#asktheexpert my daughter has a weepy rash on her neck folds …i tried vaseline ,breastmilk,coconut oil….it gets healed and comes back again …what do I do?!

Question

Accepted Answer

A rash in the neck folds of your daughter, particularly if it's recurring, could be caused by various factors, including moisture, friction, or skin irritation. These rashes are quite common in babies, especially in areas where the skin folds, such as the neck, armpits, and groin. Here are some possible reasons and steps to help manage and prevent the rash:

Possible Causes:

1. Moisture and Sweat: The neck folds can trap sweat, leading to irritation and rashes. The combination of moisture and friction can cause the skin to break down, leading to a rash.

2. Friction: Babies' skin in the neck folds can rub against itself or clothing, which can cause irritation.

3. Diaper Rash (if extending to nearby areas): Sometimes, rashes can spread from the neck to other parts of the body due to irritation, especially if the baby is sweaty or drooling frequently.

4. Skin Fungal Infection (Candidiasis): A recurring rash could be a yeast infection, which is common in skin folds and can persist if not treated properly.

5. Allergic Reaction: Your baby might be reacting to a product like coconut oil, Vaseline, or Resmoo, causing the rash to flare up after application.

Steps to Manage and Prevent the Rash:

1. Keep the Area Dry: Ensure that the neck area stays dry, especially after bathing. You can use a soft towel to pat the area dry gently. Avoid rubbing, as it may cause further irritation. You can also let the area air dry before putting on clothes.

2. Avoid Tight Clothing: Ensure that your baby is wearing loose clothing around the neck area, as tight clothing can contribute to friction and irritate the skin.

3. Use a Gentle Powder: After drying the area, you may use a baby-friendly powder like cornstarch (not talc-based powders) to keep the area dry. However, some doctors may advise against powders, so consult with your pediatrician.

4. Apply a Barrier Cream: Instead of Vaseline or oils, you might try a zinc oxide-based cream (similar to diaper rash cream) to form a protective barrier on the skin. These creams can help keep moisture from irritating the skin.

5. Avoid Overuse of Oils: While coconut oil can be soothing for some babies, it may sometimes worsen the rash, especially if it traps moisture. It’s best to avoid oils if the rash is recurrent and stick to a more breathable cream or ointment.

6. Monitor for Yeast Infections: If the rash persists or looks like it’s spreading in a ring or has a scaly texture, it could be a fungal infection. In that case, you might need antifungal treatment. Consult a pediatrician for appropriate medication.

7. Frequent Checks and Cleanliness: Ensure that the neck area is cleaned regularly but gently, without harsh soaps or scrubbing.

8. Consult a Pediatrician: If the rash continues to return despite these measures, or if it worsens, it’s important to consult your pediatrician. They might prescribe a topical treatment such as an antifungal or hydrocortisone cream if necessary.

Conclusion:

You’re on the right track by applying moisturizers, but it’s important to focus on keeping the neck folds dry and using the right products. If the rash keeps returning, it’s a good idea to get a professional evaluation to rule out any underlying issues like fungal infections.