Natural Remedies for PMR

Nappy rash is irritation in skin covered by a nappy. Moisture, rubbing, contact with urine or stool, and fragranced products can weaken the skin barrier. Redness may appear on the buttocks, genital area, thighs or lower abdomen. A rash that sits in the folds, has small spots around its edge, or follows recent antibiotics can need a different treatment, such as an antifungal medicine.

Change wet or soiled nappies promptly. Rinse with lukewarm water or use an unscented cleanser, then pat rather than rub. Give short periods without a nappy when practical, and apply a plain protective barrier recommended by a pharmacist or clinician. Avoid essential oils, baking soda, perfume, talc, harsh scrubbing and homemade acidic mixtures; these can sting or further inflame broken skin. An [Emollient Therapy](/treatments/medical-dermatology/emollient-therapy/) plan may help protect dry, irritated skin.

Arrange medical advice if the rash is spreading, very sore, blistered, bleeding, oozing or accompanied by fever. Seek prompt assessment if the child seems unwell, feeds poorly, or has painful urination. If gentle care does not start helping, a clinician can check for infection, eczema or another cause and may recommend [Topical Antifungal Treatment](/treatments/medical-dermatology/topical-antifungal-therapy/).

Could this be an infection or eczema rather than simple irritation? Which barrier product is suitable for this skin? Should any recent medicine, wipe or nappy be stopped? What changes would mean the child needs urgent review?