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Nappy Rash

Most babies get nappy rash at some time in the first 18 months. Nappy rash can be caused by:

  • prolonged contact with urine (wee) or stools (poo)
  • sensitive skin
  • rubbing or chafing
  • soap, detergent or bubble bath
  • baby wipes
  • diarrhoea or other illness

There may be red patches on your baby’s bottom, or the whole area may be red. The skin may look sore and feel hot to touch, and there may be spots, pimples or blisters.
The best way to deal with nappy rash is to try to prevent your baby getting it in the first place. These simple steps will help:

  • Change wet or soiled nappies as soon as possible. Young babies need changing as many as 10 or 12 times a day; older babies at least six to eight times.
  • Clean the whole nappy area thoroughly, wiping from front to back. Use plain water.
  • Lie your baby on a towel and leave the nappy off for as long and as often as you can in order to let fresh air get to the skin. 
  • Use a barrier cream, such as zinc and castor oil.

If your baby gets nappy rash you can treat it with a nappy rash cream. Ask your health visitor or pharmacist to recommend one. If the rash doesn’t go away or your baby develops a persistent bright red, moist rash with white or red pimples, which spreads to the folds of the skin, they may have a thrush infection.


You’ll need to use an anti-fungal cream, available either from the pharmacist or on prescription from your GP. Ask your pharmacist or health visitor for advice.

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