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</div><div><span>Diaper rash</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Diaper rash</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Diaper rash is a skin problem that develops in the area under an infant's diaper.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Diaper rashes are common in babies from 4 to 15 months old. They may be noticed more when babies begin to eat solid foods.</p><p>Diaper rashes caused by infection with a yeast (fungus) called candida are very common in children. Candida grows best in warm, moist places, such as under a diaper. Candida diaper rash is more likely to occur in babies who:</p><ul><li>Are not kept clean and dry</li><li>Are taking antibiotics or whose mothers are taking antibiotics while breastfeeding</li><li>Have more frequent stools </li></ul><p>Other causes of diaper rash include:</p><ul><li>Acids in the stool (seen more often when the child has diarrhea)</li><li>Ammonia (a chemical produced when bacteria break down urine)</li><li>Diapers that are too tight or rub the skin</li><li>Reactions to soaps and other products used to clean cloth diapers </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>You may notice the following in your child's diaper area:</p><ul><li>Bright red rash that gets bigger</li><li>Very red and scaly areas on the scrotum and penis in boys</li><li>Red or scaly areas on the labia and vagina in girls</li><li>Pimples, blisters, ulcers, large bumps, or sores filled with pus</li><li>Smaller red patches (called satellite lesions) that grow and blend in with the other patches </li></ul><p>Older infants may scratch when the diaper is removed.</p><p>Diaper rashes usually do not spread beyond the edge of the diaper.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Your health care provider can often diagnose a yeast diaper rash by looking at your baby's skin. A <a test="test" href="./003761.htm">KOH test</a> can confirm if it is candida. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>The best treatment for a diaper rash is to keep the skin clean and dry. This also helps prevent new diaper rashes. Lay your baby on a towel without a diaper whenever possible. The more time the baby can be kept out of a diaper, the better.</p><p>Other tips include:</p><ul><li>Always wash your hands before and after changing a diaper.</li><li>Change your baby's diaper often and as soon as possible after the baby urinates or passes stool.</li><li>Use water and a soft cloth or cotton ball to gently clean the diaper area with every diaper change. Do not rub or scrub the area. A squirt bottle of water may be used for sensitive areas.</li><li>Pat the area dry or allow to air-dry.</li><li>Put diapers on loosely. Diapers that are too tight do not allow enough air flow and may rub and irritate the baby's waist or thighs.</li><li>Using absorbent diapers helps keep the skin dry and reduces the chance of getting an infection.</li><li>Ask your provider or nurse which creams, ointments, or powders are best to use in the diaper area.</li><li>Ask if a diaper rash cream would be helpful. Zinc oxide or petroleum jelly-based products help keep moisture away from your baby's skin when applied to completely clean, dry skin.</li><li>Do not use wipes that have alcohol or perfume. They may dry out or irritate the skin more.</li><li>Do not use talc (talcum powder). It can get into your baby's lungs. </li></ul><p>Certain skin creams and ointments will clear up infections caused by yeast. Nystatin, miconazole, clotrimazole, and ketoconazole are commonly used medicines for yeast diaper rashes. For severe rashes, a steroid ointment, such as 1% hydrocortisone, may be applied. You can buy these without a prescription. But first ask your provider if these medicines will help.</p><p>If you use cloth diapers:</p><ul><li>Do not put plastic or rubber pants over the diaper. They do not allow enough air to pass through. Use breathable diaper covers instead.</li><li>Do not use fabric softeners or dryer sheets. They may make the rash worse.</li><li>When washing cloth diapers, rinse 2 or 3 times to remove all soap if your child already has a rash or has had one before. </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>The rash usually responds well to treatment.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Contact your child's provider if:</p><ul><li>The rash gets worse or does not go away in 2 to 3 days</li><li>The rash spreads to the abdomen, back, arms, or face</li><li>You notice pimples, blisters, ulcers, large bumps, or sores filled with pus</li><li>Your baby also has a fever</li><li>Your baby develops a rash during the first 6 weeks after birth </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Dermatitis - diaper and Candida; Candida-associated diaper dermatitis; Diaper dermatitis; Dermatitis - irritant contact</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1053t.jpg" alt="Candida - fluorescent stain" title="Candida - fluorescent stain" class="side-img"/><a href="../imagepages/1053.htm">Candida - fluorescent stain</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/17154t.jpg" alt="Diaper rash" title="Diaper rash" class="side-img"/><a href="../imagepages/17154.htm">Diaper rash</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/17153t.jpg" alt="Diaper rash" title="Diaper rash" class="side-img"/><a href="../imagepages/17153.htm">Diaper rash</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Bender NR, Chiu YE. Eczematous disorders. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. <em>Nelson Textbook of Pediatrics.</em> 21st ed. Philadelphia, PA: Elsevier; 2020:chap 674.</p><p>Moon M, Guerrero AM, Li X, Koch E, Gehris RP. Dermatology. In: Zitelli BJ, McIntire SC, Nowalk AJ, Garrison J, eds. <em>Zitelli and Davis' Atlas of Pediatric Physical Diagnosis.</em> 8th ed. Philadelphia, PA: Elsevier; 2023:chap 8.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 8/5/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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