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Nappy rash

Last updated: 09 September 2011

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What is Nappy rash

A rash that occurs on or around nappy-wearing children's genitals and bottom. It's caused by a sensitivity to contact with urine and faeces and is more severe in some children than others. Symptoms are made worse by leaving a child in a soiled nappy.

Severe cases of nappy rash might be caused by an underlying condition or a bacterial infection.

What are the symptoms of Nappy rash?

Pink spots or blotches appear in small areas of the genitals and/or buttocks. Usually these are not sore, but may cause a stinging sensation when in contact with a soiled nappy.

In severe cases, you may see ulcerated areas of skin, dry, cracked skin or blisters. The spots or blotches may cover a larger area and be bright red and angry looking. This will cause your child a lot of discomfort and he may cry more than usual and seem generally distressed. Your child may develop a fever with nappy rash. This could indicate infection and needs to be seen by a doctor or other health professional.

What are the treatments and remedies of Nappy rash?

Mild nappy rash can usually be cured by changing your child's nappy as soon as you notice it's been soiled. Use only cotton wool and water to clean your baby's nappy area. You can buy creams specially formulated for the treatment of nappy rash, which may also help form a barrier between your baby's skin and his urine or faeces. It can also help if you leave his nappy off for as long as possible in between changes to let the air get to his skin – and avoid using soap-based products or detergents when you bath him.

If an infection is diagnosed, your GP may prescribe an anti-fungal, anti-bacterial or mild steroid cream to apply to the affected area. Make sure you follow the instructions on the packet.

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