<s>[INST] Hi my 9 month old baby has nappy rash and a small amount of vaginal bleeding. There is no blood in her nappy but I noticed it when she scratched herself when I got her ready for her bath. I don't really know if its blood it just looks very red. Is this something to worry about? [/INST] Dear parent, I understand your concerns but happy rash could make the skin very sore to the extent that it might bleed. severe nappy rash is most probably due to a fungal infection. you should keep this area very clean and dry most of the time to avoid fungal infection. you should apply a zinc oxide ointement together with an antifungal ointement 5 times daily until this rash resolves </s>