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Nappy eczema, fungus around the buttocks and red baby rash

baby with nappy rash

A red baby bottom can be nappy dermatitis, fungus in the buttocks or could just be hot and humid. Here you can learn how to distinguish nappy dermatitis from fungus, what to do to treat and prevent red bottoms and even ulcers in the bottoms of children in nappies.

Hot and sweaty in the nappy

Babies need nappies. The more humid and warmer the nappy, the more problems with nappy eczema and fungus. In fact, with today's nappies with super absorbents, the problems with nappy eczema are far fewer than they were a few decades ago, with cloth nappies and dense plastic corners.

Read more about when and how children can stop with nappies and become nappy-free here

How often do you need to change nappies?

You need to change nappies when you notice that the baby has pooped. How often, well, all babies are different, some are 3-4 times a week, others 6-7 times a day.


Read more about baby poo and what is normal and not here. 

Also, you need to change the nappy when it is full of urine. Always in the morning and sometimes during the day. If you use cloth nappies, you may need to change more often than with modern plastic nappies, as they tend to feel moist earlier.

Wash the buttocks when changing nappies

If your baby is pooing, of course you need to wash it clean, make sure it is also clean between the lips of the little girls. Rinse with water if needed and pat dry. Wet wipes are practical, but are very strong. They easily make dirty shoes and cars shiny clean, so it may be a bit strong for a baby bottom.

Some babies also respond to wet wipes ingredients by becoming red and irritated. Make your baby happy, try with just water and weak soap if necessary.

Other babies can become very dehydrated with water, so it can work better to wash with clean oil that you pour on a washcloth. Baby oil, olive oil or plain cooking oil works well.

Libero, Pampers or other nappy brand?

Many parents notice that their children react differently to different nappies. Some nappies have lotion in the diaper, others do not. If your child gets a red butt from one brand, try another. It is quite individual which nappies suit which children.

Air the bottom

If it has started to turn red, the first thing to do is ventilate the buttocks between diaper changes for a few days. Leave the child on a baby bed or towel that you can throw or wash if there is a wee or poo. Do it as long as you can, the babies usually think it's nice. Warning that boys' pee can go quite a long way, so be a bit cautious of the favorite armchair ...

Nappy rash

If the skin in the nappy region is angry red, dry and lumpy it can be nappy eczema. Then it is good to wash gently with oil and air. Often, a cortisone cream with antifungal agents does wonders, because fungi thrive very well in nappy eczema.

Read more about eczema in children here. 

Fungus in the buttocks

Fungi in the buttocks of toddlers provide lumpy, angry, reddened skin in the nappy region, in the buttocks, genitals and groins. It often occurs simultaneously with nappy dermatitis. There are two prescription-free fungal / cortisone ointments at Swedish pharmacies: Cortimyk and Daktakort. They are completely equal and contain the weakest kind of cortisone, which can be used on infants.

If you suspect fungus in the butt and angry nappy dermatitis, try lubricating with Cortimyk or Daktakort twice daily for a week. If you get results, apply until it looks good and then leave out for a week.

You may have to start again after a while and there is no danger.

Read more about cortisone treatment for children here.

Perianal streptococcal dermatitis

Perianal streptococcal dermatitis in the buttocks, usually starts from the area around the anal opening and spreads from there. It also gives a sharp red baby rash, but more evenly distributed than the dotty fungal rash, and can also cause liquid blisters.

If you suspect perianal streptococcal dermatatis, you should seek medical attention. Testing for bacteria and antibiotic treatment are needed.

Read more about streptococcal infections in children here. 

Ointment for the bottoms of babies

Usually, no ointment is needed for the buttocks, but if the skin is irritated and red, it can be good with a covering zinc ointment. Inotyol, Silon and Bepanthen are three such ointments that are applied in thick layers after changing diapers and protect the skin from irritation from urine and poo. They can be used for periods but are often not needed routinely.

Baby powder, needed?

Baby powders are not necessary, but as far as we know not harmful to the children.

Read more:

Babies scabies - you'll get rid of it

Potty training - when to stop with nappies and how to become nappy free

Eczema in children

Cortisone for children - dangerous or not?

Baby poop - what is normal and not? Green poop or slimy - what does it mean?

Streptococci in children - tonsillitis, strep throat, cradle cap and scarlet fever

What does a baby need?

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