Baby’s have incredibly sensitive skin, which makes them more likely to develop rashes than adults and older kids. But with all the different types out there, it can be hard to identify what the baby rash is, what’s causing it and how to treat it. Plus, no parent wants to see their precious little one with a red or bumpy reaction on their soft skin. Many might wonder how rashes affect baby’s comfort level and whether they cause itchiness or pain. And how can parents tell if baby’s rash is a harmless diaper rash or something a little more serious? Show
Because there are so many types of baby rashes, it’s important to be aware of the symptoms to look out for and know when to call the pediatrician. To help you better identify a baby rash on the body, we’ve put together a handy guide on all things rashes. Keep reading to learn more about the common types of baby rash, tell-tale signs and symptoms and the best remedies to treat them. Baby Rash CausesWhen it comes to baby rashes, there are many types and many culprits. Some common causes include:
“Baby’s skin barrier is especially fragile because it’s thinner, immature and the skin is still developing, so that makes it a lot more vulnerable to damage and dryness. It’s also more reactive, especially to things that could be irritants,” explains Lauren R. Crosby, MD, FAAP, a pediatrician at LaPeer Pediatrics in Beverly Hills, California. Baby’s skin is typically ultra-sensitive from birth until around age 2, although diaper rash can continue to rear its head past that age until kids are potty trained. In our guide below, we outline the different ways baby rashes look and behave. Keep reading for the most common types of baby rash to keep an eye out for, plus how to prevent and treat them. From heat rashes to chicken pox, we help make sense of any bumps or blotches you may find on baby. Baby Acne or Baby Rash?Breakouts aren’t just for teenagers—it’s actually totally normal for babies to get acne. “Also known as neonatal acne, it’s a common rash in babies during the first month of life,” Bender says. “It’s thought that maternal hormones—those that pass from mother to baby in utero—may cause baby acne to flare.” But how can you tell if it’s baby acne or a baby rash? Baby acne typically looks like a bunch of small, red bumps, as opposed to the lacy red of a baby rash. Image: iStock Baby acne symptoms
Prevention and treatmentUsually, baby acne clears up on its own with gentle cleansing. Once in a while parents might need to see a dermatologist if it’s persisting beyond the normal three to four months, but that’s pretty rare. Baby Heat RashBaby heat rash tends to happen when baby’s sweat glands become blocked and trap sweat under the skin, Crosby says. It’s usually seen in warm weather or when baby is overdressed. How do you know if the baby rash is caused by heat? Image: Shutterstock Heat rash symptoms
Prevention and treatmentTo prevent baby heat rash, dress baby in lighter clothing to make sure they aren’t getting overheated or sweaty. In warm climates, it’s fine to let them sleep in just a onesie and diaper, and run a fan in the bedroom to keep the air cool and circulating. When baby heat rash does strike, “I recommend a daily bath with a non-fragrant sensitive skin cleanser to help clear out the sweat and keep the skin clear,” Crosby says. A baby rash from heat usually goes away on its own in three to four days, as long as baby isn’t overdressed and stays in a cool environment. Baby Diaper RashIt’s pretty self-explanatory where you can expect to see this baby rash. “Diaper rash can occur due to irritation from wet diapers and friction,” Bender says. Baby diaper rash is even more common in older babies who sleep through the night longer and may have wetter diapers in the morning. Image: Shutterstock Diaper rash symptoms
Prevention and treatment“Diaper rash can improve with frequent diaper changes and use of over-the-counter diaper paste containing zinc oxide, which helps in acting as a barrier to prevent friction and irritation in the diaper area,” Bender says. Ward off baby diaper rash by making sure the skin is completely dry before you put on a fresh diaper. In the past, baby powder was the go-to trick for absorbing moisture and protecting baby’s skin, but doctors no longer recommend using powder for diaper rash, since inhaled powder can irritate baby’s lungs. Sometimes a rash on baby’s butt can actually be a yeast rash caused by fungus that lives on our skin. Image: iStock Yeast rash symptoms
Prevention and treatmentTo treat a baby yeast rash, apply a topical, over-the-counter antifungal cream a few times a day. Prevent yeast rash by keeping baby clean and dry. Meningitis RashMeningitis is when the lining around the brain and spinal cord (the meninges) is inflamed, and “is a serious infection because it can be present in the blood and brain and cause organ damage, permanent brain damage or death,” Bender says. While the viral form of meningitis is serious, it’s almost never life-threatening, according to the Centers for Disease Control and Prevention (CDC). Bacterial meningitis, however, can be deadly and calls for immediate medical attention. There’s a vaccine for bacterial meningitis, but it typically isn’t given until later in childhood or before college. You can’t tell the difference between a baby rash caused by bacterial or viral meningitis, and in many cases a rash won’t appear at all. Image: iStock Meningitis symptoms
Prevention and treatmentViral meningitis usually clears up on its own in seven to 10 days, but bacterial meningitis requires immediate medical attention so antibiotics can be given as soon as possible. Serious cases may call for hospitalization. If you think baby might have meningitis, call your doctor right away—they can determine if baby has the disease and the type of meningitis. Strep rashA strep rash on baby is another type of viral baby rash. Your child is more prone to strep rash if other family members have been exposed to strep throat. Image: iStock Strep rash symptoms
Prevention and treatmentSince strep can spread from person to person through close contact, keep baby away from infected people. Unlike your run-of-the-mill neck rash, which can be treated with over-the-counter antifungal creams, strep requires a visit to the doctor. Once the diagnosis of strep rash is confirmed—typically with a skin swab test—your pediatrician may prescribe an oral antibiotic as treatment. Chicken PoxChicken pox appears as a baby rash on the body. Before the chicken pox—or varicella—vaccine became available in 1995, practically every child came down with chicken pox before age 9, according to the American Academy of Pediatrics (AAP). Nowadays, it’s pretty rare for babies to get chicken pox, thanks to the vaccine. It’s a super-contagious viral infection caused by the varicella zoster virus, so avoid contact with infected people to keep baby safe. Image: Shutterstock Chicken pox symptoms
Prevention and treatmentDoctors recommend daily baths and keeping baby’s nails short so they can’t scratch and dig into their skin, which could cause a secondary infection. Typically, the course of treatment for chicken pox is to wait it out—it can last five to seven days—but in severe cases (which aren’t common), an antiviral medication may be prescribed. To prevent chicken pox, the APP recommends that healthy babies get the first dose of the vaccine between 12 and 15 months old, followed by a second dose at age 4 to 6. Baby Drool RashNoticing a baby rash on your little one’s face? When babies’ saliva glands turn on, usually around 3 or 4 months of age, they start to drool. A lot. “If you think about it, saliva is part of your digestive tract,” Crosby says. “It’s not just water, so it’s irritating.” Image: Courtesy of Wissabo/Instagram Baby drool rash symptoms
Prevention and treatmentOne way to prevent and heal a baby rash caused by drool? Have a soft bib handy to keep the skin on baby’s face and chest dry. Apply a gentle over-the-counter ointment before and after meals as a barrier to prevent saliva from touching the skin, so baby’s drool rash can heal underneath it. Baby Eczema RashEczema, often-chronic red, dry patches of skin, is one of the most common skin disorders in babies—in fact, 60 percent of infants get eczema in the first year of life. “Sometimes babies scratch so much, it can lead to bleeding and can interfere with sleep,” Bender says. “Babies with eczema often scratch more in the evening when they’re put to bed or at night when they aren’t distracted by other activities.” Eczema can get infected if not treated, leading to scabbing and oozing skin spots. Image: iStock Baby eczema symptoms
Prevention and treatmentKeeping baby’s skin well moisturized with a daily application of a thick cream can prevent the onset of eczema in infants who are at higher risk for the condition—aka those who have a strong family history of eczema or eczema-related diseases. A mild case of this baby rash can sometimes be treated with just moisturizer, while moderate eczema may need a cortisone cream or ointment to treat it. Severe eczema is treated with over-the-counter products. Hives“Hives can occur soon after baby eats something they’re allergic to or if baby is fighting a virus, in which case the hives may last for several days off and on,” Bender says. They can appear anywhere on the body, even if caused by food. If the baby rash is sparked by something your child touched, it usually appears on the part of baby’s body that came in contact with the allergen. If hives are accompanied by wheezing or if baby’s mouth or tongue starts to swell, see a doctor immediately. Image: Shutterstock Hive symptoms
Prevention and treatmentAn oral antihistamine, such as Benadryl, can help treat hives. For a more natural remedy, try dabbing calamine lotion on the welts to soothe hives. Baby Allergy RashAs you expose baby to new products, foods and materials, there’s always a small chance they could be allergic to a certain ingredient or chemical. These rashes can be caused by food or medication that baby’s allergic to, or when baby’s skin comes into contact with an irritant, Crosby says. So what does an allergy rash look like on a baby? A baby allergy rash can manifest in different ways, but the two most common signs are hives and eczema. As mentioned above, hives usually show up as pink blotchy welts, while eczema appears as red, dry, flaky patches. Both rashes are itchy. Image: Shutterstock Allergy symptomsIf you notice the following symptoms, take baby to the ER:
Prevention and treatment“Treatment depends on the age of the child and what is triggering it,” Crosby says. “You want to remove the allergen or trigger if you can, and use a topical or oral allergy medicine.” Sometimes a blood or skin test might be needed to figure out what baby is having an allergic reaction to, and then a baby rash treatment can be prescribed. Baby Fungal RashA fungal baby rash is often caused by chronically wet or irritated skin. A yeast infection is the most common type of fungal rash. It can also appear in babies if another family member or family pet has ringworm. Image: iStock Fungal rash symptoms
Prevention and treatment“A fungal rash needs a special antifungal cream, or if it’s on the scalp and hair, it may need an oral antifungal medication,” Bender says. To prevent fungal baby rash, keep the skin clean and dry. Cradle CapEssentially dandruff for babies, cradle cap is relatively common and typically caused by yeast. This type of baby rash usually shows up in the first month of life but can occur any time, Crosby says. Image: iStock Cradle cap symptoms
Prevention and treatmentMost cases of cradle cap can be treated with regular shampooing and a soft scalp brush to loosen the flakes. If that doesn’t cut it, your pediatrician may recommend a medicated shampoo. In general, the trick to preventing baby rash is keeping your child’s skin healthy. It’s best to keep baths to 10 minutes or less and use lukewarm water, since “during a bath, skin can really lose moisture, and babies are much more prone to getting dry skin,” Crosby says. Hydrating baby’s skin regularly is crucial. The best time to apply lotion? The first five minutes after a bath, to lock in moisture. “The skin is the largest organ in the body and it’s there to protect us from the elements and infections,” Crosby says. “The importance of really caring for it from infancy through adulthood can’t be stressed enough.” Do baby’s lumps or bumps not line up with any of those listed in this guide? Baby can also develop a rash as a result of bug bites, sunburns, poison ivy and even dry skin. If you’re still not sure about baby’s rash, don’t hesitate to give your pediatrician a call or schedule an appointment. When to Be Concerned About Baby RashesNow that you are familiar with some of the most common kinds of baby rashes, you’re probably wondering, “when should I be concerned about my baby’s rash?” The truth is, many baby rashes are harmless, and some will come and go on their own without any medical treatment. The other good news is that there are vaccinations to prevent many serious rashes from developing in the first place. With that said, there are some signs you should keep an eye out for when you notice a baby rash on the body. Some baby rashes can indicate a potentially grave condition, particularly if the rash is persistent or if baby is experiencing swelling or wheezing. Contact a doctor if baby experiences any of the following:
It’s true babies tend to get rashes left and right, but that doesn’t mean you should shrug them off as nothing. Whenever you notice a baby rash on their face or body, keep a watchful eye on it and look out for other symptoms. When it comes to baby’s health, it’s always best to be precautious and proactive. About the experts: Anna Bender, MD, is a pediatric dermatologist at Weill Cornell Medicine and New York-Presbyterian. She earned her medical degree from Columbia University College of Physicians and Surgeons in 2007. After completing her residency training in dermatology at New York Presbyterian Hospital - Weill Cornell Medical Center, Bender completed an additional year of specialized fellowship training in pediatric dermatology at the Johns Hopkins University School of Medicine. Lauren R. Crosby, MD, FAAP, is a parenting expert and pediatrician at LaPeer Pediatrics in Beverly Hills, California. She earned her medical degree at UCLA School of Medicine and afterwards trained at Cedars-Sinai Medical Center, during which time she served as chief resident. She is a member and official spokesperson of the American Academy of Pediatrics. Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances. Plus, more from The Bump: What does a teething rash look like on body?Teething rash usually causes flat or slightly raised, red patches with tiny bumps. The skin may also become chapped. Teething rash can come and go over weeks.
Can teething cause rash all over?When a baby's drool dries on their cheeks, neck, or chest it can irritate the skin and cause a rash that consists of red splotches and bumps and can also be foul-smelling. It is common for a teething rash to reappear more than once. In fact, they can occur at any time during teething and may continue into toddlerhood.
Why does my baby have rashes all over the body?Many newborns develop a blotchy red skin reaction called erythema toxicum, which can appear between 2 days and 2 weeks after birth. Flat, red patches or small bumps often first appear on the face and spread to the body and limbs. The rash is harmless, not contagious, and will clear after a few days or a week.
Can teething cause a rash on arms and legs?Teething rashes can develop on the cheeks, chin, neck and chest, and look like chapped skin or small red bumps. Teething should not cause a rash on the baby's arms, legs or back, however, so any full-body irritations should be looked at by a paediatrician.
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