Nappy Rash

Nappy Rash

At some age, most babies develop nappy rash. It is usually mild and does not bother your baby. In some cases, it can be severe and sore.

Causes Of Nappy Rash

A nappy rash is a skin inflammation in which there will be a reaction of the skin to urine and poo.

  • There is a germ called candida that commonly thrives on inflamed skin. Candida also causes an infection that occurs in the mouth or around the genital area, known as thrush. The rash becomes brighter or darker red due to candida. Other types of germs called bacteria can also infect the rash, which makes it redder and sorer.
  • At the time of teething, the nappy rash occurs or worsens more. The exact cause of teething leading to nappy rash is unknown, although it is thought that the rash is due to the baby producing more saliva. As a result, the nature of baby poo has changed, making it more likely to cause a reaction when it comes into contact with the skin.
  • Nappy rashes are often mild or moderate and are not harmful. Unusual nappy rashes can occasionally be caused by skin problems like eczema, psoriasis, infections, and uncommon skin illnesses.

Prevention And Healing Of Nappy Rash

Frequently change the nappy

Frequently change the nappy as soon as it is wet so that the skin will not be in contact with urine and poo for a long period of time. If the baby is teething and has an offensive poo, it is important to change the nappy frequently.

As much as possible, leave the nappy off

Leaving a nappy all the time is not possible. But try letting the baby lie on without a nappy by placing a towel or any absorbent sheet which is disposable for some period of time and changing the sheet or towel when it becomes wet. The fresher the air, the better for the baby.

  • After washing and before putting on a new nappy, make sure the baby's bottom is properly dry. Do not rub with a towel. Dry by patting.
  • Powder like talcum powder should not be used on babies since it can irritate their skin. Avoid using lotions, bubble baths, and soaps as well.

Barrier creams and ointments to be used

To protect the skin from moisture, barrier creams or ointments may help. These creams or ointments form a barrier between the baby’s skin and urine or poo. Before putting on the nappy, just apply a thin layer of barrier cream or ointment. To avoid reducing the breathability of the nappy, avoid applying too much.

Avoid using tight-fitting plastic pants over nappies as they keep in moisture and may make things worse.


If the nappy rash is mild, the above-mentioned precautions are enough to clear the rash. If the rash becomes worse, in addition to the above-mentioned measures, your Pediatrician may advise different ointments.

Despite the use of the ointments, if the rash becomes worse, then we can suspect that the inflamed skin of the nappy rash is infected with other germs like bacteria/candida. In this condition, antibiotic medicine/antifungal may be needed. Occasionally nappy rash could be unusual or more serious. If the rash does not improve by the above-mentioned treatments, consult your Pediatrician.

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