All nappy rashes aren’t created equally. Nappy rashes can be caused by nappy wearing, nappys themselves and issues not related to nappys and nappy wearing. Given the moist and dark conditions a baby’s bottom is exposed to, it’s no surprise that nappy rashes are relatively common.
Here’s a few of the most common problems that babies experience in their nappy areas.
Traditional Nappy Rash
Traditional nappy rash presents as pinkish or red skin in the areas where the nappy covers. It runs the gamete from mild to severe. Typically nappy rash is easily identifiable because of the change in a baby’s skin. The skin becomes pink or red and depending on the severity can have fluid filled bumps, scaling, peeling of the skin and/or inflammation. The best treatment for nappy rashes and for keeping nappy rashes from getting worse is prevention. The nappy area should be cleaned and dry, spoiled nappys should be removed immediately, the baby should be given nappy free time to let the air circulate around his bottom and a zinc oxide barrier cream, like Desitin, should be applied with each nappy change. Soaks in warm water can also help to improve a nappy rash. Nappy rashes that don’t quickly heal up using preventative measures should be evaluated by the child’s physician. Some nappy rashes require treatment with hydrocortisone ointment.
A nappy rash left untreated could turn into a yeast infection. A yeast infection can occur in both girls and boys and typically appears in the folds of skin in the thighs and around the genitals. The rash is typically screaming red and well defined. It may have red borders and satellite lesion may be present. The often swollen red skin and may be accompanied by small bumps, which could be fluid filled or the skin could be scaly. Children who have been on antibiotics may be more susceptible to getting a yeast infection. While traditional nappy rash treatment may help, antifungal creams are often used to treat yeast infections.
If nappy rashes are left untreated, another complication could occur: a bacterial infection. When normal bacteria that lives on the skin gets into the skin via compromised or broken skin, a bacterial infection can occur. An impetigo infection typically presents as brownish, honey coloured crust patches. Fluid or puss filled blisters may also be present. The rash is typically itchy and painful. Another type of bacterial infection is a staph infection. A severe rash, pull filled blisters and a fever may indicate a staph infection. If you suspect a bacterial infection, medical attention is required. An antibacterial treatment is typically required.
While mild nappy rashes typically go away in day or two, if you suspect your child to have a moderate nappy rash, a yeast infection or a bacterial infection, check in with her doctor. If a fever accompanies a rash or if your baby seems severely uncomfortable, you should seek a medical evaluation.