What Is Nappy Rash?
Nappy rash is a common skin condition that affects babies and young children. It causes redness, soreness, and irritation in the area covered by a nappy. While it can be uncomfortable for the baby, it’s usually not serious and can be treated easily.
Symptoms of Nappy Rash
- Red or inflamed skin on the baby’s bottom, thighs, or genitals
- Patches of dry, scaly skin
- Blisters, spots, or ulcers in severe cases
- A baby that appears more irritable, especially during nappy changes
What Causes Nappy Rash?
- Prolonged contact with urine or poo
- Rubbing or chafing from a tight nappy
- Not changing nappies frequently enough
- Using perfumed wipes, soaps, or bubble baths that irritate the skin
- Certain antibiotics, which can affect the skin’s natural balance
Treatment for Nappy Rash
- Change nappies frequently to keep the baby’s skin clean and dry.
- Clean the area gently using warm water and cotton wool rather than wipes that may contain alcohol or fragrance.
- Allow some nappy-free time each day to let the skin breathe and dry out.
- Apply a protective barrier cream after cleaning to protect the skin and prevent further irritation.
- Use well-fitting nappies that aren’t too tight to reduce friction.
NHS Information on Nappy Rash
There is more extensive NHS information on Nappy Rash, including some photos of symptoms, on the following NHS link…
https://www.nhs.uk/conditions/baby/caring-for-a-newborn/nappy-rash
Help at the Pharmacy
A pharmacist may recommend barrier creams like Sudocrem or Metanium or Bepanthen, to waterproof and protect the skin until it heals, and if the rash is severe or doesn’t improve, they might suggest antifungal creams or refer you to a doctor.
- Barrier Creams:
- Purpose: These creams create a protective layer between the baby’s skin and the nappy, preventing further irritation from urine and poo.
- Examples: Sudocrem, Bepanthen Nappy Care Ointment, Metanium, Zinc and castor oil cream.
- Application: Apply a thin layer at each nappy change.
- Antifungal Creams:
- When to use: If the nappy rash is accompanied by a fungal infection (e.g., yeast infection), a pharmacist might recommend an antifungal cream.
- Examples: Clotrimazole cream (Canesten).
- Other Recommendations:
- Hygiene: The pharmacist might advise on proper nappy changing techniques, including cleaning the area with warm water and patting dry.
- Nappy Choice: They might suggest using absorbent nappies and allowing the baby’s skin to air dry as much as possible.
When to See a GP
See your GP if:
- The rash doesn’t improve after a few days of home treatment
- The rash worsens, becomes swollen, or develops blisters or pus
- Your baby develops a fever or seems particularly distressed
Preventing Nappy Rash
You can reduce the risk of nappy rash by:
- Changing your baby’s nappy as soon as it’s wet or soiled
- Cleaning the nappy area thoroughly during each change
- Using a barrier cream regularly as a preventative measure
- Letting your baby spend time without a nappy each day
- Avoiding fragranced products that can irritate sensitive skin
Summary
Nappy rash is common but can be managed effectively with good hygiene and barrier creams. By keeping your baby’s skin clean, dry, and well-protected, you can help prevent nappy rash and keep your baby comfortable. If symptoms persist or worsen, consult your GP for further advice.