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How to Identify Diaper Rash Symptoms

How to Identify Diaper Rash

Diaper rash symptoms

Diaper rash usually comes on quickly, and it affects the areas of baby’s body that are in closest contact with the diaper. While there are some common symptoms of diaper rash, there is wide variation in what diaper rash looks like.

Take a look under your baby’s diaper. If diaper rash is causing the problem, you will see some or all of the following symptoms:

Diaper Rash Symptom: Pinkness or Redness

Pinkness or redness over a small or large area, wherever the diaper touches

Diaper Rash Symptom: Sensitivity

Sensitivity of affected areas, skin is more sensitive and may be warm to the touch

Diaper Rash Symptom: Dryness or Peeling Skin

Flaking, dryness or peeling/scaling of the skin

Diaper Rash Symptom: Papules and Pustules

Dry raised bumps (papules) or fluid-filled raised bumps (pustules)

Diaper Rash Symptom: Chafing

Chafing from friction of the diaper rubbing against baby's skin

Diaper Rash Symptom: Edema, or Swelling

Edema, or swelling

Diaper rash causes

The primary cause of diaper rash is prolonged and increased exposure to wetness/moisture against the skin. Other contributing factors to diaper rash are:

Diaper Rash Cause: Closed Environment

Closed environment created by diaper prevents air from reaching baby's bottom and increases warmth and moisture

Diaper Rash Cause: Friction

Friction from rubbing against diaper or in skin folds, makes it easier for irritating substances to penetrate skin

Diaper Rash Cause: Urine

As urine breaks down, the pH of the skin rises causing enzymes from the feces to become more active further irritating baby's skin

Diaper Rash Cause: Bacteria

Infant skin hasn't yet developed the defenses to prevent bacteria from entering the compromised tissue

Graphic showing a text saying '5 degrees of diaper rash' with a blue background and pink and blue crayons, one of them labeled 'Desitin.'

Diaper rash evaluation guide

Identify the different levels of diaper rash symptoms and decide how to best treat your baby.

A baby in a diaper lying on a bright blue rug, looking up with a concerned or upset facial expression.

When to call the doctor

  • Your baby cries in pain when the diaper rash is touched

  • Your baby has a fever

  • The diaper rash blisters or begins bleeding

  • The rash spreads to other parts of the body, such as the arms or face

  • The rash does not improve in 7 days, or subsides and then reoccurs

Always call your doctor if you have any questions or concerns about your baby or her behavior.

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