Most parents know it: the delicate baby is red and sore, the wrapping hurts the little darling and one hardly dares to clean the Popo. Fortunately, with the right care, the situation can be improved quickly. Babies butt is almost always in a diaper - which is not always dry. The warm moist "chamber" softens the skin and makes it vulnerable to external influences. Urine and stool additionally irritate the delicate skin.
Causes of diaper dermatitis
If the chair then changes - for example, by feeding a new complementary food (especially citrus fruits), an infection, diarrhea or medication - this can lead to redness and inflammation. The attacked skin has only a limited protective function - an easy game for mushrooms and bacteria. Sometimes the child is also sensitive to diaper materials.
Symptoms of diaper dermatitis
In simple soreness, the skin in the nappy area is reddened - the rash spreads from the anus towards the perineum and genitals / lower abdomen. If he heals badly in the damp, warm nappy climate, it can lead to open, wet spots.
If fungi settle on them (diaper thrush), pustules, nodules and dandruff also form - the affected region itches heavily, can swell up and extend beyond the nappy area. The boundaries to the healthy area are clearly visible in contrast to the simple sore buttocks. If bacteria settle, the pimples become larger, but eventually pus, which deposits itself as yellowish crusts. In the case of a serious infection, even the general condition may be impaired and the temperature increased.
Prevention and treatment of diaper dermatitis
The most important measure is to counteract the warm and humid climate in the diaper. To this Popflege - with which you can also avoid that your darling gets a sore bum - a few tips:
- Frequently change diapers: In case of bowel movements immediately, otherwise at least after each meal
- Wind rather loosely - so some air gets into the humid chamber
- Allow air to breathe as often as possible (let it kick naked - in a warm room on a blanket or under a heat lamp)
- If your baby often has a sore bottom, change to another diaper brand - some children are sensitive to certain substances, but not to other brands.
- To clean, take a soft washcloth soaked in water or calendula oil or whey. But: oil wipes are not tolerated by some children and are more likely to be avoided in a fungal infection.
- After cleansing, dry the skin (including the skin folds) well: either dab gently or with a hair dryer at a low level (40 to 50 centimeters away, hold sideways and cover the penis in a small boy with a dry cloth)
- Then smear a skin-protecting soft zinc paste or a baby's ointment with calendula oil. In the case of oozing rashes, a cream paste of almond oil, zinc oxide and fatty cream or of camomile, cod liver oil, sulfur, wool wax and zinc oxide (to be mixed at the pharmacy) or a finished liver tern (for example Mirfulan®) can be applied instead.
In addition, there are some medicinal plants that work against the inflammation. So you can bathe your buttocks after cleaning in warm chamomile or sheep's tea, especially thyme tea has been proven. Oak bark (from the pharmacy) and blueberry juice (from the health food store) have a contracting effect and thus accelerate healing. Two effective home remedies are breastmilk, which is dabbed on the sores and black tea (let it draw for half an hour), with the weeping spots are dabbed.
If your child suffers from recurrent diaper sclerosis, many therapists recommend a change in diet: avoidance of "unhealthy" carbohydrates such as sugar, white flour, fruit juices, instead whole foods with plenty of sour milk products, sauerkraut and nuts. Important is the conscious, slow food intake with thorough chewing. A homeopathic constitutional therapy can also help to strengthen the child's defense.
When to the doctor?
Most parents get the situation with simple measures even under control. However, a doctor's visit is advised if the condition of the skin does not improve within three to four days, the skin is severely bleeding or has other signs of fungal infection, or if your child appears to be affected overall. Infections with fungi and bacteria must be treated with special medicines - mostly creams, in severe cases also tablets.