fungal cream - for stubborn rashes, yeast may be involved (see below). You can add this over-the-counter cream to help.
*Hydrocortisone 1% cream - you can put this over-the-counter cream on twice a day beneath any of the other creams to help with severe rashes. It will help with the inflammation. Don't use this for more than several days at a time as long-term use can damage the sensitive skin in the diaper area.
*Soothe and heal by Lansinoh. This pure lanolin ointment is excellent for soothing sore bottoms.
*Mix your own - if you can't get a prescription, try mixing these together in the palm of your hand, then apply to baby's bottom:
**White petroleum ointment
**Aluminum acetate (Burrow's solution)
**If you cant find Acid Mantle, then use Lansinoh (a lanolin ointment). It is available in the diaper cream section of drug stores.
IDENTIFYING SPECIFIC DIAPER RASHES
Here are a few diaper rashes that can be more than just irritation from the stool, urine, and diaper. They usually require more specific therapy:
1) Contact diaper rash - this is simply the regular rash as discussed above.
* Appearance - flat, red, irritated skin. When severe, skin will peel or blister and slough off.
* Treatment - as described above.
2) Intertrigo - this is a specific rash that occurs within the skin folds and creases around the diaper area where the skin rubs together.
* Appearance - Heat and moisture mixed with urine cause a red, burn-like appearance.
* Treatment - regular white petroleum diaper ointment.
3) Yeast rash - when the skin is damaged, yeast from the intestines can invade the skin. This especially occurs with antibiotic use or prolonged rash.
* Appearance - it is a red, raised, patchy rash with sharp borders, mostly over the genitalia but with satellite spots sprinkled around the diaper area. Click here to view a picture of a yeast diaper rash.
* Treatment - in addition to the above measures, there are two commonly used anti-fungal creams:
Clotrimazole - over-the-counter. Apply 2 - 3 times a days beneath the other creams.
Nystatin - prescription. Not necessarily better, just different.
Acidophilus - this is a natural bacterial powder that fights off yeast. Click on it to learn more.
4) Impetigo - this occurs when bacteria invade the damaged skin.
* Appearance - coin-sized blisters or red raised patches that ooze a honey-colored crust.
* Treatment - prescription antibiotic ointment as well as the above general measures.
5) Seborrhea - an inflammatory condition that can affect different parts of the body, but can be especially severe in the diaper area.
* Appearance - a big, red, sharply demarcated patch over the groin, genitalia, and lower abdomen. It can be more raised, rough, thick, and greasy than the other rashes.
* Treatment - hydrocortisone 1% cream (over-the-counter) 2 - 3 times a day. Don't use more than a week unless directed by your doctor.
6) Allergy ring - a variety of foods can irritate baby's bottom, especially acidic foods such as citrus and tomato-based sauces.
* Appearance - a red ring around baby's anus.
* Treatment - discontinue suspected foods. Breastfeeding moms may need to eliminate foods from their diet.
3 moms found this helpful
M.Z. answers from Columbus on February 10, 2010
My son has horrible diaper rashes. We've tried cloth diapers and several brands of disposable, all the OTC diaper creams and Maalox. Have you ruled out strep or a yeast infection as causes for the rash? My son's rash was actually concentrated near his bum hole, which signaled a possible bacterial infection. We stopped using wipes and instead used a soft washcloth and water, patted his rear dry, applied a thin coat of cornstarch babypoweder, then neosporin (athlete's foot cream can work too). This worked for awhile but the rash would always come back, though not as bad as when I didn't use the neosporin. A food intolerance can cause this kind of rash, so if the above doesn't work for you, try eliminating a food at a time from your daughter's diet. We ruled out a food intolerance and our pediatrician finally said some kids just have terrible diaper rash from really sensitive skin, and my son is one of the unlucky ones. We do his baths with 1/2 cup of baking soda too, to help break down the acidity of his poop. Hope this helps.
1 mom found this helpful
M.W. answers from Indianapolis on February 09, 2010
my daughter couldn't eat anything with tomatoes, or high acid in it until she was potty trained. Definately look into the foods she is eating. If she's nursing, maybe it is something you are eating.
My aunt (a nurse) made this for me and it worked great:
1 part hydrocortizone
1 part diaper ointment
1 part monistat
use just a tiny ammount on affected area once every 24hrs (no matter how bad it is). Since using that I've never had a rash with either of my kids last more than 2 days.
A.E. answers from San Antonio on February 09, 2010
One of my daughters had the exact same thing when she was a newborn. She stopped having severe diaper rashes around maybe 6-7 months. She had an outbreak about a month ago at 15 months but I think it was the juice I was using. I used Pampers Sensitver Diapers and Pampers Sensitive Wipes and used Desitin religiously. She would have open sores that would bleed,...it was bad. When it was really really bad I would rinse out the wipees before using them on her. When changing her diaper I'd leave her diaper off for a few mins before putting the other one on so she could dry out a bit. Slowly it just cleared out. Hope this helps.
M.O. answers from Cincinnati on February 10, 2010
My daughter had the same thing when she was in diapers. I actually would use a hair dryer on the cold setting (supposed to be to set your hair after drying) to make sure her bottom was completely dry before putting a new diaper on. I also used Pampers Sensitives wipes & loved them (switched to them from using warm water & disposable washcloths) but I work for P&G & might be a bit biased. :)
N.J. answers from Dayton on February 11, 2010
My daughter gets rashes too. The best thing that has worked as a prevention for her is to wash her with water every time she goes poopy and also during the morning diaper change ( since she has a bath in the evening) even after cleaning her with wipes.
I know this is not possible at daycare but I do it at home at it has helped a lot.
L.M. answers from Terre Haute on February 10, 2010
My twin sons used to have an intollerance to milk and it would cause them diarreah so much so that I would no more then get their diaper changed and their bottoms treated that they would go again and I just could not keep up with the changings. They would get bloody rashes that were very painful for them so I started getting pretty creative. Do not use wipes. The alcohol in them can be very irritating. You can rinse them in warm water and still use them without irritating them. When you are out in public those wipes are hard to give up. Let her go without a diaper whenever possible helps dry up the rash. At bathtime wash her bottom with antibacterial soap. I read somewhere that the anti bacterial in the soaps will stay on to help keep away bacterial. Then EVERY diaper try to give the bottom a chance to get completely dry before using A&D to keep a barrier between the skin and the irritant. then twice a day put desitin, lotrimin (generic is fine), and hydrocortisone. on at the same time. It usually clears up the rash over night, but in case the rash is fungial you have to keep using the lotrimin for several days after the rash is gone to get rid of it completely. Read on the package how long or ask your doctor. You need to also try to figure out if it is the diapers or something your child is eating. My doctors did not figure out the intollerance to milk. I had to figure it out. With them it isnt that they cannot drink any milk, but they could not drink more than one sippie cup full.
L.T. answers from Cincinnati on February 09, 2010
My kids all had trouble with this. They would get bad rashes, which would actually end up bleeding. The best remedy was given to me by a pediatrician we saw when we lived in Rhode Island. Mix Maalox and cornstarch to make a paste. Sounds weird, but it really worked. Good luck! I know how tough this is for both of you. Broke my heart and made me cry every time they would cry over a sore bottom!