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By Mayo Clinic staffCauses of diaper rash can be traced to a number of sources, including:
- Irritation from stool and urine. Prolonged exposure to urine or feces can irritate a baby's sensitive skin. Your baby may be more prone to diaper rash if he or she is experiencing frequent bowel movements, because feces are more irritating than urine.
- Introduction of new foods. As babies start to eat solid foods, generally when they're between 4 and 12 months old, the content of their stool changes, increasing the likelihood of diaper rash. Changes in your baby's diet can also increase the frequency of stools, which can lead to diaper rash. If you're breast-feeding, your baby may develop diaper rash in response to something you've eaten, such as tomato-based foods.
- Irritation from a new product. Disposable wipes, a new brand of disposable diaper, or a detergent, bleach or fabric softener used to launder cloth diapers can all irritate your baby's delicate bottom. Other substances that can add to the problem include ingredients found in some baby lotions, powders and oils.
- Bacterial or yeast (fungal) infection. What begins as a simple skin infection may spread to the surrounding region. The area covered by a diaper — buttocks, thighs and genitals — is especially vulnerable because it's warm and moist, making a perfect breeding ground for bacteria and yeast. These rashes generally start within the creases of the skin, and there may be red dots scattered around the creases.
- Sensitive skin. Babies with skin conditions, such as atopic dermatitis or eczema, may be more likely to develop diaper rashes. However, the irritated skin of atopic dermatitis and eczema primarily affects areas other than the diaper area.
- Chafing or rubbing. Tightfitting diapers or clothing that rubs against the skin can lead to a rash.
- Use of antibiotics. Antibiotics kill bacteria — both bad and good ones. Without the right balance of good bacteria, however, yeast infections can occur. This can happen when babies take antibiotics or when mothers who are breast-feeding their infants take antibiotics.
References
- Horil KA. Overview of diaper dermatitis in infants and children. http://www.uptodate.com/home/index.html. Accessed Jan. 12, 2010.
- Cydulka RK, et al. Diaper dermatitis. In: Marx JA, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. St. Louis, Mo.: Mosby; 2006. Accessed Jan. 12, 2010.
- Diaper dermatitis. American Osteopathic College of Dermatology. http://www.aocd.org/skin/dermatologic_diseases/diaper_dermatitis.html. Accessed Jan. 12, 2010.
- Adam R. Skin care of the diaper area. Pediatric Dermatology. 2008;25:427.
- What can I do if my baby gets diaper rash? American Academy of Pediatrics. http://www.healthychildren.org/english/ages-stages/baby/diapers-clothing/pages/Diaper-Rash-Solution.aspx. Accessed Jan. 12, 2010.
- Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 14, 2010.
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