What to do in case of a diaper rash that is bleeding?

Diaper rash, also known as diaper dermatitis, is an inflammation of the skin localized to the buttocks, groin, and thighs. It is generally caused by prolonged exposure to moisture, friction from wearing diapers or ill-fitting underwear, or an allergenic substance, such as a fragrance present in wipes or soaps. Diaper rash is characterized by the appearance of redness on the affected area, which can sometimes accumulate to form more or less extensive patches. In some cases, these are accompanied by flaking, itching, and burning sensations. Often affecting infants and children, diaper rash is not serious in itself. However, without treatment, it can progress and become severe, leading to blisters, foul-smelling secretions, and sometimes bleeding. These are of course not comparable to a hemorrhage, but they can last a few days and be a source of concern.

A diaper rash that bleeds is not to be taken lightly and requires a medical consultation.

Although diaper rash is a harmless condition in its early stages, this is not the case for a rash that has progressed to the point of bleeding. At this stage, it is too late to try to soothe it yourself. If you're dealing with a bleeding diaper rash, your only option is to consult a healthcare professional to get appropriate treatment. This could be a pediatrician if the bleeding diaper rash is affecting an infant, a general practitioner, or a dermatologist: the key is to seek medical attention.

Depending on the severity of the inflammation of the diaper rash, a healthcare provider may prescribe dermocorticoids, such as 1% hydrocortisone, to reduce inflammation, as well as topical antifungals (nystatin, clotrimazole, miconazole) if a yeast infection is suspected. In the case of a bacterial superinfection, the application of a local antibiotic, such as mupirocin, may be necessary. A healing and protective ointment based on zinc oxide is also often recommended to promote skin repair and limit irritations due to contact with urine and feces.

In addition to treatment, a rigorous hygiene routine is essential to allow the skin to regenerate and prevent recurrences. The area affected by diaper rash should be cleaned twice a day with warm water and a gentle cleanser, ideally without soap or fragrance, to remove all irritating substances. This cleansing is then followed by a thorough yet gentle drying, done by patting the skin with a clean towel. Of course, soiled diapers or underwear should be changed frequently to limit moisture, about once every two hours, and, when possible, it is beneficial to leave the skin exposed to air to accelerate healing.