This rash is commonly seen in newborn babies and in older infants with frequent loose motions. It is seen less commonly in breastfed babies.
Typically, we neglect to change the diaper soon after it is wet or soiled, and the prolonged contact of the skin with urine or stools may lead to redness over the lower part of the abdomen, genital area and the buttocks. Sometimes, the moisture in the area can attract a fungus.
To prevent diaper rash, I have always encouraged parents to use cotton diapers. However, I find that the quality of available disposable diapers has improved, resulting in less incidence of diaper rash. Try to change the diaper as soon as it is wet. Clean the soiled diaper area with plain water and dry it. Make sure that no moisture is left in the groin or in the creases of the skin.
Some babies get up if the diaper is changed during the night, but they do not get the rash even if the diaper is not changed.
If your baby develops diaper rash, expose the skin to air as often as possible, especially for some time after he has passed urine and/ or stool. This is often enough to solve the problem. If the rash persists, a preparation containing zinc and castor oil may be used for local application. Your chemist can make it or any readymade preparation can be used 3 times a day. Take the baby to the doctor if the rash persists. He may have to treat it with an antifungal preparation.
In severe diaper rash, do not excessively cleanse or wipe the affected area. Washing with plain water, followed by cool compresses of a mixture of half milk and half water, then an application of a zinc cream over a light application of mild steroid and antifungal cream seems to work best. The diapers should be changed frequently.
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