Nappy rash remedies: what can help

The nappy area is exposed to moisture and contact with urine or stool, while movement creates friction. This can cause irritant dermatitis, with redness and soreness on exposed surfaces. Yeast can also contribute, especially when the rash involves folds or has small surrounding spots. Some creams, wipes and scented washes may irritate already fragile skin. A remedy that protects the barrier may be enough for mild irritation, but a different medicine may be needed when infection or another diagnosis is suspected.

Wash your hands, change the nappy frequently and clean with lukewarm water or a gentle fragrance-free wipe. Pat dry and apply a bland barrier layer without rubbing the sore skin. Use a loose nappy and pause for brief nappy-free periods if practical. Stop any newly introduced product that seems to worsen the redness. Emollient therapy may be discussed for barrier support. If the rash has features of yeast, a clinician may recommend topical antifungal treatment; do not share medicines or use leftover prescriptions.

Contact a clinician when the rash does not begin to settle, keeps coming back, extends beyond the nappy area or causes significant pain. Seek prompt care for blisters, open sores, pus, yellow crusts, marked swelling or fever. Urgent assessment is appropriate if the baby is difficult to wake, feeding poorly or appears seriously unwell. A healthcare professional can check for yeast, bacterial infection, eczema or another cause before recommending a medicine.

Ask which ingredients to look for in a barrier product, whether any current cream should be stopped, how to recognise yeast, and how soon the skin should be reviewed. Bring the product packaging and describe the timing of changes, feeds, stools and new skincare products.