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Diaper Rash Information

The Basics

Summary of diaper rash:
Urine breakdown is the common denominator underlying the various causes of diaper rash. Urinary wetness can raise the skin pH and compromise the skins protective ability, thereby rendering it more penetrable. With the skin in this somewhat damaged condition, stool enzymes or other irritants then damage the skin even further. The stratum corneum, the skins protective layer, made up of dead skin cells, can be easily breached by all of t he aforementioned factors. With the damage to the stratum corneum, yeast, fungus, and bacteria can easily invade the skin, making the rash more recalcitrant and less responsive to usual treatments.

What is diaper rash?
Diaper dermatitis, commonly known as diaper rash is an irritation of the skin covering the peri-anal area (groin, stomach, upper thighs, and buttocks). It occurs mostly in infants up until the age when they no longer wear diapers. It may also occur in the elderly or immobile and can become infected if not treated properly.

Prevention is the best treatment for diaper dermatitis, commonly called diaper rash. It is important to keep your baby’s diaper area clean and dry at all times, and apply a thin film of Grandma El’s Diaper Rash Remedy & Prevention with every diaper change. Should diaper rash symptoms appear, treating it immediately is imperative to assure your baby’s comfort, health, and happiness

What Causes it?
If your baby begins to get the symptoms of diaper rash, you are not alone. Diaper rash is quite common in newborns even up to the age of 3. Your baby’s skin is soft and also very sensitive. The basic causes are:

1. Wetness; when the skin comes into contact with urine or feces, the ammonia formed by urine breakdown affects the skin almost immediately, making it susceptible to bacterial or fungal override which will make this uncomfortable condition worse.

2. The rubbing of the diapers on the skin also create chafing effect which can also cause a rash. This is sometimes caused by diapers that are too tight.

3. Chemicals or fragrances from a diaper, detergent, or lotion or cream can also cause a rash called contact dermatitis.

4. Changing a diet has also been linked to diaper rash as new foods are introduced.

Symptoms and Types
Below is a list of the different types of diaper rash that could occur. Some of them may require consulting your pediatrician:
1. Chafing dermatitis or diaper chafing- This common rash can occur when a baby spends too much time in a wet, dirty diaper.
·Appearance- The peri-anal area and skin folds on the thighs may appear both puffy and red.
·Treatment- This uncomfortable condition can be healed by thoroughly cleansing and drying the area and applying a thin coat of Grandma El’s Diaper Rash Remedy & Prevention with every diaper change.

2. Friction rash - This common form of diaper rash is known to affect mostly every baby at some time or another. The areas that are more often affected are the areas where friction is most likely to occur (the inner thighs, or beneath the elastic areas of diapers that may be too tight).
·Appearance – You will notice that the skin will be red and irritated. If the condition worsens, the skin may peel, blister or even slough off.
·Treatment – As always, continue to change diapers frequently and cleanse the area thoroughly while allowing the area to ‘air out’ if possible, and apply a thin coat of Grandma El’s Diaper Rash Remedy & Prevention with every diaper change.

3. Intertrigo – This rash can occur within the skin folds and creases in and around the diaper area especially where the skin rubs together. It is exacerbated by the combination of heat mixed with urine and wetness.
·Appearance – You will notice a red, burn-like appearance.
·Treatment – After changing diaper and cleansing area, apply a thin coat of Grandma El’s Diaper Rash Remedy & Prevention

4. Yeast infection (candida albicans) – This can be a painful rash causing the skin to become very tender. Yeast normally occurs in a baby, but when combined with wet diapers, this yeast can become invasive to the cracks in the skin and grow. This is common when using antibiotics because antibiotics hinder the growth of bacteria which would normally help the yeast maintain the correct balance between pH, yeast, and bacteria.
·Appearance – you will notice small red, raised, spots with sharp borders that multiply creating a bright patchy red rash. It occurs mostly over the genitalia, but you may notice other spots surrounding the peri-anal area.
·Treatment – continue to cleanse area and frequently change diapers and use Grandma El’s Diaper Rash Remedy & Prevention. Also, it is recommended that you use an anti-fungal cream.

5. Impetigo – This type of diaper rash occurs when bacteria begins to attack the skin.
·Appearance – You will notice red blisters or pimples that may be filled with and ooze yellow puss. You may also notice the surrounding area to become quite red.
·Treatment – It is important to consult with your doctor. Antibiotic ointments are usually used to treat this, as well as being extra careful to maintain absolute cleanliness.

6. Seborrhea (cradle cap) – It is thought that overactive oil glands in the skin play a large part in this type of rash. It usually is relegated to the scalp. Seborrhea sometimes accompanies diaper rash in infants. ·Appearance - You will notice a large, inflamed, rough rash which is red in color and appears greasy. You may also notice yellowish colored scales on the skin. This can occur over the entire peri-anal area as well.
·Treatment – You may apply hydrocortisone 1% cream following directions on the package, followed with a thin layer of Grandma El’s. . Also, it is recommended that you use an anti-fungal cream such as Clotrimazole or Nystatin. If the condition persists for more than 5-7 days, consult your doctor.

7. Allergy caused peri-anal rash – When your baby begins to eat different types of foods, it is possible for these foods to cause irritation to their bottom. This can occur more frequently with foods that are more acidic.
·Appearance – you may notice a red ring surrounding the baby's anal area.
·Treatment – Stop feeding your baby the foods which may be causing the rash, and use Grandma El’s with every diaper change. It is possible that the foods ingested by a mom who is breastfeeding may be the cause, so consider changing your diet too

8. Psoriasis - This stubborn rash is difficult to treat successfully.
·Appearance - Signs of Psoriasis can usually be seen as dark red area with sharp borders or as silvery scales on the trunk, scalp, or face.
·Treatment – Continue to keep the affected area clean and dry and apply a light film of Grandma El’s to the skin lesions.

9. Irritant rash - This type of rash usually occurs when using soaps, wipes, detergents, or some medicines on the skin or also when the skin area comes into contact with stool enzymes for an extended period of time. It can also be caused by the breakdown of urine into ammonia with the ammonia being the primary irritant.

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