DIAPER RASH AYURVEDIC TREATMENT, TYPES, CAUSES, SYMPTOMS & MORE
ABSTRACT
Diaper rash or Nappy rash is any rash that affects the diaper area of the child. It is a common condition in infants between 4 to 12 months old. Diaper rash is usually not contagious. This condition is referred to as Ahiputana. Synonyms of Ahiputna are Gudakuttaka, Mathrukadosha, Prishtaru and Anamaka in Ayurvedic classics. Now we will read about this topic in detail.
INTRODUCTION
Any rash that develops around your baby’s nappy is a nappy rash. The skin may be red and sensitive in minor cases. A more severe nappy rash could include hurtful, exposed sores. With at-home care, mild cases resolve in three to four days. More serious situations might require medical care. The most frequent skin issue observed in early infants is nappy rash.
TYPES OF DIAPER RASH
- Irritant diaper rash: The most typical kind of diaper rash is irritant diaper rash, often known as diaper dermatitis. It happens when pee (urine) and poop (stool) come in constant touch with the diaper area of your baby for an extended period.
- Candida diaper rash: Candida, a form of fungus, can overgrow and cause yeast nappy rashes. Candida can be detected in your baby’s digestive system naturally.
- Bacterial diaper rash: Rarely, some microorganisms, such as staph or strep, can cause diaper rash. Another name for this sort is impetigo.
- Allergic reaction diaper rash: If your baby has sensitive skin, the ingredients in some diaper creams, wipes and/or diapers may give them an allergic response.
CAUSES OF DIAPER RASH
Babies who are fed artificially frequently develop a nappy rash from B.proteus in their stool. B. Proteus in feces processes urine into ammonia, which irritates the skin around the diaper area and results in diaper rash. Nylon or tight plastic napkins, soakable diapers, or a delay in changing napkins are further causes.
- A lot of dampness in the diaper region.
- Bacterial infection
- Yeast infection
- The skin keeps in touch with pee and feces for quite a while
- Antagonistically delicate response to the material the diaper is made of
FACTORS THAT CONTRIBUTE TO NAPPY RASH’S MAIN IRRITANT
- Excess skin hydration
- Water in stool and urine
- Nappy change frequently
- Skin trauma
- Friction between skin and napkin
- Irritant
- Agent present in nappy wipes
- Detergent and soap residue
- Napkin creams and powders
- Ammonia (procedure from urine by urea splitting organism in faeces)
- Feces (Especially diarrhea)
SIGNS AND SYMPTOMS
- Skin rashes on the abdomen, genitals, bottom, and inside the skin folds of the thighs
- Redness on the skin
- Painful, open sores
- Discomfort during changing a diaper or washing the diaper area
RISK FACTORS
- Babies are not kept clean and dry
- Babies who have frequent stools
- Babies begin to eat solid foods
- Babies are taking antibiotics
- Babies whose mothers are taking antibiotics
DIFFERENTIAL DIAGNOSIS
- Psoriasis
- Seborrhoeic dermatitis
- Perianal streptococcal cellulitis
- Atopic dermatitis
- Langerhans cell histiocytosis
PREVENTIVE MEASURES
- Maintain a dry and spotless nappy area.
- Take care not to dress your child in plastic clothes.
- Avoid wearing diapers that are too tight and could irritate the skin.
- Avoid using harsh soap.
- As soon as the child wets or has a bowel movement, change the nappy right away to reduce the amount of moisture on the skin.
AYURVEDIC OVERVIEW
In Modern science, Ahiputna is known as Infantile erythema of Jacket or Napkin rash or sore buttock. In Ayurveda, Ahiputana treatment is applied to both the mother and the child. Give Dhatri oral medicine to Stanya Shodhan chikitsa and also give oral medicine to Shodhan children due to Stanya Dushti. In addition, there are many local treatments for Ahiputana treatment. Ayurveda says that one of the causes of Ahiputana is Stanya Dushti and therefore we should treat the mother like a baby.
SIGNS AND SYMPTOMS OF AHIPUTNA
- Pidika (Skin lesions): Hetusevana causes pitta Dushti, and this prakupit pitta results in Rakta’s Dushti. In the perianal region, this prakupit Raktapitta creates pidika.
- Kandu (Irritability due to itching): Raktakapha dushti is brought on by a mother’s failure to consistently clean the baby’s perianal region, which includes the Mala, Mutra, and Sweda. The kleda property of kapha exists. This kleda feature of kapha rise results in kandu in the perianal region. The manifestation of this Lakshana in children is irritation.
- Shipran sphotam (Blister): Prakupitta Rakta Pitta generates Sphot around the perianal region in Balak.
- Strava (Discharge): It results in ozzing from the blister when a vispot or blister breaks or is left untreated. It results in strava.
- Daha (Burning sensation): Sweda is a pitta sthana, meaning that pitta prakopa results in daha.
- Tamravrna (Redness): A reddish rash appears as a result of Raktakaphaj Dushti.
शकृन्मूत्रसमायुक्तेधौतेपाने शिशोर्भयेत् । खिन्ने वा स्नाप्यमानस्य कण्डू रक्तकफाद्भवा।। कण्डूयनात्ततः क्षिप्रं स्फोटः स्रावश्च जायते। एकीभूतं व्रणैघोरं तं विद्यादहिपूतनम् ।। (सु.नि. १३/५७,५८)
By not washing the child’s urinary tract properly, by having faeces or urine stuck on it, or by sweating and drying up there, or by not taking a bath, itching occurs due to disorders of Raktadhatu and Kaphadosha, and when scratched, pimples appear in those places. When it comes, discharge starts coming out from it. When those pimples burst and come together to form a wound, then this terrible disease is called “Ahiputan”.
INVOLVEMENT OF DOSHAS AND DUSHYAS IN AHIPUTNA
According to Acharya Sushruta and Acharya Vagbhata, Ahiputna is caused by the vitiation of blood (Rakta) and Kapha dosha. Vagbhata, who described the management of Ahiputana, believed that the involvement of the kapha and pitta doshas in the mother and infant was the disease’s cause and prescribed remedies to calm the doshas for breastfeeding mothers. Rakatamokshan (bloodletting) and pitta vrana chikitsa (treatment of pitta-predominant wounds/ulcers) show the significance of pitta and rakta in Ahiputana. Rasa, the initial dhatu or tissue generated after digestion, is represented as the dhatu twak (skin).
HERBS THAT ARE USEFUL FOR THIS
- Amalaki (Emblica officinalis): Vitamin C is abundant in Amalaki, and it has a role in every stage of the healing process. Vitamin (Ascorbic acid) aids in the synthesis, maturation, secretion, and breakdown of collagen throughout the proliferative phase. According to Acharya Priyavat Sharma, Amalaki possesses the qualities of kushthaghna, madhura vipaka, and shita virya, which has pittaghna (pittashamak) activity.
- Bhibhitaki (Terminalia belerica): Bibhitaki has madhur vipaka so it acts as dhatuvardhak and is also used in sadyovrana for bleeding and vedanasthapana.
- Haritaki (Terminalia chebula): Acharya Priyavat Sharma claims Haritaki contains the prakupit pitta-acting components Madhur, tikta, and kashaya ras. Vranashodhana and Shothahar are properties owned by Haritaki.
HERBAL REMEDIES FOR DIAPER RASH BY PLANET AYURVEDA
Pure, natural, and vegetarian herbal medicine that is offered by Planet Ayurveda is also available. In addition to offering medicine in India, Planet Ayurveda also distributes it everywhere in the world. An MD Ayurvedic Doctor oversees the production of all herbal medications. It is free from all adverse effects because they are all without them. The following is a list of herbal medications:
- Dermo Plan Syrup
- Arvindasav
- Recumin Gel
- Jatyadi Oil
PRODUCT DESCRIPTION
1. DERMO PLAN SYRUP
It is a polyherbal syrup that is made up of Manjishtha (Rubia cordifolia), Sariva (Hemidesmus indicus), Shahtara (Fumaria officinalis), Shobhanjan (Moringa oleifera), Khadir (Areca catechu) and many more. It is helpful for a variety of issues brought on by blood impurities. Additionally, this syrup stimulates the latent liver and aids in blood purification. The skin becomes healthier, shinier, smoother, and less prone to infections and disorders as a result of blood purification. This syrup supports the body from the inside out, acting as a natural tonic for the skin. For bacterial and viral skin outbreaks, it functions as a natural healer. Due to the use of natural components, it also helps to improve complexion. A well-known Ayurvedic herb for skin conditions is manjishtha. It is a cooling plant with a bitter-sweet flavour that also has antibacterial properties and lessens inflammation. This plant is regarded as the greatest Raktshodhak (blood cleanser) available. The well-known anti-inflammatory herb sariva also has blood purifying and skin toning properties. Additionally, it possesses antioxidant qualities. Shahtara is applied externally to treat eczema and scabies. The ability of this herb to purify blood is another benefit. Shobhanjan has nourishing, anti-microbial, and antioxidant qualities.
Dosage: 2 teaspoons, two times a day.
2. ARVINDASAV
It is a polyherbal formulation that is made up of Arvinda (Nelumbo nucifera), Arjuna (Terminalia arjuna), Gambhari (Gmelina arborea), Pit papda (Fumaria parviflora), and many more. In Ayurveda, arvindasava is an asava that works as a tonic for kids with rickets, diarrhoea, coughs, constipation, etc. It helps to improve body weight, strength, and digestive disorders. Additionally, it is utilized as a general tonic for all complaints in children. It is also used to treat children’s Grahadosha psychological issues, such as uncontrollable sobbing and tantrums. It removes weakness, promotes growth and improves digestive disorders.
Dosage: One to two times a day, after meals, take 10 to 20 ml with an equal amount of water.
3. RECUMIN GEL
Recumin Gel is a combination of all-natural ingredients that are good for glowing skin. Due to the presence of herbs like Haridra (Curcuma longa), bark, leaves and fruits of Neem (Azadirachta indica), Jasmine (Jasminum officinale), Guggul (Commiphora mukul), and others, it aids in keeping good skin. Haridra soothes the irritated skin while easing irritation. Antiseptic and anti-inflammatory effects are present in turmeric. The antifungal and antibacterial qualities of neem are well known. It relaxes your baby’s skin, reduces irritation, and helps guard against infections on the skin.
Application: This Recumin gel and Jatyadi Tailam should only be used topically, so clean the region first. Then, apply the mixture twice daily to the affected area.
4. JATYADI OIL
It is a polyherbal oil that is made up of Neem (Azadirachta indica), Daruharidra (Berberis aristata), Neelkamal (Nymphaea stellata), Til tail (Sesamum indicum), and many more. It is well-known that jatyadi oil can lessen skin irritation and redness. One of the finest natural treatments for nappy rash in infants is sesame oil. The bark of daruharidra is used to treat diseases of the skin.
Application: Only for external usage, this Recumin gel and Jatyadi Tailam can be combined and used twice daily after cleansing the affected region.
DO’S (PATHYA) AND DON’T (APATHYA)
Do’s (Pathya)
- Reduce the use of diapers
- Use of cotton nappies
- Change the diaper once it is contaminated with faeces or urine
- Keep diaper area always clean and dry Regular bath Wipe out excess sweat
Dont’s (Apathya)
- Continuous and prolonged use of diaper
- Rubbing over the diaper area
- Use of strong scented, flavoured wipes and lotions
- Repeated use of allergic baby products
CONCLUSION
Rash in the diaper region is common during early infancy occurring in half of all infants. It is more common in artificially fed infants, especially in those, in whom diapers are made of toweling and are changed infrequently. It may involve convex surfaces such as the buttocks, scrotal sac, mons pubis or inner side of the thigh. Only flexures may be affected. Lesions may be sharply demarcated or there may be satellite lesions.
Dr. Vikram Chauhan
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