Need help with unusual diaper rash

iVillage Member
Registered: 08-17-2010
Need help with unusual diaper rash
Sat, 04-21-2012 - 10:24pm

We have been cloth diapering my 7.5 month old since she was about 3 months old. We use the best bottoms diaper system (an AI2, liners that snap into shell). She has rather sensitive skin and does get regular diaper rash every now and then. We've been using coconut oil on it which works most of the time. However, my problem is with an awful rash she gets, not in the actual diaper area but on her thighs where the leg gussets are. I guess I'm not even sure if it's techniqually diaper rash or something else. The skin on her thighs get very red, hot sometimes swollen looking and eventually gets kind of chapped looking and eventually begins to peel. I have tried everything I can think of... loosening the diaper (to the point where it often leaks), generously coating her legs as well as her diaper area with the coconut oil, changing her frequently, never using the same shell twice in a row, stripping the diapers 100 ways to sunday... nothing seems to help. The only thing that clears it up is switching to disposables for a while, but the rash always comes back within days of switching ther back to cloth so she has now been in disposables for a couple weeks bc I feel bad about continuing to put her in the cloth ones and "giving" her a rash. Has anyone encountered something similar and/or have suggestions for what may be going on? I've considered an allergy to what ever kind of elastic is in the gussets but the elastic is covered in cloth so I don't see how that would be an issue...

iVillage Member
Registered: 09-21-2011
Sun, 04-22-2012 - 9:44pm

Sounds like an allergy to me, but I am not a doctor. I do happen to have some skin allergies myself and I recognize the description of the hot patches you describe.

I know you said you have stripped the diapers, but have you tried changing detergents at all? What are you using to launder your diapers? What is your wash routine like? What soaps or lotions is she exposed to (on her or you or other family members)? I'm just thinking it could be exposure to something else that is held against her skin by the cloth your deodorant or hand lotion or something like that.

Also, some kids (or big people) get pressure rashes. Does it improve if she gets time to air out and just hang out naked without anything pulling or pushing on her?

And one more thought since I'm just trying to come up with options-- You said you were using Best Bottoms, but I'm wondering if you have any natural fiber options. When my DS has had bad rashes, the best luck we had clearing them was a cotton or bamboo diaper with a wool cover over it. Everything was breathable and the cotton prefolds wash cleaner than pretty much anything else. You can wash and dry them as hot as you can imagine, or even bleach them if you have to so they won't harbor bacteria or yeast or other yuck.

HTH--maybe folks here can come up with some suggestions if you have more information or questions!

iVillage Member
Registered: 08-16-2004
Thu, 04-26-2012 - 9:20pm

The boy I babysit is having the same problem, so he has been in disposables for a few weeks.

iVillage Member
Registered: 04-28-2011
Fri, 04-27-2012 - 10:09pm
This is just a shot in the dark, but could yeast be involved? My niece had a terrible, stubborn rash that wasn't the typical diaper rash and she suffered with it for weeks. Once the dr looked her over and gave her treatment for yeast, it cleared up very quickly. I just wonder if yeast might react differently to cloth vs disposable and it may explain the fluctuation.
I second the suggestion of a different diaper type just to test if it's the AI2 materials that are irritating LO's skin.
Good luck. I hope it clears soon.
iVillage Member
Registered: 03-25-2010
Wed, 05-01-2013 - 3:54pm

Did you have any luck? I wonder if the BB elastic gussets have latex, somehow not covered all the way or not 100% sealed, and your little one is allergic. Did you put the covers in the dryer to seal the PUL? I know it's been over a year now since you posted, but thought I'd ask.


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