Diaper
Rash Most infants will have a rash in their
diaper area sometime during their first year of life. There
are multiple causes for diaper rashes but the rashes are
rarely serious. However, infants are sometimes uncomfortable
as a result of the rash. Despite advances in diaper
"technology," excess moisture remains the most common cause
for diaper rashes. Less commonly, the rash may be the result
of a bacterial or yeast infection, chemicals in the infant's
urine or stools, or a reaction to one of the components in a
disposable diaper or to the laundry detergent used to wash a
cloth diaper By definition, a diaper rash is an
area of abnormal skin that is limited to the area that is
covered by the diaper. Rashes that involve other parts of
the body including the diaper area should not be considered
as simple diaper rashes but are indicative of a more
generalized condition. The most common type of diaper rash is
an area of red, inflamed-appearing skin over the lower part
of the stomach, upper thighs, buttocks, and genitalia. The
rash may be dry or there may be oozing of yellowish fluid.
If the rash is solely caused by chafing from the diaper or
chemicals in the diaper, the skin creases of the upper
thighs are generally not involved. Widespread involvement
that involves the skin creases generally indicates that
either excess moisture or a yeast infection is the cause of
the rash. If the rash is extremely tender, very red, and the
infant has fever, the rash may be indicative of a bacterial
infection for which medical attention is
necessary. Most diaper rashes do not require
medical attention and can be easily managed by the parents
or caretakers. Two simple measures will clear up the most
common types of diaper rash: leaving diapers off the infant
or, if this is not practical, frequent changing of the
diapers. If the latter method is chosen, the goal should be
to change the diaper as rapidly as possible after it becomes
soiled. Each time that the infant urinates or has a bowel
movement, the skin in the diaper area should be gently but
thoroughly washed with mild soap and water, and the skin
should be thoroughly dried. Power and cornstarch should be
avoided, and over-the-counter ointments and creams should
not be applied without medical advice. In most instances,
there should be gradual improvement over a three- to
four-day period. If there is no improvement after this time,
or if the rash worsens or spreads to other parts of the
body, the infant's pediatrician should be
consulted. COMMON
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