Most babies will suffer from nappy rash at some stage. It is usually caused by contact with urine and faeces which irritate the skin of the nappy area. It is a red rash on the buttock area and other parts of the body are generally not affected. A different condition, caused by a fungus can complicate matters – this shows up as small red lesions near the perimeter of the affected area and in skin creases. Diarrhoea can worsen nappy rash.


A description of the rash may be important, to distinguish between simple nappy rash and infected nappy rash. A bacterial infection would show yellow crusting and be very inflamed with weeping skin. A fungal infection would show as small red lesions as described above. It is important to ascertain whether the skin is broken or not. A sore mouth and throat may also be present if the baby has a fungal rash, due to oral thrush that is often associated with this condition.




One of the most important means of treating and preventing nappy rash is frequent nappy changes and thorough skin care at the time of the change.


If you have already tried a treatment for nappy rash and the condition has not cleared, call in to your local pharmacy and give the healthcare advisor details of the condition including the treatment tried already. Occasionally a treatment for nappy rash can worsen the condition if the baby is allergic to some of the ingredients so you should watch out for this.


In general you should try to avoid nappy rash occurring by establishing a good nappy changing routine. When the nappy is changed the nappy area should be cleaned and the washed with a mild non-soap wash. (Many bath preparations, cleansing lotions and baby wipes contain ingredients which irritate the baby’s skin.) Then pat the area dry and apply CALDESENE POWDER after every nappy change.


CALDESENE protects against skin irritation by keeping the skin dry and water away. Caldesene powder can also be used to treat mild nappy rash caused from contact with a wet nappy. It also protects against irritation caused by bacteria and fungi and should be used all the time, at each nappy change, to prevent this problem.


A nappy rash cream or ointment may be used with Caldesene powder, to soothe the baby’s bottom. The cream/ointment is applied before the powder and works under the CALDESENE powder, to restore fluids to the skin area, thus acting as a moisturiser and barrier, keeping irritants away from the skin. This is very important for good skin care in the area, which will ultimately prevent recurrence. The cream should be applied in a smooth even coating at each nappy change.


If the above products have been tried before and are not satisfactory we recommend WELEDA CALENDULA cream and powder. The cream is specially formulated with pure vegetable oils, unbleached beeswax, and extracts of soothing Calendula and Camomile to act as a soothing moisture barrier, protecting and caring for baby’s delicate skin. The powder is pleasantly cool and a good absorbent and so prevents wetness reaching the skin, preventing nappy rash. At each nappy change, the sensitive areas and skin folds should be lightly powdered.


Practical Points:


  • Nappies should be changed as frequently as necessary. Babies up to 3 months may pass urine up to 12 times per day.
  • Nappies should be left off wherever possible so that air can circulate around the skin, helping the affected skin to become and remain dry. Lay the baby on a towel with a waterproof sheet underneath.
  • Waterproof pants prevent moisture evaporating and worsen nappy rash. These should only ever be used for a short period of time.
  • Thorough cleansing at each nappy change is vital, as is careful drying. Talcum including CALDESENE should only ever be applied to dry skin as clumping may cause further irritation.