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Nappy (diaper) rash

Dermatitis ab indusiis · Opruzeniny

What it is

Red, sore skin under the nappy from wetness, urine and stool; thrush joins in if it lasts.

Symptoms & signs

  • Red, shiny patches in the nappy area
  • sore when cleaned
  • spots at the edge and in the creases (thrush)
  • irritable baby

🚩 Get help if…

  • call 112 / 911 now Rash with fever in a baby under 3 months
  • see a doctor soon Blisters, pus or yellow crusts
  • see a doctor soon Rash that spreads beyond the nappy or lasts over a week
  • see a doctor soon Bright red rash with spots at the edge — possible thrush

Where it strikes

Medical treatment

  • Barrier cream (zinc oxide) at every change
  • antifungal cream if thrush
  • mild steroid briefly if severe

Natural & lifestyle

  • Change often, air time without a nappy
  • water wipes, no perfumed products
  • pat dry

Emerging & experimental

  • Superabsorbent breathable nappies
  • probiotic creams

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Breast milk on the skin — a trial found it as good as hydrocortisone 1% early / small studies
  • Coconut oil — soothing barrier; anecdotal anecdotal / traditional
  • Talcum powder — no benefit and a breathing hazard not confirmed in trials

ICD codes