FREE SHIPPING on all US orders over $100!

The ultimate guide to diagnosing your baby's diaper rash


April 04, 2016

Diaper rash is one of the most common dermatologic conditions in the United States and the most common skin disorder of early childhood. And while diaper rash isn't as common among cloth-diapered babies, it does happen. Below are the 5 most common diaper rashes that can occur in disposable diapers and cloth diapers, why they occur, and how you can treat them. 

Rash Type Common
causes
Treatment with
disposable diapers
Treatment with
cloth diapers
1. Contact Rash
This rash appears flat and blotchy and typically occurs all over the bum.
This is the most common type of diaper rash. It occurs when the skin comes in contact with something that irritates it - often harsh chemicals, moisture, or synthetic fibers. 
  • Switch to cloth baby wipes or natural baby wipes
  • Apply diaper cream at every diaper change
  • If rash persists, switch to chlorine-free diapers or cloth diapers
  • Strip diapers to remove any detergent residue
  • If using pocket or AIO diapers, switch to diapers with natural fiber interior linings
  • If using natural-fiber diapers, add a fleece liner to the interior to wick moisture away from baby
2. Ammonia Burn
This rash appears flat and blotchy and is typically isolated to just the bum. It may also have blisters.
As urine breaks down, the pH of the skin rises causing enzymes from the feces to become more active - further irritating baby's skin. Prolonged exposure to urine will lead to this type of rash.
  • Change diapers more often (every 2 to 3 hours is recommended).
  • Increase water intake (if nursing, increase your water intake).
  • Apply diaper cream at every diaper change.
  • Change diapers more often (every 2 to 3 hours is recommended)
  • Increase water intake (if nursing, increase your water intake).
  • If using natural-fiber diapers, add a fleece liner to the interior to wick moisture away from baby
  • Thoroughly rinse diapers of urine before placing in diaper pail
3. Acidic Poop Rash
This rash looks very similar to ammonia burn but also with a red "burn" ring around the rectum.
Acidic foods and allergy causing foods like citrus fruits, tomato-based foods, dairy, nuts, etc. can increase stomach acid. When baby poops, this acid can create a "burn" in the bum area.
  • Remove acidic and allergy causing foods from baby's diet (or your diet if your nursing).
  • Apply diaper cream at every diaper change
  • Use probiotics to balance the pH in baby's gut.
  • Remove acidic and allergy causing foods from baby's diet (or your diet if your nursing).
  • Apply diaper cream at every diaper change
  • Use probiotics to balance the pH in baby's gut.
4. Yeast Rash
This rash looks acne pimples or chicken pox and covers the entire bum.
Note: Hand, foot and mouth disease can cause a similar looking rash.
Yeast rash is caused solely by baby's diet - either something baby consumed, or (if you're nursing) something you ate. Antibiotics and/or a diet high in citrus, dairy or gluten will destroy the balance of good and bad bacteria in baby's gut leading to an overgrowth of yeast (candida) fungus.
  • Kill the fungus by applying an anti-fungal cream to the area like Nystatin or Lotrimin. Or, as a natural alternative, apply diluted apple cider vinegar (ACV), coconut oil, or Pooters Skin Therapy diaper rash cream.
  • Balance the bacteria in baby's gut by giving her/him infant probiotics.
  • Change baby's diet to reduce citrus, dairy and gluten.
  • Kill the fungus by applying an anti-fungal cream to the area like Nystatin or Lotrimin. Or, as a natural alternative, apply diluted apple cider vinegar (ACV), coconut oil, or Pooters Skin Therapy diaper rash cream.
  • Balance the bacteria in baby's gut by giving her/him infant probiotics.
  • Change baby's diet to reduce citrus, dairy and gluten.
  • Add bleach to your wash routine up to 5 days after the rash disappears.
5. Eczema
Skin will appear red, itchy, scaly and cracked. It occurs in the folds of the skin and may blister or ooze.
While the exact cause of eczema is unknown, flare ups are often triggered by heat, certain foods and detergents included in bubble baths, washing powders and fabric softeners.
  • Eliminate triggers by using castile soap for bathing, switching to cloth wipes and removing dairy, soy and gluten from baby's diet.
  • Heavily moisturize the skin. Topical steroid creams like hydrocortisone have proven effective. Or, as a natural alternative, apply coconut oil or creams that contain coconut oil, chamomile essential oil and calendula like Pooters Skin Therapy Eczema cream.
  • Switch to chlorine-free diapers or cloth diapers.
  • Eliminate triggers by using castile soap for bathing, switching to cloth wipes and removing dairy, soy and gluten from baby's diet.
  • Heavily moisturize the skin. Topical steroid creams like hydrocortisone have proven effective. Or, as a natural alternative, apply coconut oil or creams that contain coconut oil, chamomile essential oil and calendula like Pooters Skin Therapy Eczema cream.


Note: Most diaper rashes should improve or disappear within 7 days. If the rash persists, spreads, is sensitive to the touch, blisters, bleeds or causes a fever, please contact a pediatrician immediately.

 



Leave a comment

Comments will be approved before showing up.


Also in Pooters Diapers Blog

Stop nighttime diaper leaks with the right cloth diaper and insert
Stop nighttime diaper leaks with the right cloth diaper and insert

August 27, 2016

With the right Pooters diaper and insert, you can create a diaper that holds up to 31 ounces - giving you and your little one a leak-free night. Use this table to find the Perfect Leak-free Diaper for your family.

Read More

5 steps to get you started with cloth diapers
5 steps to get you started with cloth diapers

August 27, 2016

Getting started with cloth diapers can be a confusing process. Let us walk you through everything you need to know.

Read More

How to Wash Cloth Diapers

April 04, 2016

  1. Place diapers and diaper pail liner in washing machine
  2. Run one (1) HOT rinse cycle with no detergent. *add Calgon or Borax if you have hard water
  3. Run one (1) HOT wash cycle (Heavy load) with 1 scoop of a recommended detergent
  4. Dry (either in dryer or on clothesline)

Read More