By Natasha Rambharack, NP-C, General Booth Pediatrics
A bumpy rash. Severe itching. Dry skin.
Eczema, also known as atopic dermatitis, is very common in infants and children. One in every four or five kids develops eczema, which usually causes itchy, dry, or inflamed skin. Managing eczema involves daily skin care, avoiding triggers, and, in some cases, medications. If your child has eczema, here are some steps you can take.
Daily Moisturizing
Maintaining a healthy skin barrier greatly reduces flare-ups. Your pediatrician might suggest using moisturizers, creams, or ointments like Vaseline or Aquaphor. Apply them twice a day, within 3 minutes of bathing (soak and seal).
Regular lukewarm baths with gentle, fragrance‑free cleansers can help manage eczema. After bathing, gently pat the skin dry with a towel. Avoid rubbing as this may cause more irritation.
Treating Flares and Relieving Itching
When eczema becomes red, itchy, or inflamed, medication may be necessary. Topical steroids are frequently prescribed and can quickly reduce inflammation. Make sure to follow your doctor’s instructions for how often to apply. Avoid long-term use on the face, armpits, and groin unless your doctor advises otherwise.
Tips for Relief
- Apply cold compresses to relieve intense itching.
- Keep your child’s nails trimmed to prevent scratching damage.
- Apply wraps after bathing and moisturizing your skin.
Avoiding Triggers
Not every child has the same triggers, but common ones include:
- Fragrances (in soaps, detergents, lotions).
- Wool or scratchy clothing.
- Heat or sweat.
- Harsh soaps and bubble baths.
- Environmental allergies such as dust and pollen.
You can avoid eczema triggers by:
- Using fragrance‑free laundry detergent.
- Choosing soft cotton clothing.
- Keeping rooms cool and humidified.
Other treatment options
For moderate to severe eczema, or if topical treatments don’t work, a specialist might suggest oral medications or other options. Talk to your child’s pediatrician or dermatologist to find out what’s best for your child.
Remember, seek medical attention if:
- Eczema isn’t improving with moisturizers or over-the-counter hydrocortisone.
- It’s severe, widespread, or affecting sleep.
- You see signs of infection, such as yellow crusting, oozing, or fever.
- You suspect food allergies.
- You want guidance on stronger treatments.
