If you've been shopping for incontinence protection or caregiver supplies, you've likely come across two terms: underpads and chux pads. Many people use them interchangeably — and for good reason. But understanding the subtle differences can help you choose the right product for your specific needs, whether you're caring for a loved one at home or managing a clinical setting.
What Are Underpads?
Underpads are absorbent, disposable or reusable pads designed to be placed under a person to protect bedding, furniture, or other surfaces from moisture, urine, or other bodily fluids. They typically feature a soft, quilted top layer that wicks moisture away from the skin, an absorbent core that locks in liquid, and a waterproof backing that prevents leaks from reaching the surface below.
Underpads come in a range of sizes — from small chair pads to large bed pads — and in varying absorbency levels, from light to heavy-duty. They are widely used in hospitals, nursing homes, and home care settings for patients with incontinence, post-surgical recovery, or limited mobility. A great example from our store is the Air Flow Underpad - Bed Pad, designed for reliable overnight protection.
What Are Chux Pads?
Chux pads are essentially a type of underpad. The term "Chux" originated as a brand name but has since become a generic term — much like "Kleenex" for tissues — used to describe disposable underpads in general.
In clinical and caregiving environments, nurses and aides often refer to any disposable underpad as a "chux." So when someone asks for chux pads, they are almost always referring to single-use, disposable underpads used for patient care, bed protection, or surface coverage during medical procedures. For heavy-duty needs, check out the Wings Plus Incontinence Underpad, Heavy Absorbency — a top choice for high-demand situations.
Key Differences: Underpads vs. Chux Pads
While the terms overlap significantly, here are a few practical distinctions worth knowing:
- Disposable vs. Reusable: "Chux pads" almost always refers to disposable options. "Underpads," on the other hand, can be either disposable or washable/reusable. Reusable underpads are a cost-effective and eco-friendly choice for long-term care.
- Setting: Chux pads are commonly associated with clinical or hospital use, while underpads span both medical and home care environments.
- Absorbency Levels: Both come in varying absorbency levels, but premium underpads — especially reusable ones — often offer higher absorbency and better skin protection for extended wear.
- Size Options: Underpads tend to have a wider range of size options, including extra-large bed pads, while chux pads are often standardized in size for clinical convenience.
Which One Should You Choose?
The right choice depends on your situation:
- For home caregiving: If you're managing incontinence for a family member at home, a combination of reusable underpads (for overnight bed protection) and disposable chux pads (for daytime use or travel) can offer the best balance of comfort, convenience, and cost savings.
- For clinical or facility use: Disposable chux pads are the standard for quick changes, infection control, and ease of use in high-turnover environments.
- For light, occasional use: A lighter-absorbency disposable underpad or chux pad works well for chair protection or during outings.
- For heavy incontinence: Look for heavy-duty underpads with a high fluid capacity and a moisture-wicking top layer to keep skin dry and reduce the risk of pressure sores.
Tips for Buying Underpads and Chux Pads
When shopping, keep these factors in mind:
- Absorbency: Match the absorbency level to the degree of incontinence — light, moderate, or heavy.
- Size: Larger pads offer more coverage and are better for overnight use or for individuals who move during sleep.
- Backing material: A non-slip, waterproof backing is essential to keep the pad in place and protect surfaces.
- Skin safety: Look for pads with a soft, breathable top layer to minimize skin irritation.
Shop Underpads & Incontinence Supplies at FilAm Medical
Whether you call them underpads or chux pads, these products play a vital role in maintaining dignity, comfort, and hygiene for individuals with incontinence. At FilAm Medical Supplies, we carry a curated selection to meet the needs of both home caregivers and healthcare professionals.
- Browse our Incontinence Pads, Guards & Boosters collection for a full range of protective options.
- Pair underpads with the right FitRight Ultra Incontinence Briefs for comprehensive protection.
- Need something for lighter needs? Explore our FitRight Extra Incontinence Briefs as a complement to your underpad routine.
Find the right fit for your situation — because the right supplies make all the difference.

