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What are discharge instructions? —
Discharge instructions are information about how to take care of your child after getting medical care in the emergency department ("ED").
What should I know? —
You brought your baby to the ED for a diaper rash. This is a skin rash that happens anywhere in the area that is covered by a diaper. Your baby's skin in that area might be red, painful, or itchy. It might also be raised, peeling, or scaly.
Diaper rashes are very common. They usually happen when urine or bowel movement in a diaper irritates a baby's skin. They can also happen if a baby is allergic to a perfume or dye in the diaper.
If the diaper rash is not treated, the baby can develop a yeast infection in their diaper area.
The doctors think your baby's rash will go away after a few days of treatment at home. If your baby has a yeast infection, the doctors might have given you an antifungal ointment or cream. If so, use it exactly as instructed.
How do I care for my child at home? —
Ask the doctor or nurse what you should do when you go home. Make sure you understand exactly what you need to do to care for your child. Ask questions if there is anything you do not understand.
You should also do the following:
●Call your child's regular doctor and tell them your child was in the ED. Make a follow-up appointment if you were told to.
●To treat your baby's diaper rash:
•Take their diaper off to air out their skin as much as possible.
•Check their diaper at least every 2 or 3 hours. Always change it when it is wet.
•Change their diaper right away after each bowel movement.
•Gently clean the area covered by the diaper – Use warm water and a soft cloth. If you use soap, use one that is mild and unscented, and only use small amounts. Rinse any soap off of their skin with plain water. If their skin is peeling or sore, you can use a plastic squeeze bottle filled with warm water. Pat the area dry with a soft towel after. If water is not available, clean their skin with unscented, alcohol-free baby wipes.
•Gently put a skin ointment or paste on the area each time you change their diaper – Use a product that has zinc oxide or petroleum jelly (sample brand name: Vaseline) in it. Do not use corn starch or talcum powders. These can get into the baby's lungs and cause harm.
•Use disposable diapers instead of cloth diapers (when your baby has a diaper rash).
When should I call the doctor? —
Call for advice if:
●Your child's rash gets worse.
●Your child still has a rash after 7 days.
●Your child has diarrhea.
●Your child is under a year old, and has a fever of 100.4°F (38°C) or higher.
●There are open sores, boils, or pus on the rash.
●The rash spreads beyond the diaper area.
●Your child has new or worsening symptoms.
Patient education: Diaper rash (The Basics)
Patient education: Diaper rash in infants and children (Beyond the Basics)