Nappy rash and thrush are some common problems faced by babies. Nappy rash is a skin inflammation that may occur due to the reaction of bacteria in baby’s faeces with substances present in baby’s urine. In addition to Nappy rash, Thrush may occur due the presence of a germ Candida that thrives on inflamed skin.

How can you prevent or clear a nappy rash?

Research has shown that it is not the material of nappies that causes a nappy rash; rather it is infrequent changing of nappies or illness of baby that causes it. Therefore, change nappies as soon as they get wet or soiled.

While you change your baby’s nappy, dry her\his bottom with clean cotton washcloth. Avoid using alcohol-based wet wipes. Even when you are travelling carry non-alcohol wet wipes. Leave the nappy off whenever possible so that skin can breathe fresh air.

Wash cloth nappies with gentle detergents and rinse-off many times as residues of detergents and bleach can also cause nappy rash.

Barrier creams or ointments containing zinc oxide can be used to protect the skin from moisture, rub-on only a thin layer of the ointment before putting on the nappy. Too much cream can reduce the breathability of the nappy.

Avoid using tight fitting plastic pants over the nappy as they keep the moisture in and make things worse.

Thrush

If the nappy rash does not go away even after these precautions it could be a case of thrush. Thrush rash tends to be bright red and tender, it has distinct edges with a small red abscess close to the large patch. In such a case you should contact your doctor immediately.

The doctor may suggest a mild steroid cream which should be used sparingly, once a day and for not more than seven days. An anti-fungal cream may be used 2-3 times a day and can be continued for 7-10 days after the inflammation subsides to prevent candida germs from re-surfacing.

If the thrush does not clear even after the above treatments the doctor may suggest some antibiotics. Take doctor’s advice before using any ointment or antibiotic medicines.