Home care
Keep your baby as dry as possible, changing nappies frequently. For simple nappy rash, apply protective ointments (petroleum jelly; zinc oxide; vitamin A & D ointment; or an ointment combining zinc oxide, cod liver oil, petrolatum, and lanolin). Try changing the brand of soap or the method of washing the nappies.
For rash from ammonia, avoid airtight outer covering over the nappies. Wash the nappy area frequently with clear water.
For allergic rash from foods and drugs, stop giving the child any new foods, beverages, or medicines started in the past month. Then try giving the child only one of these items each week. This may help determine which food is causing the rash.
For rash from infections or contagious diseases, wash the area with soap and water and frequently apply antibiotic ointment (bacitracin, neomycin).
If the rash is spreading or severe, or if the child has a fever, irritability, or loss of appetite, see your doctor.
• If the rash gets worse, even after only two days of home treatment, see your doctor.
• Do not use more than one type of ointment at the same time (such as an antibiotic and a fungicide) unless both were prescribed by your doctor.
• If your child has any other symptoms of illness, see your doctor.
Medical treatment
Your doctor may identify the rash by its appearance or may culture or scrape the rash to identify bacteria or funguses. The doctor may ask about methods of laundering nappies and about new foods or drugs being given to the child. The doctor may prescribe a medicated ointment.
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