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"Ohhhh Nooooo Diaper Rash"
by Hannah Sprague


No parent ever wants to see a bright red rashy bottom on their baby, and even worse a rash that won't go away! Some babies have sensitive skin so just any ol' cream or ointment simply won't do. Other times you find you are battling a yeast infection, and that might mean treatment for thrush and possibly treating yourself for a yeast infection as well. What to do?

It is important for the baby's skin to be exposed to the air as much as possible. Babies have delicate soft skin, and constant exposure to wet and soiled diapers, where air can't get to it, is breeding ground for a rash. At the first sign of a rash developing on your sweet baby's bum, act immediately. The easiest and safest method to cure a simple diaper rash is to gently wash the baby's bottom with water, pat dry and leave the baby diaperless for as long as you can in a warm room. If you find you just can't let your baby go bare as much as you would like, try to change the baby's diaper as often as possible and consider using a breathable diaper cover such as a wool or fleece soaker. Apply a barrier cream or ointment that is both soothing and healing to the skin, as well as a bit of protection from urine. Once the baby soils a diaper with feces, and is mixed with urine, the chemical reaction of the two literally burns your baby's skin if not attended to immediately.

Ointments made from comfery, calendula or chamomile have a natural affinity for healing the skin and are safe to use on baby's skin barring any allergies to the herbs. Use olive oil and natural beeswax as a base to the ointment, as these two ingredients are soothing and healing to the skin as well. If you aren't up to concocting your own diaper rash salves, check out your local health food store for herbal ointments. Weleda and Burt's Bees make nice creams for babies using natural ingredients. (I won't get into a long discussion on herbs here, but always be sure you are confident in the source of any plants you use. It is of great importance that they are grown organically or wildcrafted with conscience of the environment.) Stay away from using baby powders and talcs as these can be irritating to the skin and lungs, and frankly don't do much for a stubborn diaper rash. Other safe options for topical use on a rash are aloe leaf gel and vitamin E.

What if you've tried every diaper rash cure you can think of and your baby's bottom is still red? Time to consider a yeast infection as the culprit. If your baby is breastfeeding you will need to treat both your breasts and baby's mouth for thrush, even if you don't have any symptoms. Yeast infections often times begin in the baby's mouth and travel down the digestive system to the anus creating a stubborn yeast rash. If your baby is bottlefed, you will need to boil all bottles and nipples for every use.

Yeast infections can be difficult to get rid of, so it's important to stick with the treatment of your choice until you are certain it is gone, up to two weeks after symptoms disappear. It is not uncommon, especially in families that have a family bed sleeping arrangement, to pass a yeast infection around not only from mom to baby, baby to mom, but to dad as well. Wash all bedding, towels, clothing, and especially diapers on the highest temperature they can tolerate. Add white vinegar or apple cider vinegar to the rinse and line dry outside if possible.

Treatments For Thrush
White patches on the inside of the mouth are a sure sign of thrush.

*Swab baby's mouth after every feeding with a mixture of one teaspoon of baking soda in a cup of water. Be sure not to re-dip your finger or swab into the solution after applying to your baby's mouth.

*Swab baby's mouth with plain yogurt after every feeding. The acidipholus in the yogurt kills yeast bacteria.

*If breastfeeding, mom should eat plain yogurt or take acidipholus capsules found at health food stores, and eliminate refined sugars from her diet.

*Breasts should be treated after every feeding as well as baby's mouth. Mom can splash diluted apple cider vinegar on her breasts, or apply the above baking soda and water solution. Always wash your hands every time you touch your breasts or baby's mouth, and be sure not to infect your "remedies" with the yeast bacteria.

Treatments for Yeast Rash
*Give baby frequent shallow baths with a cup or two of apple cider vinegar added to neutralize the yeast bacteria.

*Calendula cream or yogurt can be applied to baby's bottom at every diaper change.

*Over-the-counter Lotrimin works well on yeast rashes.

*Add a couple drops of essential oil of lavender to the bath.

*Gentian Violet is also reported by many women as an effective yeast treatment, although I've never tried it myself. Be careful if you do decide to try it, it stains! Gentian violet has also been known to cause awful allergic reactions.

Treatments for Mom
*If your baby has thrush and a yeast rash, you might as well assume you have a yeast infection as well and treat yourself accordingly.

*Apply plain yogurt with a tampon or syringe. Make sure the yogurt you use has live acidipholus cultures.

*Use Tea Tree Oil by applying olive oil to a tampon and adding a couple drops of the essential oil. It is possible to use Tea Tree Oil undiluted, but for use in the vagina it is best to dilute it with the olive oil.

*Mom can also take baths with apple cider vinegar added to the bath water.

*A fresh clove of garlic inserted in the vagina can cure a yeast infection if left in for several hours.

*Compresses of witch hazel work effectively to temporarily relieve itching and burning.

*Avoid antibiotics until you have fully recovered from the yeast infection, and consider boosting your immune system with echinacea.

Remember that yeast infections need to be treated aggressively and consistently in order to get rid of them effectively. If you are positive that yeast is not the cause of your baby's rash, it may be possible that your baby has an allergy to a food that is passing through your breastmilk. Start by eliminating dairy products from your diet to see if there is an improvement. Other foods may cause an allergic reaction in your baby as well, but reactions are rare in a breastfed baby unless you eat a large quantity of one particular food.

If you use disposable diapers, the chemicals and deodorants of them may be irritating your baby's bottom and causing the break-out. Disposable diapers don't allow for air circulation to the skin like cloth and natural fibers do.

Hopefully the red rash that's suddenly appeared on the sensitive skin of your baby is an ordinary rash that can be easily remedied. Soon you and your baby will be smiling again, and no longer dreading the screaming fits at every diaper change.


Hannah is a full-time SAHM to six children and leader of the Pregnancy & Babies Communities at Mother's Nature.
Hannah is also a partner in nurslings, and a childbirth educator and doula.

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