Drool rash is a common skin irritation that affects many infants, particularly during periods of increased salivation. It is a form of contact dermatitis that occurs when the delicate skin around a baby’s mouth is exposed to moisture for extended periods. This condition is often associated with teething, but it can begin as early as two to three months of age when the salivary glands become more active. Drool rash is not considered a serious medical problem.
Recognizing Drool Rash
Drool rash appears as red, inflamed, or chapped skin around the mouth and chin. Small, slightly raised red bumps may also appear in the affected area, extending to the neck creases and upper chest. The irritation happens because saliva contains digestive enzymes, like amylase, which break down the skin’s natural protective barrier when it remains in constant contact.
Healing the Existing Rash
Treating the rash requires a consistent, two-step approach: gentle cleansing and barrier protection. The first step is to clean the area immediately after drooling or spitting up using only warm water and a soft cloth. Make sure to avoid rubbing the sensitive skin and gently pat the entire area completely dry.
Once the skin is dry, apply a thick layer of a protective barrier cream. Ointments containing petroleum jelly, such as Aquaphor, or zinc oxide creams are effective choices. This barrier acts as a shield, allowing the damaged skin underneath to begin the healing process without continued irritation from saliva.
Preventing Future Flare-Ups
Frequent use of absorbent bibs is key to preventing future flare-ups. Bibs should be changed immediately once they become damp. This prevents moisture from soaking through to the neck and chest, avoiding chafing and further irritation.
Keep a soft, clean cloth on hand to gently blot away drool as soon as it appears. When drooling is linked to teething, offering safe, cold objects like chilled teething rings can help redirect saliva flow and provide soothing counter-pressure to the gums. Ensure the baby is not resting their face directly onto wet bedding or clothing during naps. Using mild, fragrance-free laundry detergents and avoiding scented baby products can also minimize potential irritants.
Knowing When to Contact a Pediatrician
While drool rash is generally manageable at home, certain signs indicate the need for professional medical attention. If the rash shows no noticeable improvement after five to seven days of diligent home treatment, consult a pediatrician. A doctor should also be contacted if the rash begins to show signs of a secondary infection. These signs include weeping, oozing, blistering, or developing a yellow crust. Symptoms like a fever, lethargy, or difficulty swallowing that accompany the rash also warrant an immediate call.