S.T. asks from Livermore, CA on May 25, 2010
Skin Rashes/ecema
My two year old son has had ecema since birth. It typically isn't bad but we do have to keep on top of it or he starts to strach himself to the point where he bleeds. However in the summertime his skin just breaks out and he is constantly stratching himself and is covered with dried bloody scratches. Last summer when his skin first broke out I brought him to the doctor because it looked like chicken pox (even though he had already been vacanated). The doctor advised it was just a bad reaction to something he came in contact with. The rash continued throughout the summer and we could never determine what caused it (might have been the heat, the grass, the sand...) we don't know. The weather has already turned hot here and my son is already covered with scratches. I started puting California Babies Caldona (sp?) cream on him and it takes away some of the redness but I don't know if it's helping any with the itching. Bath times are the worst part beacuse no matter what kind of sensitive soap I use it still seems to irratate his sores. Any advice on what to use in the bath? And has anyone encountered this type of skin problem in the summer?
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S.D. answers from Hartford on May 27, 2010
Have you tried Dove Bar Soap for sensitive skin? That's what my doctor recommended. Also, look at the lotion you're using, he may have an allergy to lanolin (also found in Aquafor).
J.J. answers from Boston on May 26, 2010
My son's eczema got so bad we ended up requesting a referral to a pediatric dermatologist who was able to prescribe a cream that helps tremendously. They also recommended that we use the Aveeno Baby soaps for baths, followed by Aveeno sensitive lotion..and NO bubble baths.
Good Luck, eczema can be very frustrating.
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K.H. answers from Minneapolis on May 25, 2010
Our son had eczema when he was much younger--head to toe. It was so bad, it bled and oozed. We used luke-warm water for his baths, and Cetaphil cleanser and lotion. Maybe ask for a referral to an allergist or dermatologist. Our son's eczema improved significantly after we went to the dermatologist and followed her recommendations. It was significantly better in about a month, and almost completely gone in maybe two to three months.
His eczema may also be a strong allergy to something. If you can find out what that is and treat the allergy or keep him away from the allergen, you can maybe get rid of the eczema. We just had our son tested for allergies because he has asthma, and we have seen HUGE improvement in just the week since we had the allergy appointment and started new meds and we know what to do and avoid. I bet it would help your son too.
Good luck. I know how frustrating it is when you want to help your little guy feel better!
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S.H. answers from Honolulu on May 25, 2010
Sound like he has heat rash.
The Eczema is separate.
Try "Florasone" cream. I really recommend it.
http://www.amazon.com/Florasone-Cardiospermum-Relieves-It...
http://www.amazon.com/Boericke-Tafel-Florasone-Cream-crea...
It is all natural. And works. You can also find it at Whole Foods. Although my local store is always out of stock of it.
Or from Amazon. Even E-bay has it.
You can also read the 'reviews' of it on the Amazon site link I have above.
It is a great cream, for any itch/skin problem. This brand, has many other types of skin creams. All good.
Try also just dusting him with cornstarch baby powder over his whole body... maybe his own sweat aggravates his skin, and plus in the heat.
Good luck,
Susan
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D.B. answers from Boston on May 26, 2010
Hi S. -
Just want to add that it's not always a food allergy that causes eczema. Both my children (11 and 4 y.o.) have had to deal with it, and it's not food related for either of them. It's actually familial in our case, runs through generations.
Here's an excerpt from Eczema net that might help lend more insight:
The exact cause of other types of eczema is not fully understood. Researchers believe that atopic dermatitis develops when many factors combine. These factors include inheriting certain genes, having an overactive immune system, and having something that dermatologists call a “barrier defect.” A barrier defect is a term that means “gaps in the skin.” These gaps allow the skin to lose water too quickly. The gaps also allow germs and other things too small to see with the naked eye to enter the body.
***
Some people are just more susceptible. For us, using a non-soap (like Aquaphor Gentle Wash, which is free of preservatives, fragrance and dyes) and a lotion with cortisone (like Cortisone 10 lotion) to stop the itching, works very well. In fact, I watched my daughter's eczema on her legs literally disappear within a few days of using the lotion.
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G.Q. answers from Burlington on May 26, 2010
Use water in the bath ONLY. That will clean him fine. Do NOT bath him often. Too much exposure to water dries the skin. Do not put anything on his skin (No lotions, soaps, etc.). Only use laundry detergent that is free of dyes and perfumes. Do not use dryer sheets. Stop wearing perfume or using perfumed lotions on your skin, as it can touch him and irritate him. Be careful not to expose him to any other chemicals or irritants. His skin is all hyped up and any little thing can cause a reaction. I bet if you lightly run your fingernail down his arm, you will see the line change color (red) and maybe welt up a bit. Try it on your arm first to see the difference. I have been through this and a dermatologist made me do all of the above and I have not suffered since.
His diapers very well could be a source of irritation too. Huggies did not seem too bad with my son, but some brands (Luvs, esp.) Made his skin flare right up. Give him as much diaper free time as possible. Try cloth diapers or no diapers if you can manage.
I know this may seem drastic, but it will probably work. If you don't notice drastic results within a week or so, I would try an elimination diet.
Be very careful with hydrocortisone. Cortisone can cause permanent damage to your skin. What may happen is the skin will thin out and you will develop actual cell damage and your pigmentation will change to either light or dark spots wherever you applied the cream.
Cortisone cause skin atrophy.
The epidermis becomes atrophic (thin and malnourished); the dermal collagen shows
changes identical with those seen in the ageing process and sun damage. The skin
become translucent, yellowish due to the visibility of the dermal collagen, and
telangiectasia (dilated vessels) appears, again an effect of altered light transmission
through the epidermis and dermal collagen and not because of an increase in the
numbers of the cutaneous blood vessels (these vessels can dilate due to the loss of
proper collagen support). "Shear purpura" (bleeding into the skin in patches) is also
seen due to the flattening and weakening of the dermal-epidermal interface. Striae
(stretch marks or scarred tears in the dermal collagen) may be found, especially in body
flexures although there may be other physiological causes of the striae in teen-aged
children and pregnant women. De-pigmentation may follow cortisone treatment. (ref
Dermatology in General Medicine , T B Fitzpatric et al 3rd Edition, p 2541-2542)
Corticosteroid-(cortisone)-damaged skin becomes very sensitive to its environment,
does not withstand physical or micro-biological insults well, and becomes a little
unpredictable to any form of conventional treatment because of its increased
penetrability as the barrier function is progressively lost due to the thinning and damage.
environskincare.net.au/cms/wp.../01/cortisone_causes_skin_atrophy.pdf
Good luck! And you can do it.
J.K. answers from Boston on May 26, 2010
Skin rashes and eczema can be an indication of a food allergy or sensitivity. The most common food allergies/sensitivities are dairy, wheat, eggs and soy I think. (He can have these allergies without any digestive symptoms, by the way. I would try eliminating those foods for a week or so and see if he gets any better. There is a ton of information out there for food intolerance. You may try googling that and see what you can find. Good luck and I hope he feels better soon...poor guy! Have you tried oatmeal baths?
B.M. answers from Boston on May 27, 2010
Does your son have food allergies? My son had horrible eczema for the first two years. We discovered multiple food allergies were the cause. Once we eradicated the allergens from his diet his skin improved dramatically. I bathe him with unscented dove and use aquaphor to hold in moisture. I also have used california baby unscented. Also, use natural unscented detergent for laundry and no dryer sheets. The hot weather does exacerbate eczema. Even though his food allergies are under control, he still is itchy in hot weather.
good luck
S.L. answers from Dallas on May 25, 2010
Oatmeal baths work to soothe sore/itchy spots on my 1 year old. You can get Aveeno Oatmeal bath packets or just dump regular old quaker oats right into the water. I have heard milk baths might be beneficial as well but have not tried that.
J.H. answers from Boston on May 26, 2010
Hi, S..
My 2-year-old and I both have eczema, and what works for us is taking baths in Aveeno Soothing Bath Treatment powder. There is one for adults, and now a special one for little ones. You can buy it at the drugstore and just add it into the bath. I don't use any additional soap on me or him, and I just use Aquaphor Baby Sensitive Wash for his hair.
I have also found that Triple Cream works well on him post-bath to keep the eczema at bay.
I have literally dealt with this my whole life, and I have gotten a LOT of advice about changing eating habits, avoiding pools, using expensive natural products...my own philosophy is that I don't really want to change my life around drastically because of this.
I use some Cortizone when things get really bad (but never more than about 3 days in a row) because it works quickly and then I can stop altogether. For me, that makes sense, but I know people have many different theories about it.
Try the Aveeno and keep the baths cool, and see how that works.
Good luck, and keep us posted.
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