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Warning-sign checks

Diaper rash: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek urgent or emergency assessment if fever occurs with rapidly spreading redness, severe swelling, widespread blistering or peeling, difficulty waking, breathing difficulty, or a child who appears seriously unwell.

    And for anyone, someone who:

    • has lips or skin that look pale, blue, grey or blotchy
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical care for:

    • Blisters, pus, open sores, significant bleeding, or honey-coloured crusts
    • Increasing pain, swelling, warmth, or redness
    • A rash spreading beyond the diaper area
    • A bright red rash involving skin folds with separate surrounding spots
    • Painful redness around the anus
    • Poor feeding, unusual sleepiness, dehydration, or repeated vomiting
    • Any fever in a baby younger than 3 months

    And for anyone, someone who:

    • has a fever with a stiff neck, a rash that does not fade under pressure, or severe headache
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange routine medical advice if the rash is not beginning to improve after a few days of careful home treatment.

    Assessment is also appropriate if the cause is unclear, the rash keeps returning, or you think a medicine may be needed.

Every sign above is quoted from the sofidex article on Diaper rash. If you are not sure, err upward — it is always reasonable to be checked.