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Parents and caregivers should call a doctor if a bright red diaper rash lasts longer than 48 hours or is accompanied by a strong odor of urine, which may indicate dehydration (Cincinnati Children's Hospital, 2012).
There are several reasons why your child might have a diaper rash, including chafing, sensitivity, and wetness. But a diaper rash that persists despite your efforts to treat it â like keeping your child's bottom dry and using a diaper rash cream or ointment â may be caused by a yeast infection.