What should you know about cradle cap on scalp?

The scales may look yellow, white, or brown and can cling to the scalp or hair. The skin underneath may be mildly red, but cradle cap often does not bother the baby. It is linked to oil-producing glands and natural skin yeast activity, rather than poor hygiene, and it is not usually spread from person to person.

Similar flaky areas can appear around the eyebrows, behind the ears, or in skin folds. A clinician can distinguish cradle cap from eczema, psoriasis, a fungal infection, or irritation when the appearance is unusual or the baby seems uncomfortable.

Before washing, apply a small amount of plain emollient or baby-safe oil to the affected scalp and leave it briefly to soften the scales. Massage lightly with fingertips, then use a soft baby brush to loosen only the flakes that lift easily. Wash the scalp with a mild baby shampoo and rinse well.

Do not pick, scratch, or pull attached scales, because this can break the skin and invite infection. Avoid adult dandruff products, fragranced products, and essential oils unless a healthcare professional has recommended a specific product for your baby. An emollient therapy page offers more information about skin-softening care.

Arrange medical advice if the scalp is very red, swollen, warm, bleeding, cracked, or oozing, or if it develops a bad smell. Seek prompt help if your baby has a fever, seems unusually unwell, or is feeding poorly. A clinician should also review cradle cap that spreads widely, causes marked itching, or does not improve with gentle care.

Do not apply a medicated cream or antifungal treatment without advice about the product, strength, and how to use it on an infant's scalp. If a fungal cause is suspected, a clinician may discuss topical antifungal treatment.

Ask whether the changes fit cradle cap, which cleanser or emollient is suitable for your baby's age, and what signs would mean the scalp needs an appointment. If treatment is suggested, ask how often to use it and when to stop.