There are several different kinds of diaper rashes, and some babies have a mild rash all the time that is of little concern. Almost all diaper rashes respond to the same treatment, which is keeping the baby's bottom clean and dry. It is virtually impossible to keep a baby clean and dry all the time, but there are several things you can do to help.
1. Leave diapers off the baby when possible.
2. Change diapers promptly when wet or soiled.
3. Several times a day, wash the baby's bottom with warm water. Sometimes use a mild soap. Always pat dry well. Use commercial diaper wipes only when water is unavailable.
4. Any one of several medications can be used if you want. Several times a day apply a thin layer of cream such as A&D ointment, Desitin or zinc oxide. Powder is especially good for persistent mild rashes, but be careful the baby doesn't breath the powder especially if it is talc. Cornstarch is ok for drying. Prescription medications may be needed for persistant rashes.
5. Try cloth diapers and presoak them in water, then wash in a mild soap. Rinse the diapers well, perhaps several times. Some rashes do better in disposable diapers.
6. Be consistent. Use one diaper medication or routine for at least several days or a week before you decide it is time for a change.
If a diaper rash becomes very bad, with bleeding, with spots that are weeping fluid or with blistering, the baby may need a prescription drug to help clear it up. Call the office.
Ted Humphry, M.D.
822-2441
this information last updated 2/99