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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:
Nerdygirlsmum · 12/09/2021 19:21

@BreadInCaptivity

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.
That's all really helpful thank you. When my teenage daughter scratches, would you advise just staying silent, even though I hate seeing her damage her skin. I understand how annoying it must be for her to 1. Have an uncontrollable itch and 2. Then be told not to scratch it!
YukoandHiro · 13/09/2021 11:03

@Okbutnotgreat As soon as we move to our proper family house (hopefully by spring) I'm getting a water softener fitted

Takeitonthechin · 13/09/2021 14:54

It's definitely what is going into the child's body through the diet..... checkout my goodness recipes, I've seen children with eczema get relief from changing their diet

GardenGloveless · 13/09/2021 16:49

So your advice is to not listen to medically qualified experts in the field of childhood skin disorders and to listen to random moms on the internet instead?

Absolute nonsense.

See a dermatologist and listen to evidence based medicine. Not moms with a degree from the university of Google in joint partnership with Dr Quackenstein.

GardenGloveless · 13/09/2021 16:51

@secular39

I would sceptical about listening to professionals solely as where one recommended an intense steroid treatment and my second child was on the cusp of getting diabetes.

I say DO YOUR RESEARCH! Join Facebook groups targets toward adults/children with Eczema, be open but cautious to natural remedies.

So your advice is to not listen to medically qualified experts in the field of childhood skin disorders and to listen to random moms on the internet instead?

Absolute nonsense.

See a dermatologist and listen to evidence based medicine. Not moms with a degree from the university of Google in joint partnership with Dr Quackenstein.

Nerdygirlsmum · 13/09/2021 17:30

@GardenGloveless

So your advice is to not listen to medically qualified experts in the field of childhood skin disorders and to listen to random moms on the internet instead?

Absolute nonsense.

See a dermatologist and listen to evidence based medicine. Not moms with a degree from the university of Google in joint partnership with Dr Quackenstein.

I understand your legitimate concern about quackery. There are many people who promise miracle cures and the hard truth is that eczema is not something that generally goes away, but is managed, to a greater or lesser degree.

However, having seen dermatologists and GPs over the years, there is a great conflict of medical advice. A good example is how dermatologists and GPs used to recommend aqueous cream when DD was a baby. This has now fallen out of favour and is recognised as possibly doing harm to eczema-prone skin. (I wish I had listened to her crying that it was stinging her as I applied it). Similarly, a few years ago, the concept of topical steroid addiction was not recognised by the medical community. It now is.

So, yes, see a dermatologist and a good dermatologist will recommend trying different moisturisers- the skin is so complex, it's not one size fits all. This thread is great for seeing what works for some people, it may not be work for everyone. GPs will all follow a fairly basic protocol of "use steroids and moisturise" without having a more holistic approach involving diet, allergens, tolerance of different emollients etc. No criticism of them, it's just not their area of expertise, and they may also be reluctant to refer to a dermatologist until harm is done.

dottypencilcase · 13/09/2021 20:48

@GardenGloveless

So your advice is to not listen to medically qualified experts in the field of childhood skin disorders and to listen to random moms on the internet instead?

Absolute nonsense.

See a dermatologist and listen to evidence based medicine. Not moms with a degree from the university of Google in joint partnership with Dr Quackenstein.

This is my sister's body atm. She's had eczema since she was 5 years old. The doctors, dermatologists prescribed her all the medications going. Even the strongest steroids don't work on her anymore. She says she feels suicidal most days as she is in a constant state of discomfort, pain and misery as a result of her eczema. If someone came along today and told her drinking her neighbours dogs urine would would, she'd try it.

Please try to get off your high horse.

Nerdygirlsmum · 13/09/2021 22:35

@dottypencilcase I'm so sorry to hear this. I assume she is under the care of a dermatologist and hopefully they are exploring immunosuppressants and protopics with her which I understand is the next stage when steroids stop working. If she is on Instagram I have taken comfort from DrRuthsSkinjourney, she is a GP who has eczema herself and is charting her own progress. Good luck to your sister, I hope she finds something that helps her xxx

dottypencilcase · 13/09/2021 23:38

[quote Nerdygirlsmum]@dottypencilcase I'm so sorry to hear this. I assume she is under the care of a dermatologist and hopefully they are exploring immunosuppressants and protopics with her which I understand is the next stage when steroids stop working. If she is on Instagram I have taken comfort from DrRuthsSkinjourney, she is a GP who has eczema herself and is charting her own progress. Good luck to your sister, I hope she finds something that helps her xxx[/quote]

Thanks nerdy. It's so hard being around her atm a) because she looks like a burns victim or someone who's had acid poured on her skin (both extreme examples and I apologise if it offends) and b) because she's so depressed atm and nothing any of us say or do to boost her spirits helps. She's been on medications all her life to help manage her eczema and nothing has worked. I remember when she gave birth and the post-birth hormones sent her eczema haywire to the extent her skin cracked and she bled every time she moved. I had to move in with her to help look after the baby.

She's currently experiencing steroid withdrawal and her eczema has become really severe again. Sadly, she's lost all faith in the medical/dermatology model and is left feeling bitter and resentful. I'll recommend the lady you mention and hope she's motivated enough to see what the lady has to say.

My DS has recently been diagnosed with eczema and I cried when the doctor first said those words. It probably sounds OTT to some people but having grown up seeing my sister suffering all her life with eczema sends my anxiety into overdrive for my DS. We've so far managed to control the extremely dry skin with oils and moisturisers but I can see clusters forming and I think we're going to have to crack open the hydrocortisone :(

Nerdygirlsmum · 14/09/2021 09:04

@dottypencilcase I completely understand your fear when you heard your DS has eczema. Having experienced the trauma your sister has gone through, you are well informed of how bad things can get. Hopefully though your DS will grow out of it, as many children do. Also, I believe that TSW is relatively rare (though it's hard to know because until recently it wasn't even recognised). Being a parent of a child with eczema carries huge potential for guilt in choosing the right path.

The drruthskinjourney story may be helpful to your sister in that the GP author also experienced TSW and felt let down by dermatologists. However, after a few months of suffering terribly without any medication, she went on to an immunosuppressant with a view to getting her skin stronger and healthier without steroids before then gradually weaning off the immunosuppressants. She also made lots of lifestyle changes. She still has eczema and flares but much better controlled and she talks a lot about the mental health aspects of eczema which are often ignored.

funinthesun19 · 14/09/2021 11:13

My DD aged 2 has started having flare ups of eczema. Mainly on her face and behind her elbows. She was really unsettled during the night last night with it Sad
I’m wondering if she also has a food allergy too, as it flares up on her face when she’s eaten.
I’m taking her to the doctors tomorrow - how will they be able to identify any food allergies if there are any?

secular39 · 14/09/2021 16:55

TSW is very common, when we withdraw steroids, my oldest DS skin would flare up again.

secular39 · 14/09/2021 17:02

@GardenGloveless

Sorry but yes. All my kids have Eczema, but the second one was very bad. We listened to this high top flying consultant, her treatment regime (I.e. strong steroids) could have cost my second child to have diabetes. We had to go through intensive investigate with an endocrinologist who diagnosed the culprit of the issue.

We found listening to parents who have tried NATURAL remedies to ease their children's Eczema. We invested into wet wrapping but using zinc bandages (that worked wonders) and we went on an Eczema course who is an Eczema specialist that recommend Eczema care like washing, clothing, soaps etc.

My second child has been discharged from Derm, WITHOUGHT the use of steroids for 4 years, his Eczema has not flared up since then. If I had continue to listened to the Derm, I would have ended up with a child with diabetes.

mumwon · 14/09/2021 17:15

dd was allergic to soya & cows milk but OK with goat milk & sheep dairy products - second the extra rinse with washing, dress in cotton, cold weather dried out her skin - Keep a food diary to see if there is a food reaction
DD did become less sensitive & now can eat everything
Weird thing is (thank goodness!) no reaction to vaccinations & antibiotics but one medication made her over react to sunshine - so be careful!
We had an emulsifier tub for her bathing - you need to boil flannels you use because it makes them go solid & it can clog the bath & you need to be good at cleaning the gunk off the bath tub afterwards

GardenGloveless · 14/09/2021 17:45

@dottypencilcase

"This is my sister's body atm. She's had eczema since she was 5 years old. The doctors, dermatologists prescribed her all the medications going. Even the strongest steroids don't work on her anymore. She says she feels suicidal most days as she is in a constant state of discomfort, pain and misery as a result of her eczema. If someone came along today and told her drinking her neighbours dogs urine would would, she'd try it.

Please try to get off your horse"

I had severe eczema as a child. Nothing worked at the time. My mother was told to use all sorts of hocus pocus snake oil type remedies from quack doctors with zero medical knowledge. They thought they were better than real doctors. Fortunately it eased a little as I aged.

Most of these anti science, natural remedy potions and lotions are pedalled by money making Del Boys. They prey on people like you. Please take your head out of your back side and stop thinking you and your gang of homeopathy loving, science hating moms, are better than the actual experts in dermatology. Your misinformation harms people.

dottypencilcase · 14/09/2021 18:11

[quote GardenGloveless]@dottypencilcase

"This is my sister's body atm. She's had eczema since she was 5 years old. The doctors, dermatologists prescribed her all the medications going. Even the strongest steroids don't work on her anymore. She says she feels suicidal most days as she is in a constant state of discomfort, pain and misery as a result of her eczema. If someone came along today and told her drinking her neighbours dogs urine would would, she'd try it.

Please try to get off your horse"

I had severe eczema as a child. Nothing worked at the time. My mother was told to use all sorts of hocus pocus snake oil type remedies from quack doctors with zero medical knowledge. They thought they were better than real doctors. Fortunately it eased a little as I aged.

Most of these anti science, natural remedy potions and lotions are pedalled by money making Del Boys. They prey on people like you. Please take your head out of your back side and stop thinking you and your gang of homeopathy loving, science hating moms, are better than the actual experts in dermatology. Your misinformation harms people.[/quote]
I'm not a science hating 'mom' and I've never tried homeopathy of any sort. I happen to be a pro-vaccination, phd holder in a science subject not that that matters one jot to anything I've said. We have a saying here "to assume is to make an ass out of you and me". In your case, just you.

GardenGloveless · 14/09/2021 18:27

@dottypencilcase

Yes. You hold a phd from 'the university of life'. Gotcha Wink

dottypencilcase · 14/09/2021 18:53

[quote GardenGloveless]@dottypencilcase

Yes. You hold a phd from 'the university of life'. Gotcha Wink[/quote]
You're clearly trying to derail the thread through your trollish comments. Go ahead. No more responses from me.

Nerdygirlsmum · 14/09/2021 20:35

@GardenGloveless I'm not sure why you are directing such vitriol at others on this thread. Everyone here has been afflicted by eczema to a lesser or greater extent, whether directly or indirectly. I understand that you have strong views but surely there is no need to be so unkind when expressing them. People are struggling here and being supportive of each other when we are all dealing with the same issue would be so much more productive

secular39 · 14/09/2021 21:15

@dottypencilcase so sorry about your sisters Eczema. Please join the Facebook group "Topic Steroid withdrawal red skin syndrome" Facebook group. Their advice has been invaluable! Considering that our endocrinologist has prohibited my child from using steroids all together. They have some great tips about managing Eczema and the group is lovely.

secular39 · 14/09/2021 21:20

Disappointed with a few posters on this thread. Everyone's experiences with Eczema is complex and tricky, why the need to ridicule others. I don't know is so pseudo about recommending diet and natural remedies Confused. It's better than the shit steroids- I'm sorry- many of my friends were telling me that I should begin weaning my children off from steroids- particularly the middle one who had it very bad. I didn't listen, I thought they were silly and preferred the advice of the top dermatologist consultant at the NHS. Although DS doesn't have diabetes, the steroids have triggered his blood sugar to be high, it was also normal before and now he has a heightened risk of developing type 2 diabetes.

secular39 · 14/09/2021 21:22

Most of these anti science, natural remedy potions and lotions are pedalled by money making Del Boys. They prey on people like you. Please take your head out of your back side and stop thinking you and your gang of homeopathy loving, science hating moms, are better than the actual experts in dermatology

Ha! Grin why you do negative. What's worried about offering dietary advice that you can read free on the internet

Ohthiscantbeit · 14/09/2021 23:13

Has anyone tried light therapy

Ohthiscantbeit · 14/09/2021 23:14

Check this out

MariaJj · 15/09/2021 07:35

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