A Diaper rash is no joke. 

I thought all I had to worry about was how much is coming out of my babies bum and how many times, not what cream would help me face all the rashes that may or may not come with it! 

Honestly, can you imagine being irritated and itchy down there and having no idea why while also not being able to do anything about it? 

Thank goodness we can protect our littles against it or stop it in its tracts with different diaper ointments and creams. 

Signs of a diaper rash are quite obvious.

Common signs of a moderate rash are an irritated and red diaper area, and may possibly appear bumpy (think those annoying red bumps, unpopable pimple type bump) and may feel warm to the touch (similar to a sunburn). 

Signs of a severe rash would be blisters, open sores, swelling, pus or discharge, and if the rash will just not go away no matter what type of treatment or just simply starts to get worst. 

If Severe signs are present put down the diaper cream and seek medical attention. 

What Causes Diaper Rash?

Babies skin is beyond sensitive regardless of how many times you change them or how much their diapers “absorb”. Irritants are literally everywhere from the diaper itself (fragrances or chaffing) to the acid that’s found in their pee and poo.

Also, introducing baby to solids and medications or antibiotics can also trigger rashes. 

What you CAN do about Diaper Rash

Think your baby has a diaper rash? 

Take action now, here are a few things to do:

  • Change diapers more often, and let their diaper area dry after wiping, before putting their diaper back on. This helps keep out as much moisture as possible. 
  • Apply diaper cream after a diaper change, or when going to be exposed to moisture for long periods of time such as before a nap or bedtime.
  • Treat the rash with ointment, cream, or paste as soon as it appears before it gets worse.
  • Give the diaper a break. Sometimes this is completely called for to really give baby’s diaper area a break from moisture and a chance to breathe. You might want to wipe a wipe across their belly before you start this to get them to release their bladder while you can still control it! After a diaper change is also a perfect time to take a break from the diaper.

What is Diaper cream?

Diaper cream can also come as a diaper ointment or paste and have the same effects, but different intentions and ingredients. Despite that, you can expect to find zinc oxide in rash creams, pastes, and ointments. Zinc oxide creates a great barrier on babies’ skin to keep out moisture since it’s insoluble in water. 

What’s the difference between Diaper Cream, Ointment, and Paste?

Diaper creams and  “butt paste” are best for soothing and relieving existing rashes, while ointments are best for the prevention of rashes. 

Ointments tend to be petroleum-based which makes them best for prevention. While creams and paste are much thicker and create a reliable barrier to keep out the moisture and soothe baby. 

Which is the BEST?

Each cream, ointment, is genuinely unique in their own way. 

I’ve used my fair share of all kinds from helping take care of my youngest brother a decade ago to now using on Nalani. 

Certain diaper creams worked a lot better back then and the consistency was of better quality. 

Picking a diaper rash solution doesn’t have to be hard, and it’s not all about the zinc oxide percentage. 

What works for baby works for baby. 

You just need to investigate the ingredients a little and try to get the most naturalist, yet effective soothe for them.

Top 4 Diaper Cream, Paste, and Ointment 

Alright, you might have expected to see the top choice first, but let’s save the best for last.

4. Desitin 

This cream is what I was referring to earlier when I say back then a cream worked better and had a consistency of better quality. 

A decade ago, I remember it being more milky and creamy yet, still thick and easy to work with. 

Now, well I mean do I even have to say how stiff and thick it looks. 

Baby Bum (1st swatch), Boudreaux’s Butt Paste (2nd), Desitin (3rd), Aquaphor Diaper ointment (4th)

Can it get the job done? Yes, it can.

With its 13% zinc oxide, it does create a thick barrier and is fragrance-free. But, can stain clothes and contains talc. It works really great but not reliable for those hard to go away rashes. I always found myself using this diaper cream for days and days battling Nalani’s stubborn rashes from starting solids.

3. Aquaphor Healing Ointment 

 With NO zinc oxide, this ointment magically helps to prevent and soothe rashes of pretty much all kinds from drool to bum, chaffing, and minor scratches and scrapes.

It’s petroleum-based, and I use it as often as I can to prevent diaper rashes.

It’s great, don’t get me wrong but with its consistency (think Vaseline or petroleum jelly) and all the moving Nalani does now that she’s crawling and trying to walk I feel like a huge amount of it gets absorbed by the diaper so I don’t use it to handle rashes unless in a pinch.

2. Butt Paste

The highest zinc oxide percentage diaper solution you can get over the counter (no prescription) is 40%. This butt Paste has a tan tint to it (stains clothes), a thick yet slightly creamy texture, fragrance, and has NO talc. It starts the healing process on contact and is GREAT for moderate to severe rashes. I found this being the solution to those stubborn solid introduction rashes and helped it be gone within a couple of days. The fastest so far. 

1. Baby Bum                                                

Well, at least I thought it was the fastest until I found this one.

This one is at the top for a reason. Don’t let the 16% zinc oxide fool you. This diaper cream is plant-based, cruelty-free, fragrance-free, gluten-free, sulfate-free, petroleum-free, preservative-free, mineral oil-free, and overall designed for babies sensitive skin in a TSA approved size.

The texture is luxurious and silky, yet thick and reliable. It feels like a cross between moisturizer and sunscreen and glides on super easy.

After using it only 2 times after all 3 of the products failed me above, Baby Bum literally saved my baby’s bum. Her rash was literally gone after a few uses, and even if they were more severe it would be gone no later than 3-4 applications and would typically resolve within the day.

Seriously, read the ingredients

It doesn’t get any better. Soothe baby the way they deserve with Baby Bum.

Compare Baby Bum to every other ingredient list above and see just how unique it really is.

PRO TIP: Stop using your fingers to apply diaper cream. Use a silicone spatula like this one instead:

Using this instead of your fingers is a lot more sanitary, applies thick and evenly, and you won’t ever have to dig it out from under your nails again! I used it to swatch each cream on my arm in the pic above.

Here it is again, in case you forgot:

Each Diaper Cream

You will always find Baby Bum and a silicone spatula in Nalani’s diaper bag now.

Make sure you don’t forget anything else in baby’s diaper bag and check out my Diaper tote backpack essentials article. There is a Free downloadable checklist to help you make sure you don’t forget a thing!