CHILD’S HEALTH/SKIN DISORDERS: ECZEMA TREATMENT
The key to preventing severe flare-ups of this chronic condition is to treat symptoms as soon as they appear. The mainstay of treatment is the use of cortisone ointments or creams, with small amounts applied several times a day to affected areas. Itching is always worse after hot baths, and at night, so this is the time to apply cortisone ointments and rub them in well. Make sure you carry the ointment with you if you go out anywhere with your child, and apply it if you see your child starting to scratch vigorously. Leave some cream for you child’s care-givers to use if your child is likely to scratch in your absence. Cortisone creams and ointments should be used sparingly and under medical supervision, because overuse can lead to thinning of the skin. The weakest ointment which proves effective in your child should be used; most often this is 1% hydrocortisone. If your child has eczema on his face, consult your doctor before using any steroid preparations.
Eczema is worsened when the skin is dry, so oils and lubricating creams applied to the skin are helpful, as are the use of bath oils. All these help to prevent the skin from becoming dry. If your child is scratching at the rash, try putting cotton mittens on his hands at night. Always make sure that nails are cut short and kept clean. If the scratching becomes vigorous, discuss with your doctor the possibility of using an antihistamine medication for a few days, which may provide both you and your child with some well needed rest, and give the rash a chance to heal. If the rash becomes infected, your doctor will probably recommend a short course of antibiotics.
Avoid giving your child prolonged baths. Bathe him only once a day, and add a moisturising bath oil. These can be bought without a prescription. Do not use soap on young children; it is unnecessary and may worsen the eczema. Older children may use a mild soap under the armpits and around the anal and genital region. Always apply a lubricating cream after washing as this helps prevent moisture loss.
If, despite all these measures, your child’s eczema does not improve, you may wish to discuss with your doctor the possibility of referral to a skin specialist.
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