Step 1: Remove allergic factors For infants, the foods that most often cause allergies include milk, eggs, peanuts, soy, wheat, and seafood. One of the most common, and not so easy to avoid, is milk. Wang Junwei, director of the Second Affiliated Hospital of Henan University of Science and Technology, recommends that parents insist on breastfeeding as much as possible, especially for the first 4 to 6 months after birth, to delay the baby’s exposure to milk proteins. Furthermore, you should start adding complementary foods after 4 to 6 months of life. The best way to add complementary foods is to start with infant nutritional rice flour. If a breastfed infant also has eczema, the mother should minimize or stop consuming milk and the corresponding foods. Of course, reducing the irritation of the child’s skin is also a good way to prevent or treat skin eczema. Step 2: Eliminate local infections Because eczema causes localized dry or flaky skin, the skin barrier is missing and can easily harbor bacteria or mold. Bacterial or mycobacterial infections can in turn worsen eczema, so topical anti-infection treatment is important. The most common bacteria is Staphylococcus aureus, which can be treated with Bactrim. Step 3: Fight the inflammatory response Infants and children with eczema have skin changes due to allergies or other factors that cause an inflammatory skin response, so changing the skin changes should be done with anti-inflammatory medications. Regardless of the number of options, the ones that really work well are hormones, so for heavy eczema children choose weak hormones such as Euzoel and Denide cream for the short term, and non-hormonal moisturizing creams after remission. For eczema where bacterial infection is suspected or present, anti-infection and anti-inflammatory should be applied simultaneously, and a mixture of preparations can be chosen. For example, tretinoin and neomycin mixed with trimethoprim cream. Many doctors and parents are concerned about the side effects of hormonal medications. Theoretically, hormones can cause local skin depigmentation or hyperpigmentation, vigorous local hair growth, etc. In severe cases, glaucoma, growth inhibition, abnormal fat attachment, etc. can occur. The severity of hormone side effects is related to the amount of medication, the way it is administered and the duration of administration. With intravenous medication, side effects are the fastest and most pronounced. For eczema treatment, the chance of these side effects is rare when used topically in small doses for a short period of time. Step 4: Alleviate the itch Alleviating the itch can prevent your child from scratching the localized skin of eczema. Scratching can damage the integrity of the skin, which can lead to both aggravation of eczema and increased chances of local infection. Medications to reduce itching can be applied topically or used orally. Oral medications are more effective and the most commonly used are antihistamines, such as Benadryl, Crestor, and Xantrem. These medications are available in syrup formulations and are used in appropriate doses under medical supervision. Step 5: Relieve dry skin Preventing dry skin is the best way to control the development of eczema. Bathing is very contradictory to preventing dry skin. Too much bathing tends to stimulate dry skin, but not bathing is not easy to keep the skin clean. Therefore, a quick daily wash of the skin with only warm water can wash away the germs attached to the skin. Adding moisturizing ointment after bathing, especially as soon as possible after bathing, is generally recommended within 3 minutes after bathing and does not cause loss of oil on the skin surface. Eczema is a systemic, chronic disease. Exclude the causes of eczema as much as possible, use anti-infective and anti-inflammatory medications wisely, and go all out to stop itching and moisturize. Only a combination of preventive and therapeutic programs can alleviate your child’s ailments.
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