Most diaper rashes are due to prolonged contact with moisture, bacteria, and ammonia. Diaper rashes occur equally with cloth and disposable diapers.

With proper treatment, these rashes will usually improve within three days. If the rash does not respond, a yeast infection is suspected. Suspect this if the rash becomes bright red and raw, covers a large area, is surrounded by red dots, and is spreading towards the diaper edge.

HOME CARE

• Change diaper frequently; about every hour and change as soon as it is wet or soiled.
• Increase air exposure to the affected area. Leave the baby’s bottom exposed to air as much as possible. When the diaper is on, fasten it loosely to the air can circulate between the brief and the skin.
• Rinse the skin with warm water. Washing with soap after each diaper change will damage the skin. If you do use soap, use a mild soap (such as Dove) only after bowel movements. Do not use store-brand wipes as the perfumes or alcohol can irritate the skin further. Instead, use a warm washcloth or you can make your own wipes by moistening paper towels with plain warm water and storing them in a zip-lock bag for short periods.
• Nighttime care. It is best to use disposable diapers that are loosely fastened at night. It is also a great idea to use a barrier ointment such as A&D, Aquaphor, or Vaseline. Apply a mixture of barrier ointment and Maalox for open, raw areas.

OTHER RECOMMENDATIONS

• A good barrier ointment in between diaper changes.
• With a cotton ball, dab plain Maalox to any open, raw areas. Let it dry then apply barrier ointment.
• A mixture of barrier ointment and Maalox can be made in a plastic bag and then applied.
• If yeast is suspected, then apply Lotrimin or Micatin sparingly four times a day.
• Call the office if there is no improvement in 4-5 days.

How Often to Apply Lotrimin for Diaper Rash

When treating a suspected yeast diaper rash:

• Apply Lotrimin (or Micatin) sparingly four times a day
• Continue application for 3-5 days, even if symptoms improve
• Always consult your pediatrician before using antifungal creams on infants

Remember: Only use Lotrimin if a yeast infection is suspected, typically when the rash:

• Becomes bright red and raw
• Covers a large area
• Is surrounded by red dots
• Spreads towards the diaper edge

Frequently Asked Questions

Q: What causes diaper rash?

A: Diaper rash is usually caused by prolonged contact with moisture, bacteria, and ammonia. It can occur with both cloth and disposable diapers.

Q: How can I prevent diaper rash?

A: To prevent diaper rash, change diapers frequently, allow for air exposure, and use a good barrier ointment during diaper changes.

Q: When should I suspect a yeast infection in my child’s diaper rash?

A: Suspect a yeast infection if the rash becomes bright red and raw, covers a large area, is surrounded by red dots, or spreads towards the edges of the diaper.

Q: How long does it take for a diaper rash to improve with treatment?

A: Most diaper rashes will usually improve within three days with proper treatment. If there is no improvement, consult a pediatrician.

Q: Can I use regular baby wipes on my child’s diaper rash?

A: It’s best to avoid store-brand wipes with perfumes or alcohol, as they can irritate the skin further. Instead, use a warm washcloth or homemade wipes with plain warm water.

Q: What should I do if my child’s diaper rash does not improve?

A: If the rash does not respond to home care within 4-5 days or if you suspect a yeast infection, call your pediatrician for further evaluation and treatment options.

Q: How often should I apply Lotrimin for diaper rash?

A: For suspected yeast diaper rash, apply Lotrimin sparingly four times a day for 3-5 days.

Q: Can I use Lotrimin for all types of diaper rash?

A: No, Lotrimin is specifically for yeast infections. Use barrier creams for regular diaper rash.

These recommendations are intended as a simple guideline. If you have any questions, diaper rash persists despite these measures or any other symptoms of illness, please call our office and speak with a Triage Nurse.

Discover More Must-Read Pediatric Tips and Advice

At Monadnock Community Hospital, we are committed to supporting you and your family with reliable information and expert advice. Be sure to check out our other pediatric blog posts for more tips on keeping your child healthy and happy. From newborn care to managing common childhood illnesses, our blog offers a wealth of knowledge to help you navigate the joys and challenges of parenthood.

Why Choose Monadnock Community Hospital’s Pediatrics Department?

Your child’s health is our top priority at Monadnock Regional Pediatrics. From birth through adolescence, our expert team of board-certified pediatricians and nurses provides compassionate, personalized care. We partner with families to create tailored health plans that foster a healthy, happy future. Serving the community since 1923, we’re committed to delivering high-quality, accessible care in a warm and nurturing environment. Trust us to support your child’s well-being every step of the way.