Cloth diapering is a popular choice for many parents because of its eco-friendliness and cost-effectiveness. However, cloth diapers can also cause rashes on a baby’s sensitive skin like any diapering method.
Parents need to be able to identify the different types of cloth diaper rashes to effectively treat and prevent them. Each type of rash has its own causes, symptoms, and treatments, so it’s important for parents to be knowledgeable about them to keep their little ones’ bottoms healthy and comfortable.

Irritant Contact Dermatitis
Causes
Irritant contact dermatitis can be caused by various irritants, including urine and feces, as well as harsh detergents or fabric softeners used to clean cloth diapers. These irritants can break down the skin’s natural barrier, leading to redness, inflammation, and discomfort.
Symptoms
The symptoms of irritant contact dermatitis can include redness, inflammation, and discomfort in the diaper area. The skin may also appear dry, scaly, or chapped. In severe cases, the skin may crack or bleed.
Treatment and Prevention
The best way to treat and prevent irritant contact dermatitis is to keep the diaper area clean and dry. Frequent diaper changes and gentle cleaning with warm water and mild soap can help prevent irritation.
Applying a diaper rash cream or ointment can also help soothe the skin and create a barrier between the skin and irritants. Using a cloth diaper-safe detergent and avoiding fabric softeners can also help prevent irritation.
Candida or Yeast Infection
Causes
The primary cause of candida or yeast infection is the overgrowth of yeast in the diaper area. This can be caused by several factors, including prolonged exposure to moisture, the use of antibiotics, or a weakened immune system.
Symptoms
The symptoms of candida or yeast infection can include redness, inflammation, and small red bumps in the diaper area. The rash may also be accompanied by a strong odor and the appearance of small white or red blemishes.
Treatment and Prevention
The treatment for candida or yeast infection typically involves using antifungal creams or ointments. Over-the-counter medicines like clotrimazole or miconazole can be used, but prescription medications may be necessary for more severe cases.
To prevent candida or yeast infection, keeping the diaper area clean and dry is important. Changing diapers frequently, avoiding fabric softeners, and using a cloth diaper-safe detergent can also help prevent yeast overgrowth.
Allergic Contact Dermatitis
Causes
Allergic contact dermatitis can be caused by various substances, including the materials used in cloth diapers, the detergents or fabric softeners used to clean them, or even the baby wipes used during diaper changes. Allergic reactions can vary from person to person, so it’s important to identify the specific allergen causing the reaction.
Symptoms
The symptoms of allergic contact dermatitis can include redness, itching, and bumps or blisters in the diaper area. The rash may be isolated to the area of contact with the allergen or spread to other parts of the body.
Treatment and Prevention
The best way to treat and prevent allergic contact dermatitis is to identify and avoid the allergen causing the reaction. This may involve switching to a different type of cloth diaper or detergent, or avoiding fabric softeners altogether. Applying a diaper rash cream or ointment can also help soothe the skin and reduce inflammation. A doctor may prescribe a steroid cream or oral medication to treat the rash in severe cases.
Bacterial Infection
Causes
Bacterial infection can be caused by various bacteria, including Staphylococcus aureus and Streptococcus pyogenes. These bacteria can enter the skin through a break or cut caused by scratching or other irritants, or they can multiply in the warm, moist environment of the diaper area.
Symptoms
The symptoms of bacterial infection can include redness, inflammation, and pus-filled blisters or sores in the diaper area. The rash may also be accompanied by a fever, and the baby may seem irritable or uncomfortable.
Treatment and Prevention
The treatment for bacterial infection typically involves using antibiotics, either topically or orally. In some cases, a doctor may need to drain pus-filled blisters or sores to help the infection heal.
To prevent bacterial infection, keeping the diaper area clean and dry is important. Changing diapers frequently, avoiding fabric softeners, and using a cloth diaper-safe detergent can also help prevent irritation and reduce the risk of bacterial infection.
Intertrigo
Causes
Intertrigo can be caused by various factors, including friction from a tight or ill-fitting diaper, heat and moisture in skin folds, and the accumulation of urine or feces in the diaper area. This type of rash is more common in babies who are overweight or who have folds of skin in the diaper area.
Symptoms
The symptoms of intertrigo can include redness, inflammation, and raw or oozing skin in skin folds, such as the groin or buttocks. The rash may also be accompanied by a foul odor and itching or burning sensations.
Treatment and Prevention
The treatment for intertrigo typically involves keeping the affected area clean and dry. This may include changing diapers frequently, using a cloth diaper-safe detergent, and allowing the affected area to air out as much as possible.
Applying a diaper rash cream or ointment can also help soothe the skin and reduce inflammation. In severe cases, a doctor may prescribe a topical or oral medication to treat the rash. To prevent intertrigo, it is important to keep the diaper area clean and dry, and to ensure that the diaper fits properly and is not too tight.
Cloth Diaper Rash FAQ
Can cloth diaper rashes be contagious?
Cloth diaper rashes are usually not contagious. However, bacterial and fungal infections can sometimes be spread from one baby to another.
Can cloth diapers cause more rashes than disposable diapers?
There is no evidence to suggest that cloth diapers cause more rashes than disposable diapers. However, cloth diapers may increase the risk of diaper rash if they are not properly cared for or changed frequently.
Are there any natural remedies for cloth diaper rashes?
Some natural remedies for cloth diaper rashes include coconut oil, aloe vera, and tea tree oil. However, it is important to speak with a healthcare provider before using any new remedies.
When should I see a healthcare provider for my baby’s cloth diaper rash?
If your baby’s diaper rash is severe, does not improve with home remedies, or is accompanied by a fever or other symptoms, it is important to see a healthcare provider for proper diagnosis and treatment.
Understanding the different types of rashes and their causes and symptoms can help parents identify and prevent diaper rashes. If your child gets a diaper rash, parents can take steps to keep their babies’ skin healthy and comfortable.