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Are you sure its a nappy rash if its just on the tip of his penis?
Re the use of disposables, James has had a rash twice - both times after he had been in disposable nappies. I know there is a lot of debate about this, but the fact is, Nappy rash has become more prevalent in the last 2 decades which correlates with increased disposable usage. Disposables contain chemicals, which yes draw wetness away from the bum (a positive in the fight agaisnt rashes), but often these chemicals are the very thing that cause the rash in the first place, plus people tend to leave disposables on for a lot longer than they should (you should actually change a disposable just as often as you would a cloth nappy). The plastic outer isnt breathable, which keeps bums damp.
If you are in cloth nappies, change more frequently and use PUL, fleece or no waterproofs when you can. The PUL is waterproof, but breathable, the fleece gives some protection and when I'm at home and not worried about spoiling clothes (normally when its hot) I dont even use one. The plastic ones you get from pep etc arent breathable, so will agravate a rash.
I believe bepanthen is very good, have never tried it though. I use the woolies earth friendly bum cream, which I think is excellent - it contains zinc oxide, which is great for rashes. Also cornstarch powder at each change to help dry the area. Again the woolies natural baby powder is great because it also contains zinc oxide.
I dont think its cloth nappies that cause a rash and I believe that disposables are more at fault, but I know there are some out there that would disagree:)
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