What should you know about raw nappy rash?

Nappy rash, also called diaper dermatitis, develops when moisture, urine, stool, heat, and friction weaken the skin barrier. The area may look red, shiny, tender, or raw, with small cracks or spots. A rash in the folds, with satellite spots, or one that persists despite basic care can have a yeast contribution; the appearance alone cannot confirm the cause.

Broken skin is more vulnerable to irritation. Avoid fragranced wipes, vigorous rubbing, and products that sting. A clinician can distinguish ordinary irritant rash from infection, eczema, or another condition.

Change nappies promptly, rinse with lukewarm water or use a fragrance-free cleanser, and pat rather than rub. Allow the skin to air briefly when practical, use a thick protective barrier, and choose a correctly fitting nappy. Wash hands before and after care. A bland moisturising approach such as [Emollient Therapy](/treatments/medical-dermatology/emollient-therapy/) may support the skin barrier.

Do not use steroid, antiseptic, antibiotic, or antifungal creams without suitable advice, especially on a baby. If yeast is suspected, a clinician may recommend [Topical Antifungal Treatment](/treatments/medical-dermatology/topical-antifungal-therapy/) and explain where and how to apply it.

Seek medical advice if the rash is raw over a broad area, spreading, blistered, crusted, oozing, or accompanied by fever, marked pain, or reduced feeding. Get prompt help if the child seems unusually sleepy or unwell. Arrange a review when careful nappy care has not begun to settle the rash or it repeatedly returns.

Ask whether the pattern suggests irritation or yeast, which barrier product is suitable, whether any medicine is needed, and how long to try it. Mention recent antibiotics, diarrhoea, new wipes, and any rash elsewhere on the body.