Nappy Rash in Babies

Tips for prevention and proper care of the baby's bottom

If you discover irritations and redness in the nappy area when changing your little one, there's no immediate cause for concern. A baby bottom sore can appear quite frequently and very swiftly. Nonetheless, it's essential to act – as your child might be experiencing discomfort. Diaper rash, often referred to as nappy rash, ranks among the most prevalent skin issues in babies and toddlers.

Various symptoms can suggest a nappy rash, such as redness, weeping areas, or spots in the nappy region. Diaper rash is quite common. A sore baby bottom can be painful for the infant and poses an infection risk. However, with appropriate care and some handy tips, you can effectively ward it off.

For the sensitive baby bottom

Linola Baby & Kind

Causes of the sore baby bottom

What triggers nappy rash in babies?

Why does my baby have a sore bottom? Numerous factors can lead to irritations in the nappy area. More often than not, the humid and warm milieu beneath the nappy offers prime conditions: urine and faeces irritate the skin on the bottom and in your baby's private area. This environment inside the nappy is an ideal breeding spot for fungi and bacteria. Moreover, the skin gets irritated due to friction with a damp nappy.

Allergies and intolerances can also be culprits behind diaper rash in babies, especially under the conditions mentioned. There might be instances where your child reacts adversely to certain ingredients in the wet wipes or creams you use, such as fragrances or specific preservatives.

Baby lying on the changing table while the mother applies cream to the baby's bottom, symbolising the proper care for a sore bottom in babies

Preventing bottom soreness

Ensuring a baby bottom sore doesn't arise in the first place

You can prevent skin irritations and a sore baby bottom in daily life:

  • Change nappies frequently: Change your baby more often and clean their bottom carefully under running water. Alternatively, a fresh, damp washcloth can be used, or wet wipes without perfume and fragrances.
  • Dry thoroughly: Dry the nappy area thoroughly and ensure no moisture remains in the skin folds. Tip: Let your child kick about on the changing table for a few minutes. This further dries the nappy area and provides an opportunity for play and cuddling.
  • Care for sore skin: Protect the sensitive nappy area with a nurturing nappy cream before putting on a new nappy.

Go "nappy-free": As children grow older, try to avoid nappies as much as possible to protect the skin. Let your child crawl, walk around, or play "nappy-free" at home whenever possible. Fresh air keeps the sensitive skin dry. However, ensure the room temperature is sufficiently warm so your child doesn't catch a chill!

Portrait of Edith Janzen, midwife at the birthing centre in Bielefeld Germany

"If the baby's bottom becomes sore, you should change the nappy at least every 3 hours. Furthermore, I recommend consistently moisturising the bottom until the skin irritations have disappeared. It's also helpful to let your little one kick about without a nappy for some time each day if possible – but ensure they don't get too cold."

Edith Janzen, Midwife at the Birthing Centre Bielefeld, Germany

Treating nappy rash properly

What to do in case of diaper dermatitis?

If you've already noticed nappy rash on your little treasure, the sore bottom now requires special care to recover quickly. The aforementioned preventive measures are also suitable for treating mild nappy rash. Typically, irritations subside within a few days. In such cases, a visit to the paediatrician isn't necessary.

However, it's a different story if, for instance, a bacterial infection causes the nappy rash – signs of this include pus-filled blisters, pustules, or even bleeding spots. In this situation, medicinal treatment might be necessary. Persistent dermatitis that doesn't improve despite all measures should also be examined by a paediatrician or dermatologist to rule out infections or allergies.

Linola Baby & Kind

For baby-soft skin

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Portrait of Edith Janzen, midwife at the birthing centre in Bielefeld Germany

Content verified by: Edith Janzen

Edith Janzen has been a midwife at the Birthing Centre Bielefeld in Germany since 2012 and is a mother herself. Her areas of expertise include out-of-hospital obstetrics, prenatal care, and postnatal care. She supports numerous families from the beginning of pregnancy through childbirth to the end of the postpartum period, providing advice and assistance during this special phase of life.

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