Help for Nappy Rash

Wetness, contact with urine or stool, rubbing, and fragranced products can weaken the skin barrier. A rash that is bright red in the folds, has small surrounding spots, or continues despite careful basic care may have a yeast component. Blisters, crusting, open skin, or a rapidly expanding area needs assessment.

Change the nappy promptly, rinse gently with lukewarm water or use fragrance-free wipes, and pat rather than rub. Allow short periods of air exposure when practical. Apply a suitable protective layer to clean, dry skin and avoid talc, antiseptics, and perfumed products. [Emollient Therapy](/treatments/medical-dermatology/emollient-therapy/) may support the skin barrier. A clinician or pharmacist may recommend [Topical Antifungal Treatment](/treatments/medical-dermatology/topical-antifungal-therapy/) when yeast is suspected; do not use leftover prescriptions without advice.

Arrange medical advice if the rash is not improving with careful care, keeps returning, or involves broken skin. Seek prompt care for fever, marked swelling, pus, blisters, bleeding, severe discomfort, or a baby who is feeding poorly or unusually sleepy. Newborns and babies who seem unwell should be assessed without delay.

Could this be irritation, yeast, eczema, or another infection? Which barrier product and cleaning routine should we use? How should an antifungal be applied, and what changes mean the baby needs review?