Common in babies and toddlers, a nappy rash or diaper rash is a skin irritation that usually appears in the baby’s nappy area. It’s typically redness, inflammation, and discomfort around the diaper area.
What causes nappy rash?
- Moisture or wet skin due to pee (urine)
- Skin is dirty due to poop (stool)
- Friction due to rubbing of diaper against skin
- Not changing diapers frequently
- Change in the baby’s diet, especially when babies start to eat solid food, it can affect the stool composition and contribute to diaper rash
- Baby’s sensitive skin - skin conditions such as eczema and psoriasis can make them particularly sensitive to nappy rash
- Acidic fruits
Symptoms of nappy rash
- Redness or skin inflammation especially in the nappy area
- Blisters
- Rash spreading on the tummy or buttocks
- Small ulcers that form on healthy skin near the area of the rash.
- Trouble sleeping
How to prevent and treat nappy rash?
Preventing nappy rash involves maintaining good hygiene practices and creating a dry and irritation-free environment for your baby. Here are some tips:
- Change your baby's nappy regularly, at least every two to three hours or whenever it is soiled. Prolonged exposure of the skin to moisture can mainly cause nappy rash.
- Opt for disposable nappies as they tend to absorb moisture better than cloth nappies. If you prefer cloth nappies, ensure they are cleaned thoroughly with a good quality detergent and rinsed well.
- Do not use plastic pants (pilchers) as they can hinder airflow, contributing to a moist environment.
- Gentle cleaning. Use cotton wool dampened with lukewarm water to clean your baby instead of harsh wipes. Pat the baby dry with a soft cloth rather than using a wiping motion, which can be more irritating.
- Apply a thick layer of a good quality barrier cream after each nappy change. This helps create a protective layer on your baby's skin, preventing moisture and irritants from coming into direct contact with the skin. Warm the cream between your fingers before applying to facilitate spreading. Consult your doctor, midwife or nurse for the recommended creams.
- Dress your baby in loose-fitting and breathable clothing to allow air circulation, helping to keep the skin dry.
- Monitor your baby’s diet. Certain foods may contribute to more acidic or irritating stools, potentially increasing the risk of nappy rash, especially if your baby is on solid food.
- Hydration. Ensure your baby is hydrated enough. This can help maintain healthy skin.
- Consult Healthcare Professionals. If you notice persistent or worsening nappy rash,
consult your doctor, midwife, or baby health nurse for advice and possible
treatment options.
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Remember, every baby is different, and what works for one may not work for another. It's essential to pay attention to your baby's skin and adjust your care routine accordingly. If the rash persists or worsens despite home care, consult a healthcare professional for further guidance. In some cases, a healthcare provider may recommend medicated creams or ointments for more severe or persistent cases of nappy rash.
