Heat rash is a condition in which a child develops a light red rash on the skin when the temperature around the body is too high, and this rash disappears soon after the child’s skin cools. Heat rashes usually appear on a child’s face, neck, shoulders, elbow folds, groin, and armpits. Infants and children get heat rash because their sweat glands are not yet mature. When the temperature of the surrounding environment is too high, the skin regulates the body’s temperature through sweat gland secretion, but inadequate regulation can cause heat rash. The general symptoms are: red rash, papular rash, oozing and in severe cases, vesicles and crusting.
Eczema is first seen in infants aged 2-3 months, mostly on the cheeks, forehead, between the eyebrows and head, and in severe cases on the trunk and extremities. Initially, it is erythematous, later it is a small punctate papule, herpes, itchy, herpes breaks, exudate flows, dry and form a scab. The lesions are often symmetrically distributed. Eczema is sometimes of the dry type, i.e., a small amount of grayish-white chaffing with flaking on a small papule. It can also be seborrheic, oozing yellowish fatty fluid on small papules, later forming a scab, more common on the top of the head and between the eyebrows, next to the nose, behind the ears, but the itch is less pronounced.
I. Eczema
Cause of the disease
Eczema has a strong relationship with allergies, the most frequent being milk and egg allergies. Infants and toddlers eat allergic foods through breast milk or complementary foods. The irritation of chemical fiber clothing and the flooding of the skin with saliva may also cause eczema.
[Occurrence area
Most of the rash starts on the face, and in severe cases, it can appear all over the body.
Skin manifestations
The skin is rough and flaky (often referred to by parents as “flaky skin”), and in severe cases, there is redness and swelling and water seepage (often referred to by parents as “watery skin”).
Itchy skin
Obviously, infants and children often hand scratching.
Treatment and care methods
Allergy Screening
Check for possible allergic foods, with milk allergy being the most common. The mother should recall what new foods she ate before her child got eczema.
1. For breastfed babies, the mother recalls what foods she ate and which foods she breastfed after eating them, and the baby’s eczema worsened. If it worsens, it indicates an allergy to that food and the mother tries to avoid it.
2. babies who eat formula, they should switch to amino acid or deeply hydrolyzed formula and switch to it for about 2 weeks, and the eczema is reduced, so that the milk allergy can be confirmed.
3, add complementary foods for babies, each added 1 food (such as egg yolk, mashed meat, etc.), to pay attention to observe 3 days to see if the child has allergies to eczema. If there is an allergy, stop it in time and try to add it again after 3 months.
Skin care]
1, if the eczema is light, only slight skin flaking, you can use moisturizing baby creams to apply protection, such as udermicin, silicon cream.
2, eczema slightly heavier, you can use eczema cream to apply the rash part.
3, eczema is serious, there are skin cracks, oozing serious, you need to use hormone-containing creams and antibiotic medicine to apply under the guidance of a doctor. Do not be afraid to use antibiotics and hormone creams, so as not to aggravate the child’s eczema, after a long time.
Special Instructions.
Medications should be used under the guidance of a doctor. When two ointments are used in combination, such as skin cream and paregoric, they can be mixed 1:1 and applied thinly to the skin at the eczema twice a day for 3-7 days, in addition to 2 or 3 times a day to moisturize the skin with Zumiezin or silicone cream.
Second, heat rash (prickly heat)
Cause of the disease
High room temperature, infants and children wear too much cover, not breathable related.
The occurrence of parts
Infants and young children are more likely to occur in the neck, armpits, elbows and knees, popliteal fossa and other folds, sweaty parts. Covering up heat can easily make children sweat a lot and heat rash can appear on the head or even the whole body.
Skin manifestations
Heat rash is a rash that originates from the hair follicles because the sweat cannot be discharged well, and the rash is a small grainy red rash with clear boundaries. In severe cases, milky white pus-like fluid appears inside the small grain rash.
Itchy skin]
Generally there is no itchiness.
Treatment and care methods
Room temperature adjustment
Keep the ambient temperature appropriate outside, 20-22°C in spring and summer, and at about 22-24 degrees in autumn and winter.
【Skin care】
1. Absorb sweat, put soft dry gauze on the skin folds such as neck, armpit, leg roots, etc., dip sweat into dryness, change gauze promptly when it is wet, keep skin dry.
2. unfold the skin folds You can let the child lie on his or her back and unfold the neck folds to help the skin breathe.
3, bathing summer bath, you can add “ten drops of water” in the bath water to prevent prickly heat.
4, prickly heat water Use prickly heat water, safer than prickly heat powder. If the heat rash is serious, you can use glycolate lotion and apply it to the heat rash.
Life care]
1. Choose clothes according to the temperature Especially in summer, wear less clothes. Criteria: The child’s neck body is warm and the hands and feet are slightly cooler.
2. Washing and protecting the face Wash the face with warm water and do not use oily lotion in summer to prevent clogging of pores.
3, skin protection For redness and flaking serious parts, use a small amount of Bactrim, etc.
Special tips.
Infants are prone to sweat after breastfeeding, so use a soft dry towel to dry the baby’s face and forehead with sweat and milk after breastfeeding. Keep the baby’s face dry.
Tips
1, the baby is still a small baby can not turn over on their own, sleep or lie for a long time, the back will sweat a lot, the baby is very uncomfortable, but also easy to grow heat rash. This is the time to start using sweat absorbent towels.
2, when the baby began to crawl and move, the metabolism accelerated, especially when sleeping and activities, soon is a sweat, back wet, baby both uncomfortable and especially easy to catch a cold, usually a pad sweat towel, but often check the replacement;.
3, sweat absorbent towel use close to the pad in the baby’s clothes in the innermost layer, some end is a cute cartoon shape, this part is left outside the clothes, wet on the draw out to change, very convenient;.
4, even if the baby to kindergarten, due to increased exercise, sweat will make clothes wet, sweat-absorbing towel as send great use. Moms can have some more to use in rotation.