Red Itchy Rash on Vag Lips of Baby
Diaper rash
Dermatitis - diaper and Candida; Candida-associated diaper dermatitis; Diaper dermatitis; Dermatitis - irritant contact
A diaper rash is a pare problem that develops in the area under an baby'due south diaper.
This microscopic film shows a fluorescent stain of Candida. Candida is a yeast (fungus) that causes mild illness, but in immunocompromised individuals it may cause life-threatening illness. (Prototype courtesy of the Centers for Illness Control and Prevention.)
Candida, a yeast organism, may cause a skin infection beneath an baby's diaper which appears equally brilliant red patches.
Diaper rash may be caused by chemical irritants rather than bacterial or candidal infection. Common irritants include ammonia from the breakup of urine, acids in the stool, and soaps used in laundering cloth diapers.
Causes
Diaper rashes are common in babies between 4 to 15 months former. They may be noticed more when babies brainstorm to consume solid foods.
Diaper rashes acquired by infection with a yeast (fungus) called candida are very common in children. Candida grows best in warm, moist places, such every bit under a diaper. Candida diaper rash is more probable to occur in babies who:
- Are non kept clean and dry
- Are taking antibiotics or whose mothers are taking antibiotics while breastfeeding
- Take more frequent stools
Other causes of diaper rash include:
- Acids in the stool (seen more frequently when the kid has diarrhea)
- Ammonia (a chemical produced when bacteria break downward urine)
- Diapers that are also tight or rub the skin
- Reactions to soaps and other products used to clean textile diapers
Symptoms
You may notice the following in your child's diaper expanse:
- Bright red rash that gets bigger
- Very crimson and scaly areas on the scrotum and penis in boys
- Blood-red or scaly areas on the labia and vagina in girls
- Pimples, blisters, ulcers, large bumps, or sores filled with pus
- Smaller ruby patches (called satellite lesions) that grow and blend in with the other patches
Older infants may scratch when the diaper is removed.
Diaper rashes usually do not spread beyond the edge of the diaper.
Exams and Tests
The health care provider can often diagnose a yeast diaper rash past looking at your babe'due south peel. A KOH test can ostend if it is candida.
Treatment
The best treatment for a diaper rash is to keep the skin clean and dry. This besides helps prevent new diaper rashes. Lay your baby on a towel without a diaper whenever possible. The more time the infant can be kept out of a diaper, the better.
Other tips include:
- Ever launder your easily earlier and after irresolute a diaper.
- Modify your baby's diaper oft and every bit soon as possible afterward the baby urinates or passes stool.
- Utilise water and a soft cloth or cotton brawl to gently clean the diaper area with every diaper modify. Exercise not rub or scrub the area. A squirt bottle of water may be used for sensitive areas.
- Pat the area dry out or permit to air-dry.
- Put diapers on loosely. Diapers that are besides tight do not permit plenty air flow and may rub and irritate the baby'south waist or thighs.
- Using absorbent diapers helps keep the skin dry out and reduces the chance of getting an infection.
- Inquire your provider or nurse which creams, ointments, or powders are all-time to utilize in the diaper area.
- Ask if a diaper rash cream would be helpful. Zinc oxide or petroleum jelly-based products help keep wet abroad from baby'south skin when practical to completely clean, dry pare.
- Do not employ wipes that have alcohol or perfume. They may dry out out or irritate the skin more.
- Do not use talc (talcum pulverization). It tin can become into your baby'southward lungs.
Certain skin creams and ointments volition articulate upward infections caused by yeast. Nystatin, miconazole, clotrimazole, and ketoconazole are commonly used medicines for yeast diaper rashes. For astringent rashes, a steroid ointment, such as one% hydrocortisone, may be applied. You lot can purchase these without a prescription. Simply kickoff ask your provider if these medicines will help.
If y'all use material diapers:
- Exercise not put plastic or prophylactic pants over the diaper. They exercise not allow enough air to pass through. Use breathable diaper covers instead.
- Do not utilize material softeners or dryer sheets. They may make the rash worse.
- When washing cloth diapers, rinse 2 or 3 times to remove all soap if your kid already has a rash or has had one before.
Outlook (Prognosis)
The rash ordinarily responds well to treatment.
When to Contact a Medical Professional
Contact your kid'due south provider if:
- The rash gets worse or does not go away in 2 to 3 days
- The rash spreads to the abdomen, back, arms, or confront
- You find pimples, blisters, ulcers, large bumps, or sores filled with pus
- Your baby as well has a fever
- Your baby develops a rash during the first 6 weeks afterward birth
References
Bender NR, Chiu YE. Eczematous disorders. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 674.
Moon Chiliad, Guerrero AM, Li Ten, Koch Eastward, Gehris RP. Dermatology. In: Zitelli BJ, McIntire SC, Nowalk AJ, Garrison J, eds. Zitelli and Davis' Atlas of Pediatric Concrete Diagnosis. 8th ed. Philadelphia, PA: Elsevier; 2023:chap 8.
Version Info
Last reviewed on: eight/ten/2021
Reviewed by: Neil K. Kaneshiro, Physician, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Besides reviewed past David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Manager, and the A.D.A.M. Editorial team.
Source: https://www.mountsinai.org/health-library/diseases-conditions/diaper-rash
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