Diaper Dermatitis (Diaper Rash)

Diaper rashes are a common part of infancy. They can range from easily remedied to stubborn and painful. Sometimes they are caused by yeast. Less frequently they are bacterial. Diaper rashes can frequently be treated with any over the counter zinc-oxide paste (Triple Paste, Boudreaux’s Butt Paste, etc).

When a rash becomes resistant to regular diaper pastes or becomes painful and bright red with spots (see pictures here) this often means the rash has developed a superficial yeast infection. Dr. Dunlap recommends the following treatment for severe, resistant, yeast diaper rashes:

Leave open to air whenever possible. Leave the diaper off between changes for at least 10-15 minutes. Apply in the following order:

  1. Lotrimin or Monistat cream (or a prescription Nystatin Cream)
  2. Aquaphor Healing Ointment (not the diaper cream)
  3. Gold Bond Baby Powder (avoid particles near the face by using a cotton ball to gently apply)

This will form a thick barrier and help get rid of the rash. If the rash still isn’t improving 2-3 days after the above, call for an appointment!