Nappy rash with raw skin: what to know

Raw skin may look bright red, shiny, moist or tender. Nappies hold urine and stool close to the body, while movement creates rubbing across already softened skin. Frequent wiping can add to the irritation. Rawness can also occur when yeast affects warm folds, or when a product triggers contact dermatitis. These causes can look alike, so a rash that is severe, recurrent or not improving should be assessed rather than treated with several products at once.

Use lukewarm water and a soft cloth, or a gentle fragrance-free cleanser, then pat dry. Change nappies often and allow short periods of air exposure. Apply a plain protective barrier in a generous layer, without scrubbing it off completely at every change. Choose a loose fit and avoid fragranced wipes, talcum powder and alcohol-containing products. If a professional identifies a particular cause, they may discuss [Emollient Therapy](/treatments/medical-dermatology/emollient-therapy/) or [Topical Antifungal Treatment](/treatments/medical-dermatology/topical-antifungal-therapy/).

Arrange a clinical review if rawness is extensive, worsening, cracked, bleeding or associated with discharge. Seek prompt care if the baby has fever, rapidly spreading redness, swelling, blisters, pus, poor feeding or seems unwell. Avoid steroid or antimicrobial creams chosen without advice, because the wrong product can worsen some rashes or hide important changes.

What is making the skin raw? Which barrier should I use, and how should I remove it? Are there signs of yeast, allergy or infection? When should the baby be reviewed if the skin remains sore?