That familiar sting of worry when you spot redness on your baby’s delicate skin – it’s a moment that instantly puts any parent on high alert. Diaper rash isn’t just uncomfortable for your little one; it disrupts precious sleep, makes cuddles tense, and sends even the calmest caregivers into a research frenzy. You’ve probably scrolled through endless forums, heard conflicting advice from well-meaning friends, and wondered what truly works when it comes to soothing that angry patch. The quest for relief feels urgent, but wading through marketing claims and anecdotal tips can leave you more confused than when you started.
What if you could cut through the noise and understand exactly what the medical professionals who specialize in infant skin health prioritize? Pediatric dermatologists see thousands of cases and know that effective rash resolution isn’t just about slapping on the thickest cream available. It’s about understanding the science of healing, the specific triggers for your baby, and choosing products built on proven principles, not just promises. Forget fleeting trends or influencer favorites; let’s delve into the foundational knowledge experts rely on to guide parents toward truly effective, gentle care for sensitive skin. This isn’t about chasing the “hottest new thing,” but about building confidence in the fundamentals of diaper rash management.
Top 10 Top-Rated Diaper Rash Cream
Detailed Product Reviews
1. Desitin Maximum Strength Baby Diaper Rash Cream, 40% Zinc Oxide, Hypoallergenic No Added Parabens & Dyes, Protects & Relieves Baby’s Skin for Up to 12 Hours, Prevents Diaper Rash, 4.8 oz Tube
Overview: Desitin Maximum Strength is a potent diaper rash cream featuring 40% zinc oxide, formulated to treat and prevent diaper rash by creating a long-lasting protective barrier against moisture. Hypoallergenic and free from parabens and dyes, it’s dermatologist and pediatrician-tested for daily use on delicate infant skin. What Makes It Stand Out: Its standout feature is the clinically proven 5-in-1 action (treat, heal, protect, soothe, prevent) and the 12-hour moisture-sealing barrier, ideal for overnight protection. The thick, rich paste targets stubborn rashes effectively while being gentle enough for frequent application. Value for Money: Priced competitively for a 4.8 oz tube, it offers excellent longevity per use due to its concentrated formula. While similar maximum-strength creams exist, Desitin’s trusted brand reputation and proven efficacy justify its cost, especially for severe or persistent rashes. Strengths and Weaknesses: Strengths: Highly effective barrier protection; fast relief for irritated skin; safe hypoallergenic formula; ideal for severe cases. Weaknesses: Thick texture can be messy to apply; may require thorough cleaning during diaper changes; some infants might experience initial sensitivity. Bottom Line: A reliable, must-have staple for parents dealing with moderate to severe diaper rash, Desitin delivers exceptional protection and healing. Highly recommended for its proven 12-hour efficacy and safety profile, despite minor application messiness.
2. Boudreaux’s Butt Paste Max Strength Diaper Rash Cream for Baby, Ointment With Zinc Oxide, 4 oz Tube
Overview: Boudreaux’s Butt Paste Max Strength is a clinically tested ointment containing 40% zinc oxide, designed to provide instant relief and protection for babies with moderate to severe diaper rash. It’s free from dyes, parabens, talc, and preservatives, emphasizing gentle yet powerful rash treatment. What Makes It Stand Out: It distinguishes itself with “over 2x the rash-fighting ingredient” compared to its original formula, offering intense overnight moisture sealing. The thick, cream-like consistency stays in place effectively, making it ideal for extended wear and stubborn rashes. Value for Money: Offering 4 oz of high-potency formula at a standard price point, it provides strong value for persistent rashes. While slightly pricier per ounce than some generics, its concentrated strength and reliable protection make it cost-effective for frequent use during flare-ups. Strengths and Weaknesses: Strengths: Exceptional moisture barrier for all-night relief; fast-acting on irritated skin; clean, simple ingredient list; suitable for daily prevention. Weaknesses: Can be difficult to spread evenly due to thickness; removal during changes may require extra effort; limited availability in some regions. Bottom Line: An excellent choice for parents needing robust, long-lasting relief from irritated skin, Boudreaux’s delivers impressive protection and healing. Recommended for moderate-severe cases, though its texture demands careful application.
3. Dr Smith’s Diaper Rash Ointment
Overview: Dr. Smith’s Diaper Rash Ointment is a family-owned, USA-made formula developed by a pediatrician over 60 years ago. It emphasizes a “premium blend” beyond zinc oxide percentage, focusing on fast, gentle relief for severe rashes and daily prevention as a moisture barrier. What Makes It Stand Out: Its key differentiator is the proprietary ingredient blend, trusted by pediatricians and pharmacists for decades, claiming to soothe even severe rashes “often overnight.” This legacy approach prioritizes holistic healing over high zinc oxide concentration alone. Value for Money: As a smaller-batch, USA-manufactured product, it may carry a slight premium. However, its multi-decade reputation, pediatrician endorsements, and effectiveness for severe cases justify the cost for parents prioritizing proven, gentle care over generic alternatives. Strengths and Weaknesses: Strengths: Trusted legacy formula with strong professional recommendations; effective for severe rashes; gentle for daily use; simple, focused manufacturing. Weaknesses: Zinc oxide concentration isn’t specified (potentially lower than competitors); limited modern marketing/data transparency; smaller tube sizes may reduce value perception. Bottom Line: A dependable, pediatrician-backed choice for rapid relief from serious rashes, Dr. Smith’s excels through its heritage and gentle efficacy. Recommended for parents seeking a time-tested solution, especially for overnight healing.
4. Triple Paste Diaper Rash Cream for Baby - 3 oz Tube – Zinc Oxide Ointment Treats, Soothes & Prevents Diaper Rash, Pediatrician-Recommended Hypoallergenic Formula, Baby Essentials for Daily & Overnight
Overview: Triple Paste is a pediatrician-recommended cream featuring 12.8% non-nano zinc oxide blended with soothing oat extract and beeswax. It’s formulated to treat, soothe, and prevent rashes while being gentle enough for daily use on sensitive skin, free from common irritants. What Makes It Stand Out: Its unique strength lies in the synergistic “triple action” formula combining lower-concentration zinc oxide with natural emollients like oat extract. This creates a gentler, less occlusive barrier ideal for sensitive or reactive skin, avoiding the paste-like heaviness of higher-zinc options. Value for Money: The 3 oz tube is slightly smaller than competitors, but the multi-ingredient formula offers premium value for mild-moderate rashes and daily prevention. It’s cost-effective for proactive care, though potentially less economical for severe, zinc-dependent cases requiring frequent heavy application. Strengths and Weaknesses: Strengths: Exceptionally gentle hypoallergenic formula; soothing natural ingredients; easy application and removal; ideal for sensitive skin and daily use. Weaknesses: Lower zinc oxide (12.8%) may be less effective for severe rashes; smaller tube size; may need more frequent reapplication than maximum-strength creams. Bottom Line: Perfect for preventative care and mild irritation, Triple Paste’s gentle, natural approach makes it a top pick for sensitive skin. Recommended for daily use, though severe rashes may require a higher-zinc alternative.
5. Aquaphor Baby Diaper Rash Paste - For Serious Diaper Rash and Flare-ups - 3.5 Oz. Tube
Overview: Aquaphor Baby Diaper Rash Paste combines maximum-strength 40% zinc oxide with shea butter to treat serious rashes and flare-ups. It delivers immediate soothing relief, forms a protective overnight barrier, and is formulated to be gentle on sensitive infant skin without parabens, fragrance, or talc. What Makes It Stand Out: The integration of shea butter alongside 40% zinc oxide sets it apart, offering enhanced moisturization and soothing properties beyond basic barrier protection. Its “rich, non-sticky” texture applies smoothly and cleans off easier than traditional thick pastes. Value for Money: Competitively priced for a 3.5 oz tube, it delivers dual-action (zinc oxide barrier + shea butter healing) at a standard premium-brand cost. The ease of use and skin-nourishing benefits provide good value, especially for parents prioritizing comfort during application and removal. Strengths and Weaknesses: Strengths: Effective 40% zinc oxide barrier; shea butter boosts soothing and skin repair; non-sticky, easy application; hypoallergenic and clean formula; reliable overnight protection. Weaknesses: Slightly smaller tube than Desitin; shea butter may not suit all sensitivities (rare); premium pricing. Bottom Line: An excellent option for troublesome rashes needing intense healing and comfort, Aquaphor’s shea butter enrichment elevates standard zinc oxide protection. Highly recommended for flare-ups where soothing and barrier strength are equally important.
6. Triple Paste 3X Max Diaper Rash Ointment for Baby, Maximum Strength with 40% Zinc Oxide Ointment for Serious Diaper Rash, 2 oz Tube
Overview: Triple Paste 3X Max is a high-potency diaper rash ointment formulated specifically for severe irritation, packing 40% zinc oxide—triple the concentration of its original formula—to deliver rapid relief and protection for babies’ delicate skin.
What Makes It Stand Out: Its standout feature is the maximum 40% zinc oxide concentration, creating an exceptionally robust barrier against moisture and friction. The thick, paste-like consistency provides immediate coverage for serious rashes, while the hypoallergenic, fragrance-free formula (free of parabens, dyes, and preservatives) combines zinc oxide with soothing oat extract and beeswax for gentle healing.
Value for Money: Priced higher than standard creams, it justifies its cost for acute cases where faster healing is critical. Though the 2 oz tube is smaller than competitors, the potent formula requires less product per application, making it economical for targeted, severe rash treatment compared to weaker alternatives needing frequent reapplication.
Strengths and Weaknesses: Strengths: Unmatched zinc concentration for tough rashes; effective barrier protection; pediatrician-recommended; clean ingredient profile. Weaknesses: Thick texture can be messy to apply; smaller tube size offers less long-term value for mild/preventative use; premium price may deter for routine care.
Bottom Line: An exceptional therapeutic solution for severe or persistent diaper rash, offering fast, reliable relief. Recommended for acute flare-ups, though overkill for daily prevention; best paired with a gentler cream for maintenance.
7. The Honest Company Hypoallergenic Diaper Rash Cream, Moisturizing, Calming Zinc Oxide Ointment, NEA Recognized Cruelty-Free, 2.5 oz
Overview: The Honest Company’s Diaper Rash Cream delivers a clean, plant-powered solution focused on gentle protection and skin barrier support, formulated with zinc oxide and a proprietary Soothing Phyto-Blend for irritated baby skin.
What Makes It Stand Out: Its NEA recognition and commitment to clean ingredients (free of silicones, parabens, and synthetic fragrances) appeal to eco-conscious parents. The non-greasy, easy-spread formula glides on smoothly while the Phyto-Blend—featuring calming botanicals—actively supports skin health beyond basic barrier function. Cruelty-free and made in the USA adds ethical credibility.
Value for Money: Positioned at a mid-to-premium price point, it offers solid value for parents prioritizing non-toxic formulations. The 2.5 oz tube is modestly sized but sufficient for intermittent use; however, it lacks the high zinc concentration of medical-grade competitors, making it better suited for mild rash prevention than severe cases.
Strengths and Weaknesses: Strengths: Clean, hypoallergenic ingredients; easy application; NEA recognition; ethical production. Weaknesses: Zinc oxide percentage unspecified (likely standard 13-16%); less effective for severe rashes; smaller size offers limited long-term value.
Bottom Line: A trustworthy, gentle choice for daily rash prevention and mild irritation, ideal for safety-focused parents. Not the strongest option for established rashes, but excellent for maintaining healthy skin with peace of mind.
8. Aquaphor Baby Healing Ointment Advanced Therapy Skin Protectant, Dry Skin and Diaper Rash Ointment, 7 Oz Tube
Overview: Aquaphor Baby Healing Ointment is a multi-purpose skin protectant clinically proven to soothe dryness and minor irritations, doubling as a diaper rash preventative while catering to broader family skincare needs.
What Makes It Stand Out: Its versatility is unmatched—effectively prevents diaper rash by sealing out moisture while also treating dry skin, chapped lips, and cracked hands for parents. The petroleum-free, non-comedogenic formula uses panthenol and glycerin to heal, and the generous 7 oz tube offers exceptional longevity for routine use.
Value for Money: Outstanding value due to the large 7 oz size and dual-family utility. Though not a high-zinc treatment for active rashes, its preventative efficacy and multi-use application (baby and parent) maximize cost efficiency, outperforming smaller, single-purpose creams.
Strengths and Weaknesses: Strengths: Huge 7 oz capacity; multi-functional (baby + parent); clinically proven for skin healing; fragrance-free; excellent preventative barrier. Weaknesses: Not optimized for severe rashes (lacks high zinc); petroleum-free but contains mineral oil; less targeted than medicated creams.
Bottom Line: A superb preventative and general skincare staple offering exceptional longevity and versatility. Highly recommended for daily protection and mild dryness, but pair with a zinc-heavy cream for active rash treatment.
9. A+D Original Diaper Rash Ointment Prevents & Treats Diaper Rash, Moisturizing Skin Protectant with Vitamins A & D, Healing Skin Ointment for Dry and Cracked Skin 16 oz
Overview: A+D Original is a trusted, vitamin-enriched ointment designed to prevent and treat diaper rash using a classic blend of zinc oxide, dimethicone, and soothing aloe, backed by 80 years of parental and pediatrician trust.
What Makes It Stand Out: Its enduring legacy and pediatrician recommendations lend credibility, while the unique vitamin A & D formula promotes skin healing beyond basic barrier protection. The 16 oz tub offers exceptional volume, and the smooth, non-greasy texture spreads easily without staining fabrics.
Value for Money: Exceptional long-term value—the 16 oz size is the largest reviewed, making it highly economical for frequent use or multi-child households. Its dual action (treatment + prevention) and proven efficacy justify the modest premium over budget brands.
Strengths and Weaknesses: Strengths: Massive 16 oz size; vitamins A/D support healing; pediatrician-recommended; smooth application; paraben-free. Weaknesses: Vitamin inclusion may irritate sensitive skin; dimethicone can feel occlusive; less “clean” marketing than newer brands.
Bottom Line: A reliable, cost-effective workhorse for both treating active rashes and daily prevention. Ideal for families seeking proven, no-frills relief at scale—though sensitive-skinned babies may prefer fragrance-free alternatives.
10. Earth Mama Organic Economy Size Diaper Balm | Diaper Cream for Baby | EWG Verified, Petroleum & Artificial Fragrance-Free with Calendula for Sensitive Skin, 4-Fluid Ounce
Overview: Earth Mama Organic Diaper Balm is a zinc-free, USDA-certified organic solution formulated with calendula and healing herbs to soothe sensitive skin, favored by hospitals and eco-conscious caregivers for its purity.
What Makes It Stand Out: Its zinc-free, petroleum-free formula stands out for parents avoiding mineral-based barriers, relying instead on organic herbs (calendula, St. John’s wort) for natural healing. EWG verification, NICU endorsement, and cloth-diaper compatibility make it a top choice for ultra-sensitive skin and green lifestyles.
Value for Money: The 4 oz “economy” size offers moderate value, but the premium organic certification and ethical sourcing justify the higher price for target users. While not as potent for severe rashes as zinc-heavy creams, its versatility (use under breasts, for tweens) enhances utility.
Strengths and Weaknesses: Strengths: USDA organic & EWG verified; zero zinc/petroleum; safe for cloth diapers; NICU-approved; multi-use. Weaknesses: Less effective for severe rashes (no zinc oxide); thicker consistency requires more rubbing; premium cost.
Bottom Line: A stellar natural alternative for mild irritation or prevention, especially for sensitive or cloth-diapered babies. Not ideal for acute rashes, but unmatched for parents prioritizing organic integrity and hospital-grade safety.
Understanding the Root Causes of Diaper Rash
Before tackling treatment, it’s crucial to grasp why rashes develop in the first place. This knowledge directly informs the type of protective and healing barrier you need to create.
Moisture and Friction: The Primary Culprits
Prolonged exposure to wetness from urine or stool softens the skin, making it incredibly vulnerable. Combined with the constant rubbing of diapers and clothing, this creates micro-tears where irritation takes hold. Effective creams must combat this one-two punch.
The Role of pH and Microbial Activity
A baby’s skin has a higher pH than adult skin, and urine/stool can further elevate it, disrupting the natural acid mantle. This alkaline environment encourages the growth of irritants and microbes like candida (yeast), which can turn a simple rash into a more persistent issue requiring specific approaches.
Sensitivities and Allergic Reactions
Sometimes, the rash isn’t just friction-related. Ingredients in wipes, detergents, lotions, or even certain foods passed through breastmilk can trigger contact dermatitis. Identifying potential sensitivities is key to preventing recurrent rashes.
Key Ingredients Pediatric Dermatologists Prioritize
Not all diaper rash creams are created equal. Experts evaluate formulations based on specific, science-backed components known for safety and efficacy on infant skin.
Zinc Oxide: The Gold Standard Barrier
This mineral is the cornerstone of most recommended creams. It forms a physical, water-repellent barrier on the skin’s surface, shielding it from moisture and irritants while allowing healing underneath. Dermatologists look for optimal concentrations that provide protection without being overly drying.
Petrolatum (Vaseline): Superior Occlusion
High-purity petrolatum is another heavyweight champion. It creates an exceptional seal against moisture loss and external irritants, promoting a healing environment. Its inert nature makes it ideal for sensitive skin, though some prefer the thicker texture of zinc oxide pastes.
Calming and Soothing Agents
Beyond barriers, ingredients like colloidal oatmeal, allantoin, or specific ceramides are valued for their ability to reduce inflammation, soothe itching, and support the skin’s natural repair processes, especially in moderate rashes.
Formulation Matters: Texture, Purity, and Additives
How a cream is made is just as important as what’s in it. Pediatric dermatologists scrutinize the delivery system and potential irritants.
Paste vs. Ointment: Choosing the Right Consistency
Thicker pastes (high zinc oxide) offer maximum barrier protection for active, weepy rashes. Lighter ointments (often petrolatum-based) might be preferred for prevention or very mild irritation, spreading more easily. The severity dictates the best choice.
The Critical Importance of Hypoallergenic Testing
Given infant skin’s permeability, rigorous hypoallergenic testing is non-negotiable for experts. Creams should be free from common allergens like fragrances, dyes, parabens, lanolin (for those with wool allergies), and unnecessary botanicals that increase sensitivity risk.
Avoiding Potential Irritants
Dermatologists consistently advise steering clear of ingredients known to sting or irritate compromised skin, such as salicylic acid (except in specific medicated versions under guidance), certain essential oils, and harsh preservatives. Simplicity is often safer.
Application Techniques for Maximum Effectiveness
Even the best cream won’t work if applied incorrectly. Experts emphasize proper method as part of the solution.
Cleanse Gently Before Application
Thorough but gentle cleansing with water or fragrance-free wipes is essential. Pat the area completely dry – never rub – before applying any cream. Moisture trapped under the barrier can worsen irritation.
The “Thick Layer” Principle
A common mistake is applying too thinly. For active rash, a generous, opaque layer is needed to create a true physical barrier. Think “like frosting a cake,” not a sheer tint. This ensures continuous protection between changes.
Frequency of Application
Reapply at every single diaper change, especially when the rash is present. Prevention for susceptible babies might involve application with each change even before redness appears. Consistency is paramount.
Special Considerations for Sensitive or Reactive Skin
Some babies need extra care. Dermatologists adjust their guidance based on individual skin reactivity.
Managing True Allergic Contact Dermatitis
If a rash doesn’t improve with standard barrier creams or spreads beyond the diaper area, it might be an allergy. Patch testing (under medical guidance) and switching to ultra-minimalist formulas become crucial.
Addressing Fungal (Yeast) Infections
Persistent rashes with satellite lesions (small red spots around the main rash) often indicate yeast. While barrier creams remain important, antifungal treatment prescribed by a doctor is necessary; the cream alone won’t resolve it.
Extreme Sensitivity: The Minimalist Approach
For highly reactive skin, experts may recommend starting with pure petroleum jelly or a single-ingredient zinc oxide paste, introducing other components only once the skin is stable.
Beyond the Cream: Holistic Rash Prevention Strategies
Dermatologists stress that cream is just one piece of the puzzle. Effective management requires a comprehensive approach.
Strategic Diaper Free Time
Regular periods without a diaper allow air circulation, speeding up healing and preventing moisture buildup. Make this a daily routine, even for just 10-15 minutes at a time.
Choosing the Right Diapers
Breathable materials matter. Some babies do better with specific brands or types (cloth vs. disposable). Change diapers frequently – don’t wait for them to feel “soaked.” Consider fragrance-free options.
Gentle Cleansing Routine
Avoid harsh soaps. Warm water is often sufficient. If wipes are needed, choose fragrance-free, alcohol-free, and preferably cotton-based. Pat dry meticulously.
When to Consult Your Pediatrician or Dermatologist
Knowing the signs that warrant professional help is critical for your baby’s comfort and health.
Signs of Infection
Increased redness, swelling, warmth, pus, fever, or the rash spreading rapidly are red flags indicating possible bacterial infection requiring medical treatment.
Lack of Improvement
If a rash shows no signs of healing after 2-3 days of consistent, correct barrier cream use and good hygiene, it’s time to seek advice. It might be fungal, allergic, or need a different approach.
Severe Pain or Discomfort
If your baby seems excessively fussy during diaper changes or seems to be in significant pain, professional evaluation is essential.
Debunking Common Diaper Rash Myths
Misinformation can hinder healing. Let’s clarify what experts say.
Myth: “Natural” Always Means Better
Many natural ingredients (like certain essential oils or plant extracts) are highly allergenic for babies. “Natural” isn’t synonymous with safe or effective; evidence-based formulation is key.
Myth: Powder is Essential for Prevention
Talcum powder poses inhalation risks. Cornstarch can sometimes feed yeast. Modern dermatology favors barrier creams over powders for both safety and efficacy.
Myth: Rash Creams Cause Rashes
While some ingredients can irritate specific babies, the cream itself isn’t the root cause. The underlying moisture/friction issue is primary; the wrong cream might not help (or could worsen it), but it rarely starts the rash.
Building a Sustainable Diaper Rash Care Routine
Prevention beats treatment. Experts guide parents on creating lasting habits.
Proactive Barrier Use for At-Risk Babies
If your baby is prone to rashes (e.g., during antibiotics, illness, or introduction of new foods), applying a thin layer of barrier cream before the rash appears can be highly effective prevention.
Consistent Hygiene is Non-Negotiable
Regular, thorough (but gentle) cleansing and frequent changes form the bedrock of prevention, even more so than the specific cream used.
Observing Your Baby’s Unique Patterns
Track what seems to trigger rashes for your child (certain foods, specific diapers, illness). This personalized insight is invaluable for tailoring your prevention strategy.
Frequently Asked Questions
How thick should I really apply the diaper rash cream?
Apply a visibly opaque, thick layer – you shouldn’t be able to see the skin beneath it. This ensures a continuous, impenetrable barrier against moisture during the time between diaper changes.
Can I use diaper rash cream preventively, even when there’s no redness?
Absolutely, and it’s often recommended for babies prone to rashes. A thin layer applied with each diaper change creates a protective shield, especially during high-risk times like illness or antibiotic use.
Is it safe to use a barrier cream containing zinc oxide at every single diaper change?
Yes, high-purity zinc oxide is very safe for frequent use on intact or irritated skin. It’s non-toxic, sits on the skin’s surface, and is the most recommended ingredient by dermatologists for this purpose.
What’s the biggest mistake parents make when applying diaper rash cream?
Applying it too thinly is the most common error. A skimpy layer washes away quickly with moisture, leaving skin unprotected. Be generous, especially with active rashes.
My baby’s rash isn’t getting better with cream. What could be wrong?
It might be a yeast infection (needs antifungal), a bacterial infection (needs antibiotics), or contact dermatitis from an irritant/allergen. Lack of improvement after 2-3 days of correct use warrants a doctor’s visit.
Are fragrance-free creams really necessary?
Yes, for treating or preventing rashes. Fragrances are among the most common causes of allergic reactions and irritation on sensitive, compromised skin. Always choose fragrance-free options.
Can I use regular petroleum jelly (Vaseline) instead of a diaper rash cream?
Pure petroleum jelly is an excellent, simple barrier and is often recommended by dermatologists, especially for mild cases or prevention. It lacks the additional soothing agents of some creams but is highly effective as a moisture barrier.
How long does a typical diaper rash take to heal with proper care?
With consistent application of the right barrier cream, gentle cleansing, frequent changes, and diaper-free time, most mild to moderate rashes show significant improvement within 12-24 hours and clear up within 2-3 days.
Should I worry if the cream looks greasy or messy?
Don’t worry about the mess. That greasy or pasty texture is what creates the essential waterproof barrier. Focus on applying it thickly and correctly; the mess is a sign it’s doing its job.
Can diet affect my baby’s likelihood of getting diaper rash?
Yes, especially once solids are introduced. Acidic foods (like citrus, tomatoes) or certain fruits can make stool more irritating. Breastfeeding mothers might notice reactions to their own diet. Observe patterns and discuss concerns with your pediatrician.