Mother and Baby

The three types of nappy rash and how to treat them

Nappy rash can cause lots of tears for both parents and babies, so it's important to determine the type of rash and how best to treat it. 

There’s nothing cuter than the soft dimpled skin of your baby’s little bottom. But it’s very easy for this delicate skin to become chapped and irritated, leaving your little one – and you – thoroughly bummed out!

‘Your baby’s skin is 30 per cent thinner than yours, making it incredibly sensitive to anything it comes into contact with. So, combined with nappy-wearing, it’s no wonder she might get sore,’ explains dermatologist Dr Cairine Wilkinson. One solution doesn’t fix all sore bums though: with a little know-how, you can both prevent plenty of nappy-rash bouts, and sort the rest quickly.

The three type of nappy rash:

  • Mild nappy rash

Common-or-garden everyday nappy rash looks red, sore and appears almost shiny. Your baby won’t seem any different to her usual happy self. Change her nappy more often than normal, keep her bum clean by gently dabbing with warm water and cotton wool rather than rubbing, and let her skin dry completely before applying an emollient or antibacterial cream, and the rash should clear up in two to three days.

  • Candidal nappy rash

A stubborn nappy rash which refuses to go away with the usual treatment may be a candidal rash. Warm, wet places such as inside a nappy, provide the perfect environment for the yeast called candida to grow. A fungal rash looks similar to a normal nappy rash, but it’s bright red and scaly, as well as slightly raised. Make an appointment with your GP who may recommend an antifungal or mild corticosteroid cream.

  • Bacterial nappy rash

If your little one is uncomfortable and has a rash that is weeping or has a yellow crust, she may have a bacterial nappy rash. ‘This develops when the skin has broken while your baby had a mild nappy rash, and bacteria has entered the skin, leading to an infection,’ says Cairine. Make an appointment to see your GP, pronto.

6 nappy rash treatments for a happy bum:

Expand Image

1) Run an oat bath

Oats are full of antioxidants that soothe skin irritation and inflammation. To make a fast oat soak for your tot, blitz 100g oats into a fine powder. Test that the oats are fine enough by adding a small amount to a glass of warm water - they should dissolve and turn the water a milky white colour. Add to your baby's bathwater and stir until dissolved. 
Expand Image

2) Go premium

Budget nappies are brilliant, and can be as kind to your baby's bottom as they are to your purse, but if you're finding it hard to keep your tot's bum rash-free, then it's worth paying extra for an über-absorbent nappy for nighttime. Using one or two nappies a night, the pack will last for ages! 
Expand Image

3) Experiment with nappy brands

As your tots gets increasingly mobile, it's inevitable that the friction between her nappy and her skin increases, too. Just as some brands of jeans fit your bum like a glove, some nappy brands suit certain baby body shapes more than others. If you spot any signs that a nappy rubs, pinch a nappy from all your mum-friends and see if another fits your tot better. 
Expand Image

4) Pat her dry

Post-bath, get into the habit of gently patting, or just holding the towel against your tot's skin, rather than rubbing it dry. Lay her on her tummy so you can dry those chubby creases where water may be trapped, too. 
Expand Image

5) Synchronise

If anyone else changes your little one's nappy, check their changing routine matches yours. If you know you're using the same products and ensuring she's dry, this consistency makes it so much easier to pinpoint a problem.
Expand Image

6) Ditch the nappy

Giving your baby as much nappy-free time as possible will allow the fresh air to get to her skin, and keep it as dry as possible, while giving it a break from the friction of a nappy. A washable playmat where she can play with a bare bum is your best friend in the battle against nappy rash! 

 

Nappy rash creams to buy:

1) Barrier cream: Sudocream, £2.99, Boots

Use a barrier cream as a preventative measure in your daily nappy changing routine, as long as your baby’s skin is intact. ‘It works by creating a protective, water-repellent coating over your baby’s skin, so prevents wetness from touching it,’ says Cairine. Once your tot’s bum is completely dry, apply a super-thin layer before popping on her nappy.

2) Emollient: Metanaium Ointment, £3, Tesco

If the skin on your tot’s bum looks dry, itchy or scaly, then an emollient will help to get her skin back into a state where it can deal with the onslaught of all the poo and wee. They soothe, smooth and hydrate the skin, but their effects are short-lived so you’ll need to reapply frequently.

3) Antiseptic cream: Savlon Cream, £1.99, Superdrug

Antibacterial creams contain bacteria-killing antibiotics, so if that nappy rash is starting to look a little worse, then apply twice a day until the rash resolves. It’ll help to soothe your tot’s skin as it gets to work on that pesky bacteria, so it’ll quickly help her feel more comfortable too.


4) Antifungal cream: Canesten Cream, £4.99, Superdrug

If your baby has a Candidal nappy rash, the infection will need to be treated with an anti-fungal cream like Canesten, which contains clotrimazole, an active ingredient which will relieve your baby’s symptoms while treating the infection. Get your GPs advice first, but then apply to your baby’s bum two or three times a day, and avoid using a barrier cream until the infection has cleared.

 

What do you find best for nappy-rash treatment? Let us know on Facebook or Twitter!

Make sure you're following Mother & Baby on Instagram for relatable memes, inspiring stories and parenting hacks!

Join the club! Introducing our brand, spankin’ new Facebook group called #mumtribe. Simply search ‘#mumtribe’ into the search bar and meet like-minded mums, win gorgeous goodies and have some fun!

Have approx 60 seconds to spare? Why not join thousands of mums-to-be and start your very own Amazon baby wish list! They're absolutely free to create and perfect to send to the friends, aunties and your mum to make sure you're getting the baby products you really need...Click here!

 
 
"