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bathing babies with eczema

33 replies

dubidi · 11/01/2009 17:39

any advice on how often to bath babies with eczema. My 5month old has it everywhere worse on his cheaks. My health visitor advised me to bath him every day, and wash him down everytime before moisurising him to make up for the loss of water.
I have read in many places though that bathing them everyday is not very good for their skin.
very unsure as to what i should be doing??

OP posts:
blackrock · 11/01/2009 21:27

Since DS was about 18mths I have used e45 in the water. We bathe him once a week in winter, but his condition is not severe, just exacerbated by the cold weather.

dubidi · 11/01/2009 22:09

i know it feels like your going mad with worry i cant bring myself to leave him for second without worrying he will scratch himself despite the mits. even bought dustmite proof bedding. tried epiderm didnt work made his skin dry.
has anyone been private for allergy testing. any ideas on costs not sure i can wait eight weeks...

OP posts:
naturopath · 11/01/2009 22:13

Dubidi, on the hydrocortisone issue - we were given similar advise to Lizziejo (although by a dif dermatologist) - basically, the problem with a most people is that they don't use enough steroids. (Obv depends on how bad the eczema is, so check with the dermatologist). But as our ds's was quite severe, on his whole body and face, we were advised to use quite a lot of 1% hc, twice a day I think, on his face, and something stronger called Synalar 1 in 4 on his body. I think the idea is that if you use the steroid ointments quite aggressively for a relatively short period it shouldn't harm the skin (as it is not used long term) and should "kill" the eczema once and for all. Well, not exactly get rid of the eczema, as I think that is a life condition, but that it shouldn't manifest itself nearly as severly as originally. e.g. she said it could clear up for years and then flare up again as an adult if, for example, the child became a surgeon and did lots of hand-washing (which would irritate the skin) etc..

Sorry, long rant.. as I said before, all kids are different and react better or worse to dif creams etc.

Also, for what it's worth, my ds is allergic to milk, eggs and other things, but those had no effect on his eczema as he never ate them, has never eaten them, I breastfed exclusively for 8 months and completely abstained from those things myself, and carried on breastfeeding and avoiding those foods etc. for 17 months. No change to the ezcema - but then it does affect some, so again, no real help there!

Epaderm also good, but v heavy and greasy. Good for tough patches.

naturopath · 11/01/2009 22:17

oh Dubidi - also make sure to keep nails short - and toenails - and buff them! YEs, we were advised to always buff his nails to ensure no scratching.

RE allergy testing, look up the LEAP Study - I got ds allergy-tested at 4 months through that (for free) (had already worked out his milk and soya allergies, but not the others). Obviously you would have to join the study for 5 years, but I was interested in it anyway.

Also, if it's that bad, you can get silk (yes, pure silk!) pyjamas etc. on the NHS! It's v good for calming the skin. Costs about £80 a pair, but free if your GP will prescribe (unlikely, I know, but mine did!)

silkcushion · 12/01/2009 19:24

dubidi - couple of things that helped my dd. Protopic ointment for her face. Not a steroid but something different. Worked like a miracle overnight. Only a dermatologist would prescribe.

Silk pjs idea is a good one. We bought a silk helmet on line - it looks like the things F1 racing drivers wear under their crash helmets. Helped massively with scratching. She would literally claw lumps out of her head overnight with no nails either!!

Dermatologist had us wet wrapping her. GP could prescribe the outfit needed. Like a top and tights made of bandages. Slather the steroid and emollient on. Put on wet outfit then a dry one over the top then pjs etc. Helped quite a lot.

Final thing is a low dose course of antibiotics. This was to see if there was some sort if bug on the skin which was making the problem worse. It's a bug that's meant to be there but the antibiotics sort of kept it under control or something (you can tell I'm not a doctor). We did see a definite improvement.

All of these things helped to some degree. Not sure which has been most helpful but overall dd's eczema is much less severe than it was.

pointydog · 12/01/2009 19:38

agree with naturopath and meg.

dd2 had(s) terrible eczema and when she was very little we bathed her every evening without fail, with emollients in teh bath of course, and it helped her skin enormously. This was advised by her consultant and the eczema nurses.

The 4 points mentioned by lizziejo all applied to us.

There just isn't one surefire treatment for eczema. You need to find out what's best for your child.

wb · 12/01/2009 19:46

Dubidi-have you considered dairy allergy? Your ds' symptoms are ringing that bell very loudly to me.

used2bthin · 12/01/2009 20:00

noonki that is so weird, I live in Oxford and was saying yesterday about hard water here and whether it was affecting DD's excema and psoriasis.Also was about to start a thread to ask about baths as have been advised to bath DD less but personally find that her skin gets worse if she isn't bathed every day. The consultant we were reffered to sais do what works I think!

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