Posted by NHS Choices on June 24, 2015 · 6 Comments
Dr Colin Holden, consultant dermatologist and president of the British Association of Dermatologists, has these tips for parents of babies and small children with eczema.
Get an Eczema Diagnosis
If you think your baby or child has eczema, see your GP (pediatrician*) to get a proper diagnosis and treatment. If necessary, your child may be referred to a dermatologist.
Don’t try to treat eczema by yourself. Each case can need different treatment, which usually involves a combination of moisturisers (emollients) and steroid creams and ointments.
If their skin becomes red and starts to seep liquid, it may be infected, in which case see your GP immediately for antibiotics.
Give Your Child a Bedtime Routine
Children with eczema often find sleeping a problem, as their skin can get hotter and itchier at night. Keep their bedroom cool and use cotton sheets or a light, natural-fibre duvet.
Apply moisturiser at least 20 minutes before bedtime to allow it to soak in. Keep pets out of the bedroom, as dogs and cats can make eczema worse.
Avoid Harsh Soaps, Shampoos and Bath Oils
Soap and bubble bath can make eczema far worse, as can washing your child too often.
Current advice says that you should wash a baby or young child once or twice a week (although the baby’s face, hands and bottom should be cleaned daily).
Bathe your baby in warm – not hot – water, and stick to fragrance-free soaps, shampoo and bath oil. Your pharmacist or GP can advise you on what products to buy.
Use Lots of Moisturiser
Dry skin is more likely to flare up or become infected with a bacteria or virus. Use creams on your child as directed by your GP (pediatrician*) to make sure the skin affected by eczema is kept as soft and moist as possible. Avoiding harsh soaps that dry out the skin will also help.
Read more about moisturisers and how to use them on a child with eczema.
Help Your Child to Stop Scratching
One of the biggest problems with childhood eczema is the urge to scratch the itchy skin, which may then bleed or become infected.
See if your child scratches at certain times of the day, for example while watching TV, and try to teach them to do something else instead, such as tightly holding their arm.
Praise them for not scratching, or even use a star chart. Keep their nails short. Cotton clothes rather than wool may lessen the itching.
Check Your Child’s Diet
Eczema usually starts when a baby is around six months old. In about 10% of cases it is triggered by foods, including milk, eggs, citrus fruit, chocolate, peanuts and colourings.
If you suspect a food is causing your child’s eczema, it’s important to seek advice from your GP (pediatrician*) before you cut out the food to make sure your child still gets a balanced diet.
Read more about food allergy and intolerance.
Keep Your Child Cool
Heat can make the skin itch more, so after your child has been running around or playing sports try to keep them as cool as possible in loose clothing.
If they’ve been swimming, rinse off any chlorine from the pool, as this can irritate the skin.
Read more about childhood eczema and how to treat it.
Editor’s Note: *clarification provided for our US audience.
From www.nhs.uk
I agree that harsh soaps should be avoided. They can cause some pretty bad rashes. In addition, children’s skin in general is just too sensitive for such products.
I have a friend whose son has been dealing with eczema. I’ll have to share this article with her. I like your advice to keep your child cool. It’s sometimes difficult to do so if your child is super active, but keeping them cool will help prevent the eczema from flaring up. Thanks for the tips.
Hi Hazel, thanks for sharing us with your friends! We appreciate your stopping by 🙂
I totally agree with using lots of moisturizer! Based on personal experience I believe it is important to use it right after the bath as it really helps to keep the skin soft and supple. You can never get the same effect if you use it only when your skin start to get irritated.
I had an awful experience with Topical steroid addiction as an adult. Really try to ensure my kids eat and live as clean and healthy as possible with no additives etc. No carpets, no chemicals, good sleep, only natural soaps etc
Appreciate your insight. If we’ve had an issue ourselves, we tend to be more aware for our kids. The challenge is how to be aware when something hasn’t been our problem. Thanks for visiting.