People who experience urinary or fecal (bowel) incontinence are at great risk for skin irritation, ulcers, and infection. 

Others at risk for skin irritation include persons who:

• Have received radiation therapy to the area between the pelvis and rectum (perineal area)
• Use a wheelchair
• Must stay in bed

Use of diapers and other containment devices may prevent dirty bedding and clothing. However, these products tend to keep the urine or stool in constant contact with the skin. Over time, the skin can become damaged. Special care must be taken to keep the skin clean and dry.

The skin and perineal area should be promptly cleaned after each incontinence occurrence. Cleanse the skin with a mild soap and water, rinse thoroughly, and gently pat dry. Frequent cleansing of the skin may cause drying and irritation. Moisturizing creams may be used to keep the skin moist, however, avoid products that contain alcohol since this may further irritate the skin. If you are receiving radiation therapy, ask your health care provider if it is okay to use any creams or lotions.

Several skin cleansers are specifically designed to cleanse and deodorize the skin without causing excessive dryness or irritation. These products include foams, non-aerosol sprays, and wet wipes (individual disposable towelettes). Be sure to follow the product's instructions. Some of the products do not require rinsing. Be aware that some people may have allergies to the fragrances used in these cleansers.

If there is constant exposure to urine or stool, a skin sealant or moisture barrier should be considered. There are several creams or ointments that contain lanolin or petrolatum, which form a protective barrier on the skin. Some skin care products (often in the form of a spray or a towelette) actually create a clear, protective film over the skin. 

Even if you use these products, you must still clean the skin after each incontinence occurrence. Re-apply the cream or ointment after thoroughly cleaning and drying the skin.

People who have frequent incontinence problems may develop a yeast infection on the skin. An itchy, red, pimple-like rash appears. Skin may feel raw.

There are several products (both over-the-counter and prescription) that can be used to treat the yeast infection. If the skin is constantly moist, a medicated antifungal powder (such as Mycostatin powder) may be used. A moisture barrier or skin sealant may be applied over the powder. An antifungal cream is also available for use in people who have a yeast infection on dry, cracked skin. If severe skin irritation develops, see your health care provider.

The National Association For Continence (NAFC) publishes a resource guide of continence products and services, which includes a listing of the manufacturers and distributors of specific products. To obtain this resource guide call 1-800-BLADDER or go to the website www.nafc.org.