Nappy rash is common and may occur despite the most careful attention to your baby. Almost all children get nappy rash at some stage if they wear nappies. In cultures where nappies are not worn, nappy rash is unheard of. Cloth nappies tend to cause fewer problems than disposables, which do not let air circulate. Plastic pants should not be used if possible, for the same reason.
Cause
Various factors combine to cause nappy rash. The main cause is prolonged contact of a wet or dirty nappy with the baby’s skin. Ammonia may be released from the urine and this further irritates the skin. The use of plastic pants may make the rash worse because air cannot reach the skin, and as a result of this moisture is retained. Associated conditions such as eczema or thrush (Candida albicans) may make the rash worse.
Clinical features
The skin in the nappy region looks red and sore. Some areas of skin may be raised or swollen and there may even be ulcers present. Skin folds are usually not involved because they are protected from exposure to urine. The rash may cause discomfort or pain, which may make the baby irritable and he may cry more.
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