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How to care for eczema-prone skin in children - tips from parents and experts

91 replies

ClareMumsnet · 06/09/2021 11:06

Watching your baby or child suffer with eczema is really hard on you both. The good news is that, while eczema is common, there are also lots of things you can do to help.

So we’ve gathered together wisdom from dermatologists at La Roche-Posay and Mumsnetters who’ve been there to help you calm the itch and calm everyone’s nerves too.

Already found a solution for your child’s eczema? Please do share it on the thread below.

Tips for managing eczema in babies and children

1. Limit baths

Baths can really dry out the skin, so try to cut down how many your child has per week, particularly if they currently have a bath every day.

Showers are less drying on the skin but, if you do give your child a bath, keep the water tepid rather than warm and don’t put anything in the bath that might irritate their skin.

“My toddler has it too and I’ve found that cutting down baths to every two or three days does help.” - Logic

2. Ditch the soap

Soap can also make the skin dry so replace it with a soap-free cream body wash, also known as syndet, to tackle dry, itchy and eczema-prone skin. This will help to retain moisture rather than dry the skin out.

All the handwashing children now have to do is no help for eczema sufferers either, but obviously it has to be done. You can buy handwash made from emollient rather than soap and look for hand sanitiser that foams - the clear alcohol stuff will sting and make the skin dry.

“You need to avoid soap and bubble bath. Just plain tepid water in the bath only.” - PancakeSunday

3. Keep their skin hydrated

So much of keeping eczema at bay is keeping your child’s skin well hydrated. That means getting lots of water into them as well as lots and lots of moisturising - three times a day (or more if you can).

If they’re at school, try giving them a moisturiser stick that they can use on their hands and on the inside of their elbows and knees, and really slather on the moisturiser both morning and night.

“Has she seen the GP? My baby DD’s cleared up with twice a day moisturising, no more than two baths a week and steroid ointment. It’s staying away with regular moisturising. [...] For eczema you need to moisturise, moisturise, moisturise.” - AnneLovesGilbert

Related: Eczema quiz: can you sort the myths from the facts?

4. Choose natural fibres

Aside from specific baby eczema ointments, keep things as natural as you can. This includes opting for cotton clothes, hypoallergenic bed sheets and minimal products in the bath (though a handful of oats in an old stocking can do wonders).

“I found that if I avoided contact with chemicals and manmade fibres that really helped [my son]. So we've always used organic bubble bath, [...] 100% cotton etc.” - MilaMae

5. Try to get scratching down to a minimum

The eczema itch is so irritating and it can be hard to get children not to scratch. Try asking them to ‘gently stroke’ with their fingers or palms of their hands rather than with nails if possible, or give them a little moisturiser to rub in whenever the itch gets too much.

The more difficult bit is at night. Tiny ones can wear mitts but, for older children, socks will do the same job well.

“I would make sure they aren't too hot as that can dry out skin. You can also put socks on hands to stop any itching.” - Cookiecake

6. Keep them cool

Eczema often flares in hot weather when kids get sweaty and their skin irritated. Keep them cool at night with fans and a cracked window if you can, and ensure that their clothes are breathable and that they don’t have too many layers on.

“Keep them cool as overheating means they'll scratch more, and try to use natural materials etc as much as possible.” - Whitelisbon

7. Reduce stress

A bit of rest and relaxation is a cure for so many ills, so don’t underestimate its effect on eczema.

Many adult eczema sufferers find it flares up when they’re stressed, so it stands to reason that children will find the same. Do all you can to smooth the path for them when eczema rears its ugly head. Lots of early nights and relaxing play will help too.

“We found that sea water on holiday cleared up eczema in DS. Stress tends to make auto-immune disorders (allergies and eczema included) much worse, so lifting stress could well have helped. Sounds like a good case for more holidays!” - neversaydie

Related: What is imaginative play and how can I encourage it?

8. Consider diet

Infant eczema often goes hand in hand with other allergies, so you should seek advice from your GP if you think there may be allergies at play as they will be able to refer your child for tests.

Dairy is a common issue, but things like highly coloured fruit and veg, wheat, fish, eggs and peanuts can also trigger eczema. Don’t cut anything out of your child’s diet without consulting a doctor or medical professional first.

“My DS has severe eczema and has done since he was born. Nothing and I mean nothing seems to work - even the dermatologist is baffled. Recently we’ve switched from cow’s milk to goat’s milk and, fingers crossed, his eczema seems to be improving. It's early days yet but it's worth trying.” - jimmyjamas

9. Talk to the experts

There’s a large product offering on the market and it can be very confusing to know which one to use for your baby or child, but eczema is not something you have to deal with alone. Even if the solution happens to be a moisturiser you can find in your local supermarket or pharmacy, your GP can often get it for you on prescription.

You should always seek advice from your GP or health visitor and then follow it up afterwards. If preventative measures don’t work, your child may need a short-term steroid cream or a referral to a dermatologist. The help is out there though, so make sure you get what your child is entitled to.

“First, take her to the GP for a diagnosis. Whatever the GP gives you, make sure [...] that when you apply it you use gentle downwards strokes with the grain of the skin (a tip from the National Eczema Society who are awesome and have lovely nurses who will chat to you).” - overripebanana

Related: How to encourage healthy eating in kids

10. Be prepared to roll with the punches

Eczema is a tricky thing. The solution that works for someone else’s child won’t necessarily work for yours, and you may find you work through several different options before you hit on the one that works.

But (yes, we’re afraid there is a but), occasionally something that has worked in the past suddenly stops working, so be prepared to go back to the drawing board once or twice along the way.

“Trial and error guys! I’ve been through several years of this and found our working [solution] now!” - GettingItOutThere

About La Roche-Posay

"At La Roche-Posay, our mission is to provide a better life for sensitive skin, for you and for your little ones, so that you can enjoy some peaceful time together.

This is why we have created LIPIKAR Baume AP+M, a hydrating, soothing balm for dry and itchy skin, suitable for the whole family, including newborn babies. It’s also suitable for use on eczema-prone skin.

The minimalist hypoallergenic formula has a triple action efficacy. It immediately soothes the skin and provides up to 48 hours of hydration so that itching sensations caused by dry skin are reduced for long-lasting comfort. It also restores the skin barrier function, reducing the frequency of dry skin flare-ups, and helps to rebalance the skin microbiome."

Thread sponsored by La Roche-Posay

OP posts:
PomBearWithoutHerOFRS · 09/09/2021 23:52

@dottypencilcase
I use Aldi non bio "bobbles" for washing clothes. I only use one, and do an extra rinse. They've never caused any reaction for me or the two of my DC that have had eczema.

Bortles · 10/09/2021 00:47

No bio detergents
Oilatum and dead sea salt bath every other day
Moisturise problem areas every morning and evening, changing moisturisers fairly regularly. Find that what works for a while wont work forever so we alternate, aveeno, weleda mallow, nivea soft (which strangely cures my acne as well) and others.
Try to avoid tights,skinny jeans etc in favour of looser trousers as behind knees is the worst.

tinygigolo · 10/09/2021 12:38

Agree with others that bathing every day is not a problem - just never put anything in the water! And if try to shampoo in the shower not the bath so it just washes away and doesn't sit on the skin.

A spoonful of antihistamine sometimes stops the itching in the night.

Game changer for us was getting referred to the hospital not relying on (clueless) GPs and getting the right prescription to keep on top of it

YukoandHiro · 10/09/2021 14:01

Different for all as we find uncovered skin the worst - so summer in dresses far worse than winter when tights/leggings keep moisturiser packed in to backs of knees

Snowwhite78 · 10/09/2021 14:57

Aveeno

Rose916 · 10/09/2021 17:58

Has anyone had any success with the Aron Regimen by Dr Richard Aron? He is a specialist dermatologist who gives help for eczema by using a certain combination of steroid creams, antibiotics and moisturisers.

www.draron.com

ElvisPresleysSideburns · 10/09/2021 19:38

Tried Oilatum, aqueous cream etc. with no improvement at all when DD was a baby. The ONLY thing that made any difference for her was switching to a non perfumed non-bio laundry liquid and fabric conditioner. Surcare was the only brand available then, not sure if there are others now. (Ecover maybe?)
I was told, at the time, that if it her eczema was under control before she reached age 2, there was a good chance that she would 'grow out of it'.
After switching to unperfumed laundry detergent her skin improved to the point that she no longer had eczema and it never has returned. She is almost 20 now and I use any old washing liquid and fabric conditioner with no problems.

ElephantandGrasshopper · 10/09/2021 21:59

I recommend scratchsleeves for children who scratch a lot at night.

We bathe daily to remove dust etc (ds is allergic to dust and pollen), followed by moisturiser and usually wet wraps.

Creams like child's farm, la Roche posay and so on are OK for dry skin/mild eczema, but aren't rich enough for kids with severe eczema - we use prescribed ointments instead which are much more effective (but leave the skin looking very greasy and leave marks on clothes).

BBOA · 10/09/2021 22:50

So this will sound completely out there and grim, but I suffer from multiple allergies to creams and lotions, including steroids but had severe discoid eczema on my legs. I had lost the will to live and just started googling what they used to do in medieval times to treat try skin can nditions. Well one thing that came up was beef tallow. That’s the fat that floats on top of the water of beef roasting dish. I bought some Ossa organic beef tallow online from Amazon and it only bloody worked!
You just melt it between your hands or whip it up and lather it on. It doesn’t smell so great and you’ll get a lot of unwanted attention from dogs 😂 but it does actually work! It does say on the jar it’s great for cooking or the skin so I’m not completely mad! Worth a go for sure.

NiceGerbil · 10/09/2021 23:03

Maybe lanolin based things would have a similar effect?

Not surprised tbh that is effective. Never heard of that but I can imagine it's a v good emollient and barrier.

BBOA · 10/09/2021 23:17

@NiceGerbil Neither had the dermatologist but she said it had worked!

NiceGerbil · 10/09/2021 23:33

It's not lard by the way that comes from pigs!

My mum used to enjoy something called dripping maybe it's that.

Really glad you found something effective. The traditional things seem to be the best a surprising amount of the time!

Lanolin is from sheep wool I think. I know that lanisoh when bf is top recommendation and I found it fab.

V expensive though.

I'm wondering if 'smother yourself in beef dripping' was the sort of thing La Roche Posay were hoping for with this thread 🤣🤣🤣

Nerdygirlsmum · 11/09/2021 09:05

Dd is 16, has had eczema since a baby. GPs prescribed different creams and advised treating flares with steroid creams. We did this but always found that as soon as we stopped the steroid, the eczema would come back.
Others on here have asked about Dr Aron and yes I found him when DD was 11. You can Google him. It's not cheap. His basic premise is that eczema is often caused by a skin infection so he prescribes a cream which contains a steroid cream and an antibiotic cream. This worked really well for DD. The idea is that you apply say x4 a day to start with and then taper down until you hopefully only need to spot treat occasionally. There is a Facebook group you can join where patients share their experiences. DD is still using the cream though has never been able to stop which is of course what we all hope for. But she was using it only once a day in a couple of places. But the important thing is that it is generally well managed and she has a good quality of life. Over the last couple of months, her skin has got worse- I'm hoping it's just hormones, but she has increased it back up to x4 a day over most of her body.
There is an awful lot of information on the internet now about topical steroid addiction and withdrawal which scared me.
I think that if I could turn back the clock, I would have spent more time trying to find the right moisturiser - she complained that some creams stung her and I ignored that because the GP had told me they were the best. But it really is trial and error. She uses diprobase in a cream form now as her general moisturiser (which is also the moisturising element in our prescription from Dr Aron). Body Shop's ginger dandruff shampoo is excellent too. And we have recently discovered Dead Sea Salt baths which show early signs of being helpful).
Good luck to everyone struggling with this. As parents, there's such a huge amount of guilt/responsibility in choosing what is right for our kids.

mrshunta · 11/09/2021 12:54

My DS suffered for years lots of different creams from GP and steroid creams nothing worked.
MIL read something about balmonds in a news article. Cleared DS eczema in a matter of weeks never to return again.

I think with eczema a lot of it is trial and error until you get something good.

cococreamy · 11/09/2021 13:24

Some great thoughts here and suggestions.

I struggled with chronic eczema around the nose and above the top lip for years. No creams, no diet changes worked for me. I was already an advocate of Dr Bronners soap for everything and minimizes chical based materials on my body and with bedding. Being a guy, it wasn't a makeup or facial care issue.

I learned in the end that that everyone's bodies, chemical balances, digestive sensitivities let alone how well our mind is working is completely different from one person to another, even if families.

The product that changed everything for me was "derma-e psorzema". Sadly this is regulated and banned in the EU and UK but you can get it delivered. All i can say is that after a few weeks of putting this cream on the issue was gone, almost permanently. They are a US company.

I had some emails from an industry expert who told me the reason the product is banned was more about the naming and claiming rather than anything else as it's a natural product.

If i'm hiking i can sometimes get a rash in between my legs (a lot when I hiked in New Zealand) but i could put Derma-e directly onto this rash with no pain and the rash was healed completely by morning. Leaving it to naturally heal never was a quick process before.

As i said, we are all different but 3 friends have tried this too and agreed on the effects. You can get it shipped to the UK from Amazon still if you need to try. For me, it's an amazing product!

Really appreciate this community1

juliej00ls · 11/09/2021 15:15

Aveeno

SophieKat1982 · 11/09/2021 16:52

I had skin tests as a child, the resulting list of food allergies was an A4 page long. My mum sat me down and explained that she simply couldn’t cut all of those foods from my diet. This was the 1970s, they’d have been nothing left for me to eat! But the biggest reactions were to: eggs, tomatoes, orange juice, cows milk, wheat, shellfish. The only thing I react very mildly to now is peanut butter.

SophieKat1982 · 11/09/2021 16:53

Sorry that was in reply to YukoandHiro

Brian9600 · 11/09/2021 18:54

Elemis skin nourishing milk bath sorts my daughter's eczema out. Downside is that it is very expensive.

AtomHeartMotherOfGod · 11/09/2021 22:16

I've previously used soap from the Goats Milk Soap Company and today got a voucher code for 15% off until 15 Sep (nn3a7wja). I read some of the reviews again and pretty much all wax lyrical about how good it is for eczema-prone skin.

If you are a 'I've tried everything' person, they might be worth a look? Especially as it's relatively cheap. They do lotion too. So many testimonies from people saying they've been ready to give up etc. but then found this to work brilliantly. I find it hydrating and like it for being plastic-free - I rub onto a wet scourer in the shower and it lathers up fantastically.

BreadInCaptivity · 12/09/2021 02:54

I'm an adult with eczema and has a son with the same condition.

What helps?

  • Keeping skin moisturised
  • Oat baths/showers (I fill a sock with oats and use it as a body scrub)
  • avoiding wool, so cotton fabrics
  • cool showers. I disagree with the not bathing too often. Your own sweat is a trigger for eczema. Washing that off with a gentle non soap based shower cleanser, followed by moisturiser is far better than your sweat especially in summer. There is a reason why eczema is more prevalent in the creases of our body where sweat accumulates.
  • antihistamine tablets
  • good hygiene re: vacuuming and dust control
  • finding the right laundry detergent. Bizarrely the so called sensitive ones don't work for us but some "normal" ones do. Also be aware they charge formula so sometimes when something stops working it might be why.
  • don't tell your kids not to scratch or glove them. It's cruel.
  • keep the house temperature cool but not air conditioning (too drying).
  • wet wraps in a crisis are the way to go. Don't be afraid to over medicate in a flare up. BUT by the same token you should be ok with this only if you can mange the skin day to day a flare up should be rare.
Okbutnotgreat · 12/09/2021 08:54

Best thing we did was fit a water softener. We live in a very hard water area and were having to use steroid cream on DC but with a month it had cleared up and never returned.

Ohthiscantbeit · 12/09/2021 10:27

Body shop body butter is amazing! Tried all the prescription stuff which didn’t really work. So done fast healing plasters and when they came off. Just body butter. Lovely skin now

ElBandito · 12/09/2021 14:47

Baths - bath daily in spring and summer when there's lots of pollen around. Less in winter when the central heating is drying the skin.

Hot/cold - it's the change in temperature that triggers the itch / scratch cycle so make sure when applying cream that it's not too cold. It's a temptation to think cool cream will make the skin feel better, but it probably will make the itching worse.

Creams - try lots of different creams, if one isn't working try something else. But never, ever try Aqueous cream.

BBOA · 12/09/2021 16:10

Not many people seem to have tried or are keen to try the beef tallow 😂😂😂