Question:

As our aging population depends more and more on pads and disposable underwear for bladder leaks, what is the simplest way to stay clean and irritation free? Especially those with movement problems who can’t shower daily!

Answered by Lindsey J. Schindler, DO, family medicine geriatrics:

Adult diaper rash is referred to as incontinence-associated dermatitis, irritant dermatitis or diaper dermatitis and is very common among older adults who wear disposable briefs due to incontinence or memory disorders. Symptoms include redness, rash, itching, burning, irritation, soreness and tenderness caused by moisture, friction and skin sensitivity. With proper care, irritant dermatitis can be treated and often prevented.

To prevent and treat irritant dermatitis:

• Change briefs frequently and schedule changes if needed.
• Gently clean the area with mild soap and water.
• Make sure the skin is completely clean and dry between changes.
• Use ointments and creams, such as petroleum jelly or zinc oxide, to protect the skin, prevent irritation and help with healing.
• If a yeast infection has developed (often with a bad odor or discharge), apply an anti-fungal cream to the affected areas, then apply an ointment to protect the skin.

I recommend ointments over creams because creams can build up and become difficult to remove completely between changes. It is important to prevent and manage any irritation early, as it can develop into open wounds and progress to more serious infections. For rashes that have progressed to wounds, you may need help from a home health provider to treat the wound.