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arrghh Ds and excema

(30 Posts)

Ds has excema. Its not the worst case but stubborn and we are struggling with it at the moment. Traditionally a few days of hydrocortisone, twice a day diprobase, piriton at night and flare up is gone. This year since before xmas its been awful, we are on second tube of hydrocortisone in two weeks. We have moved and have a new GP and they wanted him on zerobase, if anything its making it worse he seems to need the oilier ointment style creams. Anyway the point of all this is I'm going to try and get him an appointment tomorrow what should I ask for / push for? Is there any point continuing with the hydrocortisone? He's a real little trouper but miserable, has broken the skin in several places and isn't sleeping well.

DD is doing quite well with her creaming. If I stand in the bathroom with her and prompt her so she remembers all the different parts of her body, she can manage it. I think she just needs experience/confidence.

just wanted to update.betnovate worked a treat.about four days worth and he's now completely eczema free top to toeshock grin thanks for all the advice.we are still moisturizing twice daily but no steroidssmile grin

I think eight is a bit young to take responsibility for it all .it is a buffer getting out the door in the mornings though I sympathize. I can never get dressed until last as I don't want my works clothes slathered in diprobase :-)

we have an interesting perspective on it here. dp has awful eczema so you would expect him to be good with ds creams yes? but no he's awfulangry he too maintains cream makes you itchy and doesn't slather on nearly as much emmolient on ds as I do.thing is I think it helps ds.I'm not arguing with dps experience but I think everyone had a sort of personal eczema solution.the holy grail is just figuring it outgrin

Mumoftaiba Thu 17-Jan-13 22:54:55

I feel you my dd will be 8 in June and she is like that she won't apply her cream and expects me to do it. She would rather itch her self crazy than put her cream on. She seems to think it will itch more if you puts her cream on. When you get the answer let me know smile

Sorry to hijack the thread, but at what age can you start to expect children to apply their own cream?

DD is 8.5. Eczema is kept under control with twice daily application of diprobase all over, unguentum on dry areas.

I also apply hydrocortisone on severe areas when necessary, but I'm asking her to do the ungentum and diprobase twice a day when she brushes her teeth. I have shown her how to do it dozens of times. She either forgets completely, does only some parts of her body, or applies far too much cream and it then goes everywhere, including in her hair.

I know this sounds selfish, but I have three other children, one of whom has SN and mornings/evenings are his most challenging time. Surely she should be able to put her own cream on by now?

Katisha Thu 17-Jan-13 22:08:42

I would look into going private for a session with a specialist. If and when you go back ask for a referral.

doc has given betnovate.to come back next week if no improvement

have a doc apt for tomorrow evening. His ear lobes are all crusty and bloodied today sad Dug out the diprobase and binned the zerobase. Sent emollient to nursery to put on his face before playtime. We do use sudacem on the broken skin areas. no worries re sunbeds we are fairskinned and sun phobic smile.

he was off milk for three years fairly recently reintroduced but I actually don't think its that. He was bad this time last winter when he was off milk

Hi.

Having had 29 years of suffering with eczema I would recommend:

Betnovate. Someone above said stronger steroid for longer- totally agree. Breaks the cycle quicker and seems to stop skin getting as thin and delicate.

Aveeno

Oilitum in bath if hard water area

Wet bandages.

Hemp cream from body shop

Sunbeds helped massively. Totally not recommended for kids (or adults) but if it's really bad there is some sort of light treatment available from docs.

And also sudocream used to really help me 'dry out' an area. But would only work for short periods at a time

Hope that gives u some other ideas. ( disclaimer- do not send your child
On a subbed!!!!)

MegBusset Tue 15-Jan-13 22:07:11

DS1's is flaring up at the moment. I think it's the cold weather. Anyway if the skin is broken and/or weeping it may be infected so you might need a steroid cream with ABs in. Second the advice for asking for a stronger steroid cream and trying the wet wrapping. My sympathies, it's no fun.

Katisha Tue 15-Jan-13 22:00:32
Katisha Tue 15-Jan-13 21:57:36

Wet wrapping is tubigrips.
You put on the steroid cream and the emollient and then a warm wet tubi grip and then I think a dry one, can't remember.
Anyway - it really does work. Ask to be referred to a dermatologist - this is what we did (went private to hurry it up and it was worth it for the one session we paid for).

this gives you an idea though seems a bit more long winded than I remember

Mumoftaiba Tue 15-Jan-13 21:52:05

I had the same problem with my dd of 9 months she's got this one stubborn part on her chin that just does not clear up and it can crack up and weep. We were also using all sorts of creams ranging from steroids to anti fungal for weeks. I saw a dr who recommended a potent steroid (elocon) for a short course couple of days and it worked! It's better to use a strong cream for a shorter period of time than using a weak one continuously. Because it was her face I was worried but it has gone much better. She still has days when it flares up but we moisturise with cetraban and use the steroid if we need to. smile

NoGoodAtHousework Tue 15-Jan-13 21:35:46

I presume you've gone down the route of checking food as the flare up cause. My son always had bad eczema type rash on his face and patches on joints etc. I cut milk out and then soya as well and it's gone in his face completely and is a lot better elsewhere. If he even licks a spoon that's been in milk his face will come up. We use rice milk and coconut milk now (depending on what it's for).

Mine has flared up terribly recently so I'm resorting to sun beds at the moment as cream seems to soak in so quick it doesn't seem to do anything! I feel your pain-I've always struggled.

arggh I give up posting on phonesad will update on pc tomorrow.thank you for all suggestions and ideasgrin

tubi grips sound good. we are going to really struggle to persuade him to let us break him up to five times a daysad nursery will do it if all them but he will fight it all the way. I've started putting more cream on worst bits when he is asleep because of bedtime battles.

Wolfiefan Tue 15-Jan-13 21:18:54

If a certain emollient cream works then insist on it. Do not wait for eczema to show before you cream. Get in the habit! Avoid too frequent baths and watch what you put in the bath/washing machine.
Eczema sucks!
Dermol for kids here. Diprobase for me. Crap skin runs in the family!

Another couple of thoughts... As far as steroids go I find Elacon ointment really helps stubborn patches... If it is near DS face, Argan oil may help, I discovered this abroad when all our creams burst and we were miles from doctors, my DS would use it all the time were it not for the price! It is blisteringly expensive.

The doctor can give you tubi grips... They are bandages you cut to size, put on the cream and put a bandage sleeve over the top at bedtime this can really help.

neolara Tue 15-Jan-13 20:27:17

You need to hit it hard with a really strong steroid cream (e.g. betnovate) for a short period of time (e.g. twice a day for about a week). At the same time, you need to moisturise like a lunatic (e.g. 5 times a day). Once the flare up is under control you need to continue to moisturise regularly. It is better to give stronger steroids for short periods of time than to give lower strength steroids (e.g. 1% hydrocortisone cream) for long periods of time.

non bio surcare detergent, no shampoo used, had allergy tests as baby and all clear, cotton clothes, bathed twice a weekshock we've been doing all this since he was little

and I can't get on with the spell check on this phone eitherwink

thanks all. we think he had private insurance through dos work do going to check that route. our new surgery is a small one only two full time docs but they seem to be on the ball. I think err are just in shock because although he's had issues since he was a baby it's suddenly gone haywire. I sort of feel bad that I haven't been able to stop out this time.angry he's 3.5 and hatred standing still to be creamed and really needs it head to toe at the moment. I hate winter!!!

Roseformeplease Tue 15-Jan-13 19:39:06

Double base do a really good cream and a shower gel. Are you avoiding obvious triggers? Wool? Always use non-bio washing powder / capsules. Don't bath / shower in hot water - keep it cool. Dead Sea salt in the bath helps me. Also, blitz it really hard. You can buy anti-itch ointments as well and bicarbonate of soda in the bath helps with the itch. I would be pushing for a dermatology consultation and long term help from an eczema nurse to help you manage things.

HumphreyCobbler Tue 15-Jan-13 19:35:12

Aveeno is good, but it suddenly stopped working for ds. We find epaderm a godsend now, the ointment rather than the cream.

It may be that you need a stronger steroid for a short time? Check that you are seeing the doctor or nurse in your practice who is the eczema expert. We suffered for months with a doctor who insisted we used aqueous cream (later we found out that this is terrible for eczema sufferers) and didn't listen when we said it was making it worse.

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