The skin on children’s bottoms is usually quite soft and sensitive, which means it is quite susceptible to any type of irritation. One of the main causes of nappy rash is exposure to excessive moisture which in your daughter’s case may be due to contact with urine or faeces. I would first suggest that you put your daughter into DryNites rather than nappies. It is unusual for children who wear DryNites to suffer from nappy rash as they are designed to absorb the urine and keep it off children’s skin. You may find your daughter prefers wearing these to nappies as they encourage independence as she can put them on by herself and look more like underpants as opposed to nappies which are viewed by many 6-year-olds as something that only babies or toddlers wear! You can treat her rash by applying a protective cream at night before she puts on her DryNites as well as bathing with mild, soap-free products. Constipation can cause both urinary and fecal incontinence (‘pooing’) among children so it is important that you make an appointment with your doctor to discuss these issues. Fecal incontinence can be particularly distressing for children and can be damaging to their self-esteem and self-confidence so it is important that we get this treated first – you may even find her urinary incontinence stops at the same time.

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