Types of Infants 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.
   • 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.

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