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This article is for general information only and does not replace medical advice. If in doubt, contact your paediatrician or midwife.

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Nappy Rash

Almost every baby gets nappy rash at least once. The combination of moisture, friction, and irritants makes sensitive baby skin sore. With proper care, it usually heals within days.

Possible Causes

  • 1Prolonged contact with urine and stool
  • 2Infrequent nappy changes
  • 3Diet changes (solids, new foods)
  • 4Fungal infection (Candida) — often after antibiotics
  • 5Skin friction from tight nappies

What You Can Do

  • Change frequently (every 2-3 hours, immediately after bowel movement)
  • Let air reach the skin — nappy-free time
  • Clean with water only, pat dry instead of rubbing
  • Zinc cream as a protective barrier
  • For fungal infection: antifungal cream from paediatrician

When to See a Doctor

  • Rash doesn't improve after 3 days of treatment
  • Bright red rash with satellite spots (fungal infection)
  • Open wounds, blisters, or bleeding areas
  • Fever along with the rash
  • Rash spreads beyond the nappy area

Age-Specific Notes

Most common between 9 and 12 months (active solids phase). Newborns have less nappy rash (meconium is less irritating). More common during diarrhoea or after antibiotics.

Frequently Asked Questions

Wet wipes or water?
For sore skin: ONLY water and a soft cloth. Wet wipes can irritate. Once healing: fragrance-free, sensitive wipes are OK.
Which cream works best?
Zinc cream as a protective barrier. For fungal infection: an antifungal cream (e.g., nystatin) from the doctor. No powder — it can be inhaled.

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This article is for general information only. It does not replace individual medical advice. If you have concerns, contact your paediatrician, midwife, or call emergency services.