Many babies suffer from nappy rash at some time in their first 18 months. Nappy rash can be caused by prolonged contact with urine or stools, although having sensitive skin does increase propensity towards the condition. In addition, certain soaps, detergents, wipes and also chafing can be contributing factors. Nappy rash is characterised by red patches on your baby’s bottom, or the whole area may be red. The skin may look sore and feel hot to touch, and there may be spots, pimples or blisters. The best approach to treating nappy rash is prevention, and changing wet or soiled nappies as soon as possible can help to lessen the risk of irritation. Young babies need changing as many as 10 or 12 times a day, and older babies at least six to eight times. Be sure to clean the whole nappy area thoroughly, wiping from front to back and use plain water or baby wipes. It also helps to leave the nappy off for as long and as often as you can in order to let fresh air get to the skin. Barrier creams, such as zinc and castor oil may also help. If your baby does get nappy rash, you can treat it with a nappy rash cream, although if the rash doesn’t go away or becomes bright red with white or red pimples, they may have a thrush infection. In this case, you’ll need to use an anti-fungal cream, available either from the pharmacist or on prescription from your GP. Ask your pharmacist or health visitor for advice.