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Symptoms associated with diaper rash include reddish, puffy and slightly warmer skin in the buttocks, thighs and genital region that come into contact with the diaper. The rash may appear as patches of rough, red, scaly skin with areas of small, red pimples. In some cases, the rash may be open and ooze.
A baby with diaper rash may appear uncomfortable, especially during diaper changes, and may fuss or cry when the diaper area is washed or touched. Infants with diaper rash may also develop associated oral thrush, in which the mouth becomes infected with the fungus Candida.
Diaper rash should clear within a few days of starting home-based treatments. However, some cases of diaper rash may lead to secondary infections that require prescription medications. Individuals should consult a physician if a rash does not respond to home-based treatments, or if the following signs and symptoms are evident:
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Rash is severe, worsens or extends beyond the diaper area
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Fever
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Blisters or boils
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Pus or weeping discharge
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Lethargy, unusual irritability or fussiness
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Weight loss or reduction in appetite
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