What is nappy rash?
Nappy rash is any skin reaction appearing in a baby’s nappy (diaper) area. The rash usually makes the buttocks very red and sore; the baby may cry every time when filling or wetting their nappy. Nappy rash can also involve the genital area but tends not to affect the skin creases. • What causes it? Nappy rash is caused by contact between urine and skin. A rash is almost inevitable if there is prolonged wetness of the baby’s skin. Allergy is not thought to be important, simple irritation by urine and stools is the main factor. Babies with eczema tend to have more alarming-looking nappy rashes with a shiny appearance, while those with a family history of psoriasis can have scaly rashes resembling psoriasis. In any nappy rash there can be added infection by bacteria or by a yeast called candida (which causes thrush – see below). These infections need specific treatment. • What can be done? Many nappy rashes can be prevented by frequent changes of nappy, and ensuring adequate cleaning and
