BABY CARE
last update: 02 January 2018

Diaper rash

The diaper rash is an area of ​​skin inflammation that is covered by diapers. For all the babies that soffer with rash or "roasted botty" .

 

What is it?

The diaper rash is an area of ​​skin inflammation that is covered by napkins (buttocks and genitals), which mothers usually designate as' rash 'or' roasted tail. " 

What types of diaper rash are there?

"The most common area of ​​the diaper dermatitis is a common single or erythema, which results from the prolonged contact of urine and feces to the skin, causing maceration and chemical irritation by the action of urea and there existing intestinal enzymes. 
Other causes of diaper rash are the fungi (e.g., Candida albicans responsible dermatitis skin or candidiasis by Candida) or bacteria that can infect secondary to prolonged contact by damaged skin with urine. 
Other less common situations, such as Psoriasis and Eczema can also be manifested by erythema (reddish skin tone) the buttocks. " 

How manifest the different types of diaper rash?

Different types of rash

"The diaper rash manifests always by a change in color of the skin that takes on a reddish hue, sometimes with the local scaling and appearance of small ulcers (sores). The baby may be irritable, uncomfortable and crying when urinating or have a dejection due to burning urine and feces cause contact broken skin. 
In dermatitis candida or thrush, erythema is bright red tone, with a well-defined edge, from which emerge small satellite of the same tone injuries. Sometimes you can find other injuries caused by the same fungus elsewhere in the body, which usually accumulates moisture, such as the neck, armpits and other skin folds, or in the oral cavity. Candidiasis of the oral cavity has the appearance of small white spots and is commonly known as 'thrush'. 
Because of the difficulty that may exist to distinguish other forms of erythema, the baby should be seen by the doctor when the problem is not resolved after two or three days that applied to general measures of treatment of simple erythema. "

 

What are the factors that predispose to appearance of diaper rash?

The diaper rash onset risk is greater when hygiene conditions are bad, when you hold the baby for long periods with the same wet diaper or soiled, or when your baby has diarrhea, increasing the number of stools contact skin in a given period of time. 

 

What can be done to prevent the onset of diaper rash?

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The diaper rash is a common problem that can be avoided through some simple steps: 

  • Change diapers frequently, avoiding prolonged contact of urine or feces to the skin
  • Changes in the diaper wash the baby's bottom with water only or no-rinse washing product. The wipes contain substances that may sensitize the skin and should be used only when the washing with water is not possible (outside the home). The frequent use of soaps or wipes alters the balance of microorganisms normally found on the skin and mucous membranes (saprophyte flora), reducing its protective role
  • After washing and drying the whole area of ​​the diaper and the skin folds where traces of moisture remain, because the moisture conditions in unaerated zones cause skin maceration and facilitate the growth of fungi
  • Today almost all children wear disposable diapers. Some children may be allergic to certain brands of diapers, so you should opt for another brand if suspected sensitivity to the type of used diaper
  • When changing the diaper to protect the baby's skin with a thin layer of vitamin A cream-based or zinc oxide. Talcum powder should not be used because it can be irritating to the skin, and it can harm the baby's respiratory tract if inhaled this at the time of application " 

 

 

How is diaper rash treated?

 

How is diaper rash treated?

"The simple erythema it is reinforcing the aforesaid hygiene measures, increasing the frequency of diaper change, and especially without leaving a baby diaper where possible, as contact with air facilitates healing of erythema. 
If the inflammation worsens, with the appearance of papules and vesicles, or does not give in to hygiene measures, the doctor may prescribe an ointment with a corticosteroid. Ointments with corticosteroids should be used only under a doctor and during the time indicated by this because it is not indifferent the type of corticosteroid chosen and why some skin problems worsen with this treatment. 
In dermatitis caused by fungi, your doctor will indicate an antifungal ointment and if there is a secondary infection by bacteria prescribe an ointment containing an antibiotic. 
Once the lesions disappear and flushing of the skin treatment may be suspended, keeping the general hygienic measures and the use of a barrier cream-based vitamin A or zinc oxide. "  

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