What should you know about constant nappy rash?

Wetness, stool contact, rubbing, and a tight nappy can damage the skin barrier. Fragranced wipes, soaps, detergents, and some creams may add irritation. A yeast-related rash is more likely when redness is vivid, involves skin folds, or has small spots around the main area; only an examination can confirm the cause. Nappy rash can also accompany diarrhoea, antibiotic use, or another skin condition. Frequent recurrence deserves review because treatment depends on whether the main problem is irritation, inflammation, or infection.

Change wet or soiled nappies promptly and rinse the area with lukewarm water or use fragrance-free wipes. Pat dry rather than rubbing, allow short periods without a nappy when practical, and apply a thin protective barrier recommended for babies. Fasten the nappy comfortably and avoid fragranced products, talc, and scrubbing. Emollient therapy may help protect dry or irritated skin. A clinician or pharmacist should advise before using a topical antifungal treatment, especially for a young baby or broken skin.

Arrange medical advice if the rash does not improve with careful nappy changes and gentle cleansing, keeps recurring, spreads beyond the nappy area, or causes marked discomfort. Seek prompt care for blisters, open sores, pus, bleeding, fever, rapidly worsening redness, or a baby who is feeding poorly or unusually sleepy. A clinician can examine the rash and check for a cause needing specific treatment.

Does this look like irritant dermatitis or a yeast-related rash? Which barrier or emollient is suitable? Should we use a topical antifungal, and what warning signs should prompt another review?