Eczema in Toddlers
Eczema, also known as atopic dermatitis, is a recurring skin condition which causes dry, itchy, and inflamed skin. It is very common in children, affecting up to 20% of infants and toddlers. It can be very difficult and makes the child quite uncomfortable, creating stress and frustration for both the caregiver and the child. Below are some tips for helping to manage your child’s eczema:
Moisturize daily: Apply fragrance-free, hypoallergenic moisturizers liberally and often, especially after bathing. Using an ointment/emollient rather than a cream is often more helpful as it is thicker and traps moisture under the skin.
Make bath time shorter: Bathing your child, especially in soapy water for long periods of time, is very drying to the skin. While kids love the bath play time, it is best to shorten baths to 15 minutes every other day when possible.
Avoid topical corticosteroids: Creams or ointments containing corticosteroids can reduce inflammation and itching, but repeated applications can lead to thinning of the skin in the long term. Steroids are also absorbed through the skin into the bloodstream, as are all products you put on the skin, but young children are especially vulnerable. While many doctors recommend them, it is better to consider other options before starting corticosteroids.
Avoid harsh soaps and fabrics: Harsh soaps, detergents, and rough fabrics are huge eczema triggers. Do not use a laundry detergent with a fabric softener, or a fabric softener in the dryer. Avoid tight or scratchy clothing. TIDE products are particularly triggering. I recommend Arm and Hammer.
Consider dietary triggers: Dietary modifications can be helpful, so keep a food diary and review it with your child's pediatric caregiver in detail to identify any problem foods.
Keep nails short and clean: Scratching can worsen eczema and lead to infections, so maintaining short, clean nails may reduce discomfort.
Use air purifiers: If possible, use air purifiers to reduce allergens in the home.
Dr. Geary has spent decades studying atopic dermatitis/eczema. She has helped hundreds of families avoid steroids, manage, and recover from eczema. Moderate changes in diet and environmental triggers will allow for control and recovery. Some children may develop more severe forms of eczema that require stronger medications or allergy testing. If you suspect your child has eczema and are curious about treatment options, please set up a consultation with Dr. Geary.
