Diaper rash

Introduction to diaper rash Diaper rash is an inflammatory skin lesion that occurs in the diaper-covered area. It is also called the baby's red buttocks. It is characterized by redness, swelling, and even ulceration, ulceration, and infection in the area where the buttocks are in contact with the diaper. External forces or friction can cause damage. Most diaper rashes occur in babies up to the age of one year, usually the most severe at 7-9 months. Because the type of food that the baby begins to eat during this period is gradually increased, the discharged urine will increase the irritation of the buttocks skin, especially when the diarrhea or discharge is overnight in the diaper, and the infant or lactating mother uses antibiotics. The reason for the formation of diaper rash is that the wet skin rubs against each other or the normal skin is irritated by the wet diaper for a long time. The urea in the urine is decomposed by bacteria to produce ammonia, and the skin is stimulated by ammonia to cause dermatitis. Small babies have delicate skin and are more prone to diaper rash. basic knowledge The proportion of illness: the probability of illness in infants and young children is 18% Susceptible people: infants and young children Mode of infection: non-infectious Complications: Eczema Dermatitis Acne

Diaper rash

The skin is too thin (35%):

Studies have shown that baby's skin thickness is only 1/10 of that of adult skin. It is easily broken when rubbed. In addition, the function of the immune system is not yet fully developed, the resistance is weak, and it is easily allergic to be stimulated.

Skin sweat glands are not well developed (30%):

The sweat glands on the baby's skin are only 1/2 large or even smaller. The skin area is much smaller than that of adults, but the amount of perspiration is almost the same as that of adults. Therefore, when the ambient temperature is high, the skin is The temperature is difficult to control, and if it is not properly exposed to moisture and hot air, it is easy to produce diaper rash.

More urination and defecation every day (30%):

Baby's metabolism is very active, especially water metabolism, but the bladder is very small, and the urine and stool are arranged many times every day. If the care is not timely, the hips will always be in a state of humidity and urine pollution, thus inducing diapers. rash.

Diaper rash prevention

1. The main point of prevention is to change the diaper frequently and wash the diaper.

2. Choose a diaper suitable for your baby

It is best to use cotton diapers for babies. Because cotton diapers are comfortable, breathable, and can be reused. Never use a diaper made of chemical fiber cloth. Because chemical fiber fabrics will stimulate the baby's skin, the water absorption is not good. And don't choose old cotton cloth that has been used for a long time. Because this cotton has many small burrs on the surface, long-term use will rub the baby's delicate butt, which may cause diaper rash.

3. Change diapers frequently

Generally, the diaper is changed and then fed before each feeding. The baby should change the diaper before going to bed and wake up. Usually, check the diaper frequently and replace it in time.

4. Always clean and keep clean

Cloth diaper cleaning essentials:

(1) cloth diaper texture

Cloth diapers are colorless, white or light yellow is appropriate, can avoid the dye to stimulate the skin of the baby's buttocks, and easy to observe the color of the urine; can be used to make cloth diapers with washed old cotton, old sheets or old clothes It is soft, absorbent and breathable. It is easy to wash and dry without irritating the baby's skin. (2) It is not suitable for use when it is large or too small.

(3) Before use, be sure to use hot water first, then expose to sunlight, to avoid skin allergies;

(4) Dirty diapers are first soaked in clean water, and mild soap is used to wash the urine marks. Rinse with water repeatedly, naturally dry and dry again, will avoid diaper rash.

(5) When there is stool on the diaper, you can wash it into the toilet with clean water first, then wipe the neutral detergent. After soaking for half an hour, use boiled water. After the water is cool, it is easy to wash the yellow marks on the diaper. Washed out.

(6) Use a baby-specific detergent when washing diapers. Ordinary soaps and washing powders contain chemicals such as phosphorus, and the baby's skin is delicate and prone to allergies. In addition, do not add clothing softener, softener will reduce the water absorption of the diaper. Over time, the diaper will harden. If you use such a diaper, your baby may also have a diaper rash.

The diaper needs to be aired in the sun so that it can be disinfected with ultraviolet light from the sun. If you are in a rainy weather, it is best to use a dryer or iron it with an iron. A dry diaper can easily breed bacteria and damage your baby's skin.

5. The essentials of using diapers

(1) Each time you change the diaper, you should pay attention to the position of the two sides of the glue to the waist, and tear them apart to prevent the urine from leaking out from the back;

(2) A layer of cotton diaper or non-woven fabric can be put on the diaper, which can be replaced immediately after the baby is discharged, which can extend the use of the diaper.

(3) The baby has more urine, and the urine may leak from both sides. It is best to use a leak-proof diaper to prevent leakage.

(4) The baby uses a diaper, although it is very convenient, but must pay attention to the care of the buttocks. Diapers should not be used for too long, and need to be ventilated, otherwise diaper rash may still be obtained.

(5) The umbilical cord of the newborn baby has not fallen off. When using, the diaper can be folded in or out, or the diaper with concave design of the navel should be used to avoid rubbing the root of the umbilical cord and the diaper, so that the skin is worn out. Inflammation and bleeding.

Diaper rash complications Complications eczema dermatitis acne

Common complications of diaper rash such as itchy skin and eczema. After the rash is scratched, secondary infection may occur, local redness, pustules, fever and other symptoms may occur. Severe diaper rash is more serious, because it is not treated in time to develop deeper ulcers, and even induce hemorrhoids. In severe cases, bacteria may be induced. Infection, high fever, convulsions, shock, etc. If the treatment is not complete, chronic eczema can be left behind.

Diaper rash symptoms Common symptoms Baby hips red bloody papules sepsis

1. Mild baby diaper rash symptoms Mild diaper rash is also called hip red, that is, in the perineum, around the anus and buttocks, outside the thigh, the blood vessels of the skin are congested and reddened.

2. Moderate infant diaper rash continues to develop, there is exudate, and gradually increase, and then the epidermis sheds, forming a superficial ulcer, and can be accompanied by erythema, papules.

3. Severe baby diaper rash develops into deeper ulcer if not treated in time, and even acne, rash and can be extended to the inside of the thigh and the inside of the thigh or the abdominal wall. Due to skin damage, the bacteria are prone to cause local infection, and the bacteria are infected from severe bacteria. The local invasion of the blood causes sepsis.

Diaper rash inspection

The appearance of diaper rash is not exactly the same. The skin of the child may be somewhat swollen and hot. Some children only grow red spots in a small area; they may also be more serious, with a painful bump that spreads over the stomach and thighs. Careful observation by infant caregivers reveals that no special inspection is required. If there is a secondary infection, blood tests, bacterial culture, etc. are required.

Diagnosis of diaper rash

diagnosis

Diagnosis can be based on the cause, symptoms and related tests.

Differential diagnosis

What you think is a diaper rash on your child's buttocks is probably another mild child skin disease. Therefore, it is important to identify the difference between diaper rash and other common diseases so that it can be effectively treated and is most likely to be mistaken. Conditions that are diaper rash include pustule disease, subcutaneous seborrheic dermatitis and lice.

Pustule disease

Pustulosis is an infectious bacterial skin infection that occurs in the diaper area, on the face and hands, forming pimples and yellowish wounds with blemishes, accompanied by blisters and itching. Because the condition is contagious, all members of the family Wash your hands with bactericidal soap to avoid the spread of the disease. If you see such a wound, call your pediatrician and he will prescribe an antibiotic ointment or oral antibiotic.

Subcutaneous seborrheic dermatitis

Subcutaneous seborrheic dermatitis is a common skin disease that occurs during the first year of the baby and you will find protrusions in the baby's groin, genital or lower abdomen, rough red spots, thick scaly layers of white or yellow Coverage, when similar spots appear on the scalp, commonly known as "cradle caps", can be applied to the affected area from the pharmacy to buy cortisone or hydrocortisone, and keep the baby clean and dry, if the symptoms are not seen quickly If you are better, you should go to the pediatrician and he will prescribe a more effective cortisone ointment.

Scorpion

Heat and moisture can cause lice, because sweat accumulates on the skin and cannot evaporate. It is rare after three months. It looks like a acne attack, forming a small red packet that can appear in diapers. The skin wrinkles at the site, especially where the plastic liner or diaper coating of the diaper is in contact with the skin, the main cause of the lice is moisture and moisture, so make sure your baby does not wear too much, the skin remains Dry, if the scorpion is more serious, you should contact your child care doctor.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.