Diaper Rash caused by Adult Incontinence

Yes, adults can get diaper rash just like children. Diaper rash is often caused by incontinence soiling and the subsequent  rubbing of skin by clothing or incontinence garments. It can also be caused by sweat and clothing rubbing on skin. Any fluid and rubbing by garments can cause an irritation and followed by a rash. Most times these rashes can be identified and treated quickly. If left unattended it may take more effort (and considerable discomfort) to treat.

Adult Diaper Rash (aka diaper dermatitis) is a skin condition caused by skin rubbing against a diaper or pad, and contact with the chemicals in urine and stool. The skin may look red, raw, scalded or burned. It can occur at any age if diapers, protective underwear or pads are used. As stated bore, it is not strictly a child or baby related issue.

It often happens in adults when a rash occurs in the genital area in an area is not cleaned well. Skin irritations can also be caused by products that have perfumes or are allergenic. Fungal or bacterial infections may also cause diaper rash. The skin may appear to be red and swollen with a mild rash or blister and peel in a severe rash. A diaper rash that becomes raw, oozes fluid or bleeds will be harder to treat and advice from a doctor or healthcare professional may be required.

It is very important to deal with diaper rash at the earliest signs of discomfort and the rash appearing. The farther along and more severe the rash the more difficult it is to treat and cure.

The most common causes of diaper rash are:

• Not changing a wet or soiled incontinence product enough. Skin in contact with urine and/or stool becomes irritated.
• Rubbing of the skin by an incontinence pad, diaper or protective underwear product. This may cause irritation in areas including thighs, genitals, buttocks, or belly area.

We hate to mention it, but neglect by a caregiver that does not treat a diaper rash at the time treatment is needed. We hope that this is never the case, but there have been issues where caregivers do not treat a diaper rash because of anger directed at a vulnerable adult.

Sometimes a diaper rash may occur with other skin conditions including psoriasis, atopic dermatitis, or seborrhea. The rash may be red or oozing. A crust may form. There will often times be similar patches of rash on other parts of the body.

Diaper rash is uncomfortable and can lead to worse skin issues and wounds. The earlier they are identified and treated the better. Avoiding getting a rash all together is an even better approach.

Tips for controlling and treating diaper rash:

• Keep the skin dry. Also, make sure that the skin is not in contact with urine or stool.
• Change the adult diaper, protective underwear, or pad every time is is wet or soiled. It is advisable to check the garment every three house during the day. Changes may be needed during the night to prevent or clear up a rash.
• Gently wash the diaper area with warm water and a soft cloth. Rinse well and dry completely. There are many mild no-rinse and rinse skin cleansers available for incontinence perineal skin cleansing to help aid in the cleaning and healing process.
• Do not use soap unless the are is very soiled. Use only a mild soap if soap is needed.
• Do not use wipes or baby wipes that have alcohol or propylene glycol if diaper rash is present. They may burn the skin and spread bacteria. Most adult wipes are formulated without these chemicals to ensure the most comfortable cleaning possible.
• You might want to try using a blow dryer on the warm setting to get the area fully dry (this technique shouldn’t be used on babies or small children.

If possible, leaving diapers, protective underwear or pads off for a time may promote air circulation that keeps skin dry and promotes comfort and healing.

Protect the the healthy skin near the rash with protective lotions or creams. Be careful not to apply creams to broken skin unless directed as it may slow the healing process. Use of a lotion, cream or ointment that is formulated for sensitive skin and free of harmful perfumes and allergens. Also, a moisture barrier cream or lotion will help keep moisture out allowing skin to comfortable heal. Be sure to be gentle when applying any lotion or cream to sensitive skin.

Use a disposable incontinence product with absorbent gelling material (super absorbent microbeads) as these will pull moisture away from the skin.

Showering or bathing multiple times throughout the day and gently drying the area may help. Reapply lotions, creams, or ointments after drying.

Do you have any suggestions on dealing with adult diaper rash that might benefit others? If so, please leave detailed comments on this post. Thank you!

Please note you should consult with your doctor or healthcare professional with any diaper rash or skin care issue to ensure you are taking the proper steps to treat the issue. The information provided is of a general nature and should not be considered not medical advice.