Our Mommy MD Guide’s reply: My sons seemed to be most prone to diaper rashes when we were changing their food. So when we started solids, for instance, we’d have a rash of diaper rash! I tried to prevent them by using a lot of diaper rash cream. If my babies had the slightest hint of a rash, I’d let their bottoms air out with a diaper for awhile, even out in the sun for a bit so their skin could really dry out. We are fortunate to have a room that receives a lot of indirect light. We would hold them in a towel on their tummies and let their bottoms get exposed to the indirect light for 20 to 30 minutes.
My middle son has a condition that requires him to take antibiotics often. That makes him prone to a particular type of diaper rash caused by yeast. They look different from regular diaper rash, more like little red dots called satellite lesions. If your baby’s rash looks like that, or if his rash doesn’t respond to regular treatment such as frequent diaper changes, take him to the pediatrician to make sure it’s not a yeast rash. One thing that helps to prevent a yeast rash is to mix 2 tablespoons of distilled white vinegar into 12 ounces of water and pat that on the skin with a clean makeup sponge. That changes the pH of the skin and may help prevent recurrent yeast diaper rash.
—Amy Thompson, MD, a mom of four- and two-years-old and nine-month-old sons and an ob-gyn at the University of Cincinnati College of Medicine, in Cincinnati, OH
Our Mommy MD Guide’s reply: Every baby gets a diaper rash sooner or later. When it happens, the two most important things to do are expose the rash to air and put on a diaper rash cream containing zinc oxide. Really coat it on.
When you’re exposing the skin to air, you might worry her legs will get cold. You could simply put on a pair of adult tube shocks or try BabyLegs. They’re soft leg warmers for babies that were invented by a mom whose baby had really bad diaper rash and had to crawl around for days sans diaper.
You can buy BabyLegs for around $12 at www.babylegs.com.
—Katherine Dee, MD, a mom of six-year-old twin daughters and a four-year-old son and a radiologist at the Seattle Breast Center