Pediatrician’s Perspective: Treating a Diaper Rash

Q. What is the best way to treat a diaper rash?

Diaper rash is usually caused by irritation and/or yeast. Changing the diaper soon after soiling or wetting, gentle cleansing with a well-tolerated cleanser, and application of barrier creams, such as Desitin or A&D ointment, and/or anti-yeast creams such as Nystatin, can be helpful. Soaking in a warm bath or exposing the area to the air can also be helpful and soothing to irritated skin.

But as with everything in medicine, there are occasions where a diaper rash may be more concerning. Sometimes the irritated skin can get infected and will need other treatment. Sometimes the rash may be the sign of an illness that may or may not be important. If the rash does not improve with the above care, it would be a good idea to see the baby’s pediatrician. If a child is having a rousing case of diarrhea, you can be sure you are going to be dealing with diaper rash despite your best efforts as long as the diarrhea persists. Prolonged diarrhea (10 to 14 days), bloody diarrhea, diarrhea associated with fever, or diarrhea that has resulted in dehydration should suggest a trip to the pediatrician.