What should you know about severe cradle cap treatment?

Cradle cap is a greasy or dry scale on a baby’s scalp, often with mild redness underneath. It is a form of infantile seborrheic dermatitis and is not caused by poor hygiene. Thick scale can cling to the scalp and may extend toward the eyebrows or behind the ears. A baby who seems unwell, has marked tenderness, or develops oozing may have a different or additional problem.

Before washing, ask a healthcare professional about using a small amount of a suitable emollient to soften scale. Massage very gently, wash with a mild baby cleanser, and lift only loose flakes with a soft brush. Never scratch, pick, or pull attached scale, and keep products away from the eyes. Stop if the skin becomes more red or sore. If a clinician suspects yeast-related inflammation, they may recommend a topical antifungal treatment rather than repeated scrubbing.

Arrange an appointment if the scalp is very red, swollen, painful, bleeding, crusted, or leaking fluid, or if the rash spreads beyond the usual areas. Seek urgent advice if the baby has fever, seems unusually sleepy, feeds poorly, or appears generally unwell. Medical review is also sensible when gentle care does not help or hair loss occurs in distinct patches.

Ask whether the scale fits cradle cap, which emollient is suitable for your baby’s age, how often to wash the scalp, and whether inflammation needs a topical antifungal treatment.