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My Baby’s First Diaper Rash

Posted by admin On November - 14 - 2008

 You start to change your baby’s diaper, and there it is — a patchwork of bright red skin on your baby’s bottom. Don’t panic. You’re likely seeing diaper rash, a common form of inflamed skin (dermatitis).

Most infants develop a diaper rash at some time. Diaper rash may be more common after solid foods are added to your baby’s diet, when breast-feeding mothers eat certain foods or when your baby is taking antibiotics. Other factors that can lead to diaper rash include continuously wet or infrequently changed diapers, diarrhea, and using plastic pants to cover diapers.
Diaper rash can alarm parents and annoy babies, but most cases disappear after a few days with simple home treatments. This happened to us too. When our baby got her first diaper rash, we referenced a lot of books, called up family & friends, browsed the internet and referred the doctor to find the quickest and the best solution to our baby’s first diaper rash. The below are list of ideas that we collected from all over and I thought it would be helpful to all the parents out there.
 
Suggestions and Tips
  • You can try to use a wet warm wash cloth and then air her bottom out so it’s completely dry when you put the diaper on.  Sometimes we used a hairdryer (on cool) on my baby to dry his bottom out between changing’s.  You can hold a towel on her for an hour or so instead of have her wear a diaper so it has a chance to air out.  Regular Desitin is better than Creamy since more Zinc so be sure you use that one.  If it starts to bleed and gets really bad, the Dr. can prescribe ointment to help the healing.
  • Triple Paste works best for lot of them. You can find it at Target, Walgreens or Amazon.  It seemed to do a much better job of healing the tough stuff than other products. http://www.triplepaste.com . If it persists, you might want to have your pediatrician look at it to make sure it isn’t a yeast diaper rash.
  • You can also use 1% hydrocortibabye cream, which is available over the counter.  Put this on first, and then put on the triple paste.
  • In addition to creams which really just protect their bottom from the waste it is important to reduce the moisture.  I know this is hard with a baby who pees without notice but if you can let her be without the diaper for any length of time the air helps.  One cream I found very good to help with the healing process is Mustela products.
  • Give as much diaper free time as possible, use cloth diapers for some time, stop using wipes and wash with water or wet cotton balls instead. Try Aveeno diaper rash cream- it worked well for us. In fact, we apply that cream each night before we put our baby to sleep since we don’t change her diaper for 10-12 hrs in the night.
  • You might try another type of cream.  I used Bag Balm on my first child and it worked for her, but for my second, I’ve used Butt Paste and it works really, really well.  It’s a paste and while some is absorbed into the skin and heals, some stays on the surface and creates a barrier.  I’ve discovered that with a cream/ointment like Desitin, it’s too creamy and is immediately absorbed and doesn’t provide any kind of barrier against subsequent BMs.
  • There’s lots of choices when it comes to diaper rash treatment.  We have had great luck with aquaphor and an organic brand which uses Calendula extract(a flower so it smells great).  Both seem to work for my baby in a couple of applications.
  • Try  Caldesene. It’s a talc powder and can be found in any drug store or Target, etc. Usually the diaper rash goes away within a couple days or at least show improvement once the lotion/powder is applied. If I were you, I’d take her to the pediatrician just to be sure you’re doing everything you need to.My baby has loose BM or diarrhea quick often and this is what we do to keep her booty rash free…
  • We rinse her butt with warm water every time she has a BM and wipe dry.  Then we apply the Boudreaux’s Butt Paste with every diaper change. This stuff works like magic. If it’s a minor rash, it goes away after just a couple of applications.
  • Here’s what I do that works every time. When my baby gets a rash I either have him go bare bum or have a cloth diaper without a cover.  The best cure for diaper rashes is air. Rashes feed on warm moist areas so air is key.  After he’s dried out I put Burts Bees Diaper Ointment on the rash.  The rash usually goes away by morning, if not the next day.
  • Think air air air.  There are fabulously useful leggings that are wonderful for keeping your child’s legs warm when they have naked time (or cloth diaper without cover time).
  • The best way is to not use wipes to clean during each diaper change – wipes contain scents and stuff that aren’t comfy for a baby’s tender skin. If you must use wipes, use the sensitive variety.The best way is to just wash with little water and pat dry with a soft cotton cloth (I use little pieces made from old dhotis/veshtis) – very soft and comfy for babies’ skin. With this method, we have been able to keep our baby mostly rash-free.
  • We have found it useful to change diapers more often (we use cloth diapers, and more importantly, wash our baby’s bottom with water when we change her diapers, and/or as often as we can, and definitely after a poop.
  • My baby had his first diaper rash in a few days from his birth. It was bad (like skin peeling off), so we took him to the doctor. Doctor suggested giving him regular baths so that the infections are cleared.  Here are some of my suggestions.
1.             Pat the diaper area completely dry before you apply desitin. Wetness is the one that causes rash.
2.            Also I would suggest using desitin ‘ointment’ rather than cream. The ointment is little sticky than cream, so sticks for longer time and doesn’t get washed away when they pee.
3.            Also, baby that old poops and pees very often. Change diapers every 2 hours (or as soon as she pees or poops) promptly.
4.           Give baths regularly.
5.            If it becomes worse, visit a doctor immediately. They’ll know better.
  • I did “bum baths” for my babies daily if they had a bit of a rash. You just get some nice warm water, no soap and put their button in the bathroom sink to rinse off the poop. Then dry with a towel lightly, and let the air at it if you can for a while too. My babies didn’t get rashes that much but eating citrus food like oranges and OJ gave my babies terrible rash (I nursed) so you might want to think about diet while nursing. Also, we always had a rule that we only wiped when they pooped, and didn’t wipe when it was pee. Wiping just adds more moisture to their bottom and if you don’t pat it dry with a tissue, you are just closing up a wet bottom into a diaper, which is perfect environment for the rash to persist. Urine is sterile so it is OK not to wipe each time. Oh and with my 2 babies, I never used diaper rash cream. If I was worried about moisture causing a rash, I put a bit of corn starch on their bottom (Dr’s recommend this instead of baby powder).
  • When my baby had his first diaper rash it was so bad that the skin broke and was really red. We were advised by our doctor to clean it with a rag (we used kitchen towels) apply Neosporin to the places where the skin was broken and then apply a diaper rash cream like bordeaux’s butt paste over the top. However if the skin is broken the doctor usually wants to see the rash to check for infection, so you might want to take your baby in for a checkup or at least call the nurse at your pediatrician and discuss it with them
  • Try plain old baby powder – it works wonders.
  • I suggest you visit your pediatrician.  When my baby was about three months old, I was applying Desitin Original since I heard it was the best over the counter medicine for diaper rash.  After one week of no improvement, I went to the see the doctor, and she said my baby had a yeast infection which is caused from moisture.  She prescribed Nystatin, and it took almost two weeks for him to fully recover since I should have seen the doctor sooner.   The infection did not bother him, but I was afraid it would spread
  • A couple of things that I have learned with diaper rash:
1.       Try different diaper rash creams. I can use Desitin and Boudreaux’s butte paste on my baby, but using A & D makes the rash worse. I am going to request allergy testing at her next appt, I think it is the Zinc Oxide J
2.       Water down the wipes. If I have to use a wipe, I will wash the wipe out with water first, even if they are labeled as ‘natural’.
3.      After wiping her down, softly pat dry her skin and then put on the cream. The drier the butt, the easier it will be for the cream to help heal the rash.
4.      Try switching diaper brands, there might be something in the diaper that is causing the rash to worsen.
5.      Identify anything in her diet that has changed that might be affecting the composition of her poop or pee. Any changes in formula or if nursing – the mother’s diet?
6.      The best way to treat diaper rash is to frequently change the diaper.
1.        Use plain water, or unscented wipes.  Rinsing out your current wipes can help too.  Sometimes that additives can irritate diaper rash further and sting when you are changing diapers 
2.       Try not to wipe, pat or rinse with a bulb syringe instead
3.      Find the Desitin Original.  The new creamy kind doesn’t stick quite as well.  The original kind is much thicker and creates a barrier that poop can’t get through.
4.       Get A&D ointment and switch back and forth between the two. 
5.      Sometimes the best solution is to just keep her bottom bare and dry, lay her down on a leak proof pad and let her privates get lots of air.
6.      For really stubborn rashes, yeast could be involved, try over the counter Clotrimazole anti-fungal cream.  I know it sounds really weird to use cream for athlete’s foot, but it really works.  My baby had diaper rash during the summer that was so bad, that his bottom was bleeding.  Skin was peeling off, it was bad and we switched back and forth between Clotrimazole and Desitin and he was better in a couple of days. 
7.      Change diapers more frequently, poopy one’s immediately. 
  • I was told to use plain Vaseline on our baby by our doctor and that has worked quite well for us.  Our baby is 3.5 weeks old.  Just wanted to share
  • At first, don’t use Desitin.  It doesn’t allow the skin to breathe and heal.  I have used Aquaphor for both of my babys and they have never had diaper rash.  It’s available at Walgreens and Target – is petroleum based like Vaseline, but with some extra ingredients.   It costs about $15 but lasts forever – you’ll probably never need to buy another.  I have a 10-month old baby now, and I apply a healthy amount of Aquaphor to her bottom every night after bath.  Make sure to try her off well, and then smear it on before putting on her diaper and pajamas.   I guarantee that unless it is allergy related, your baby’s diaper rash will be gone in a day. 
  • To help her heal even more quickly, give her a bath and let her lay on a blanket without a diaper on for a while (half an hour) to “air out” before applying the Aquaphor and dressing her. Oh, and it’s also really good for babies’ cheeks if they are prone to redness/dryness – just apply a little bit after bathtime or before going out in the cold.
  • I have a fabulous remedy for diaper rash that I got from a nurse at the pediatrician’s office… it has yet to fail in clearing up bad rashes in less than 24 hours. Mix a squeeze of diaper rash cream (desitin, butt paste, etc), a squeeze of neosporin or aquaphor, a squeeze of the anti fungal cream like lotramin (to fight any underlying yeast issues) and then a heaping spoonful of corn starch from the pantry. Mix together well and literally frost their bum like a cake. Keep her off diaper on a water proof sheet or something. Air helps cure rashes fast.  Also applying just plain oil helps keep the moisture out- you can use just plain olive oil.
  • My 12-mo old recently had really severe diaper rash, and my doctor recommended sitting him in a tub with a little warm water whenever it was possible during a diaper change rather than using a lot of wipes. (The downside of that is that you then have to clean the tub L) And then once he was out of the tub, to let him “air dry” for a bit. We used Boudreaux Butt Paste instead of our usual Desitin, too. It does eventually go away… J
  • Try Nystatin, her rash could be yeast based and it won’t go away with regular creams. Nystatin can be prescribed by your doctor.
  • If it is regular diaper rash, Triple Cream is awesome along with some cortibabye.
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1 Response

  1. admin Said,

    This is a great compile. Thanks for taking the effort in doing this.

    Posted on November 19th, 2008 at 3:49 pm

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