How to recognise the symptoms of the three types of nappy rash

How to recognise the symptoms of the three types of nappy rash

Most babies get nappy rash at some point and it’s easily spotted by red spots or patches on a baby’s bottom, often accompanies by sore blisters and pimples.


But did you know there are three different types of nappy rash? Neither did we!

Baby expert Nikki Khan explains that, while you might think all nappy rash is the same, there are actually three main types of rash:

1. Normal nappy rash is when the skin looks red and sore and can almost appear shiny. It occurs when the skin on the bottom has been in contact with a dirty nappy for a prolonged period or if the baby has a bout of diarrhoea. It is often the combination of wee and poo which causes the most irritation. Mild nappy rash should disappear after a few days of following a good skin care routine – sometimes it can go over night. However, if the rash doesn’t go within a week or develops further, it might be one of the other types of nappy rash described below.

2. A fungal nappy rash is a form of thrush, so treatment is often an anti-fungal cream which your GP will need to prescribe. This should be applied thinly to the affected area. The fungal rash shows as tiny red spots and the genitals can appear swollen and can sometimes occur if your baby is on antibiotics. It is important that, if the nappy rash is fungal, you avoid your usual barrier cream as this can make the condition worse. If you are unsure, ask your GP or Health Visitor for advice.

3. A bacterial nappy rash shows as infected spots or pimples and your baby is likely to have a fever. It can develop from a normal nappy rash when the skin has broken and an infection has developed because of bacteria entering the broken skin. This type of nappy rash may well need antibiotics so you should see your GP for treatment advice and monitoring as soon as possible.

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