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Why is my baby's bum so red?

Published in Diaper Rash 3 mins read

Your baby's red bum is most likely due to diaper rash, a common skin irritation in infants.

Diaper rash is a form of dermatitis that appears as inflamed patches of skin on your baby's buttocks, thighs, and genitals. Here's a more detailed look at the potential causes:

  • Irritation from wet or soiled diapers: This is the most frequent cause. Prolonged contact with urine and stool can irritate your baby's sensitive skin.

  • Friction or chafing: The diaper rubbing against the skin, especially if it's too tight or the baby is very active, can lead to redness and irritation.

  • Skin sensitivity: Some babies have more sensitive skin than others and are more prone to diaper rash even with frequent diaper changes.

  • Yeast (fungal) infection: A yeast infection called Candida can thrive in the warm, moist environment of a diaper, causing a bright red rash, often with small red bumps.

  • Bacterial infection: While less common, bacteria can sometimes cause a diaper rash.

  • Introduction of new products: New baby wipes, lotions, detergents, or diapers could contain ingredients that irritate your baby's skin.

  • Allergic reaction: Your baby might be allergic to a component in the diaper material itself, baby wipes, or diaper creams.

  • Introduction of new foods: Changes in your baby's diet, or the diet of a breastfeeding mother, can sometimes alter the composition of the baby's stool and contribute to diaper rash.

What to do:

  • Change diapers frequently: Aim for every 2-3 hours, and immediately after bowel movements.
  • Cleanse the area gently: Use soft, fragrance-free baby wipes or a soft cloth and warm water. Pat dry, don't rub.
  • Apply a thick layer of diaper cream: Choose a zinc oxide-based cream or ointment to create a barrier against moisture.
  • Air dry: Allow your baby's bottom to air dry for a few minutes before putting on a fresh diaper.
  • Use loose-fitting diapers: Avoid diapers that are too tight.
  • Consider cloth diapers: If your baby is prone to diaper rash, cloth diapers may be more breathable.

If the rash doesn't improve after a few days of home treatment, or if it looks like it could be infected (pus-filled blisters, fever), consult your pediatrician. They can diagnose the cause and recommend appropriate treatment, such as an antifungal or antibiotic cream.

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