Chafing (Gaulding): Treatment, Prevention, and When to See a Doctor

Chafing (colloquially "gaulding") is skin irritation from repetitive friction, moisture, and heat. Common sites: inner thighs, groin, underarms, nipples, under breasts.

Treatment

1. Cleanse gently with mild soap and water; pat dry.
2. Apply barrier: Zinc oxide, petroleum jelly, or dimethicone cream.
3. Anti-chafing balms/sticks (e.g., Body Glide) reduce friction.
4. Hydrocortisone 1% cream short-term for inflammation.
5. Antibiotic ointment if signs of infection (pus, spreading redness).
6. Loose, moisture-wicking clothing (synthetic blends, not cotton).
7. Rest the area; avoid aggravating activity.

Prevention

• Well-fitted, seamless, moisture-wicking apparel.
• Apply lubricant/balm before activity.
• Stay hydrated; change out of wet clothes promptly.
• Use antiperspirant on prone areas (not broken skin).
• Address biomechanics (gait, bike fit).

See a Doctor If

No improvement in 3–5 days, signs of infection (fever, spreading erythema, lymphangitis), or recurrent severe chafing.