Many young mothers find that their babies’ bottoms are always red when they change their diapers, and many “dots” seem to grow on them, and the babies keep crying and scratching. Today, I would like to introduce young mothers to the perianal eczema that causes little red butts.
What is perianal eczema?
Perianal eczema is a condition that is limited to the skin around the anus and may involve the perineum in a few cases. It is very itchy and uncomfortable. It is often moist and the skin is moistened and thickened and can become cracked. It can develop at any age and is not limited to the perineum.
What does perianal eczema look like?
It is limited to the skin around the anus and may rarely involve the perineum. It is unbearably itchy. The skin is often moist, infiltrated and thickened, and can become chapped. In the acute phase, the rash is mostly dense, small corn-sized papules, papules or small blisters with a flushed base. As a result of scratching, the lesions may show obvious punctate exudate and small vesicular surface, the center of the lesion is often heavier, and gradually spread to the surrounding, peripheral and scattered papules, papules, so the boundary is unclear. When combined with infection, the inflammation can be more pronounced and form pustules with pus oozing or yellow-green or dirty brown scabs. It can also be combined with folliculitis, boils, and local lymphadenitis.
Subacute eczema occurs when the acute eczema inflammation decreases, or when the acute phase is not properly treated in time and delayed for a longer period of time. The lesions are mainly small papules, scales and crusts, with only a few papules or small blisters and vesicles, and may also have mild infiltration, and still have intense pruritus.
Chronic perianal eczema evolves due to repeated episodes of acute and subacute eczema that do not heal, and may also begin to present chronic inflammation. The skin of the affected area is infiltrated and thickened, turning dark red and pigmented, with a rough surface, covered with a little furfuraceous scales, or crusted due to scratching, with varying degrees of individual mossy changes, with limitations, the edges are also clear, and there can be papules and papules scattered around the periphery, and there can be significant oozing when the acute attack occurs. Self-perceived symptoms also include pronounced itching, often in paroxysms. Due to the loss of normal elasticity of the skin and more activity, chafing can occur and cause pain in the lesions. The course of the disease is variable, prone to recurrence, and does not heal over time.
The causes of perianal eczema in babies?
1, food
(1) Causes.
In moderate to severe pediatric eczema, close to 40% associated with food allergies. Allergy-prone foods vary by country, region and food spectrum, etc. Common food allergens for children in China are eggs and milk.
(2) Recommendation.
No abstinence is necessary for eczema except for atopic dermatitis. Allowing babies to eat less animal protein, such as milk and eggs, must be done under the supervision of a doctor or dietitian. It is best not to just abstain from certain types of food when there is no obvious evidence. It is not advocated that babies should be denied proper nutrition in order to avoid allergies.
2.Immune reaction
(1) Causes.
The immunological mechanism of eczema is very complex, with the involvement of many immune cells and the inflammatory factors they produce.
(2) Recommendations.
When taking a bath, the bathing agent must be rinsed off. After bathing, wipe the baby dry and apply non-oily moisturizing cream to avoid obstructing the normal whistling of the skin. Baby’s hair should also be washed daily. If seborrheic dermatitis has developed, careful washing of the head can remove the scabs. If the scabs have hardened and stuck to the head, apply olive oil to the affected area first and then wash it after a while.
3.Environmental allergy
(1) Cause.
Original dust mites, animal dander, mold spores, etc. can trigger or aggravate eczema.
(2) Suggestions.
If suffering from severe itchy atopic dermatitis or contact dermatitis, parents should often trim the baby’s nails short to reduce the chance of scratching.
4, genetic susceptibility
(1) Cause.
Many babies suffering from eczema have a family history of eczema, allergic asthma, allergic rhinitis, or eczema babies themselves with allergic asthma or rhinitis and other diseases. If one parent has an allergic disease, then the baby’s risk of eczema is as high as 50%; if both parents have allergic diseases, the risk is even higher, up to 70%.
(2) Recommendation.
Parents should always pay attention to changes in the hot and cold temperature and humidity around the baby. Babies with contact dermatitis should especially avoid exposing their skin to cold wind or strong sunlight.
5.Skin barrier dysfunction
(1) Cause.
Eczema patients with reduced content of normal skin lipid components, making the barrier function of the skin decreased, resulting in reduced water retention function of the skin, so dry skin is an important symptom of eczema.
(2) Suggestion.
When bathing your baby, it is advisable to use warm water and non-alkaline bathing agents to clean your baby’s body. Babies with inter-rub rash should pay special attention to cleaning between the folds of the skin.
6.Infection with Staphylococcus aureus
(1) Cause.
It is easy to colonize the skin of eczema patients and further aggravate the inflammatory skin reaction.
(2) Suggestion.
Baby anal eczema is best treated with medication, because the baby’s body is very fragile. And the skin at the liver is very tender, if treated through surgery, bad technique is going to hurt the baby.
7.Other
(1) Cause.
Most eczema patients improve in the summer and aggravate in winter; drastic changes in temperature and humidity can also aggravate eczema; sports sweating is also a trigger for eczema.
(2) Suggestions.
In summer, the baby sports sweat, should be carefully for him to wipe dry sweat; when it is cold and dry, you should apply anti-allergic non-oil moisturizer for your baby.
What should I do if my baby has perianal eczema?
1.Tea seed oil
(1) Reason.
This will not have side effects on the baby’s skin and will reduce the symptoms of eczema.
(2) Suggestions.
It is best to use tea seed oil to wipe the buttocks after washing, pay attention to also keep the affected area dry, it is best not to apply some skin care products, how much will be a little stimulated to the skin.
2.Chinese medicine boiled water cleaning
(1) Reason.
Washing with Chinese herbal medicine boiled water can stop itching and sterilization.
(2) Suggestions.
Washing with medicinal water, after washing also used a towel dipped in medicinal water on the affected area for a while, the ooze will soon stop.
3, a light diet with less salt
(1) Reason.
Diet also have to pay attention to, if the baby with complementary food diet should be light and less salt, can reduce the affected area exudate.
(2) Suggestions.
Vitamin and inorganic salt rich foods can be added to the diet, such as green leafy vegetable juice, carrot juice and tomato juice. Older children can be in the daily diet should choose some food with clear heat, diuretic, cool blood.
4.Dip in boric acid water scrub
(1) Reason.
Boric acid water applied to the affected area has the effect of antipruritic and disinfectant.
(2) Suggestion.
You can use clean gauze dipped in boric acid water to gently scrub around the anus of your baby.
5.Apply herbal eczema cream
(1) Reason.
If the symptoms are seriously red and itchy exudate, you can apply herbal eczema cream, herbal eczema cream can not only inhibit the condition, but also does not contain hormones, causing repeated eczema and drug dependence.
(2) Suggestion.
You can properly apply some baby herbal eczema cream, be sure to use Chinese medicine, do not use that with hormones.
6, eczema skin-specific shower gel rinse
(1) Reason.
Baby anus suffering from eczema more attention to keep the affected area clean and hygienic, timely change of diapers, often cleaning local. Because eczema itself has destroyed the barrier function of the skin, if you do not pay attention to keep clean, it will be infected, inflammation, pus, so that many microorganisms take advantage of the opportunity to aggravate the symptoms of eczema and prolong the healing time.
(2) Recommendation.
In the shower can be used eczema skin special body wash shower, if you are worried about body wash allergies can also add some salt to the water to wash the affected parts of the perianal area, there are sterilization and anti-itch effect.
How to do the baby’s daily care?
1.Germicidal
(1) Reason.
Bacteria can breed on skin that is not normal, especially Staphylococcus aureus, and if eczema is severe, you may need to remove these bacteria at the same time in order to be cured.
(2) Recommendations.
To abate these bacteria, in the shower available bactericidal pansum or eczema skin-specific body wash shower.
2, clothing needs to be careful
(1) Reason.
Such as wool, nylon, cold shirt and other textures should not be worn, these clothes are easy to stimulate the baby’s skin.
(2) Suggestions.
Eczema patients should wear cotton clothes, laundry detergent to use non-biological, laundry detergent package will have instructions. In addition, a small number of patients are sensitive to pet hair, as for the dust mites hidden in the bedding sheets have only a small impact on eczema, usually wash the bedding sheets can be.
3.Oral anti-allergy medicine
(1) Reason.
When eczema is serious, the affected area will be larger, and even sleepless at night because of itching.
(2) Suggestions.
You can take oral anti-sensitivity medication to help stop the marks, but oral medication is only auxiliary in nature, not to make eczema cure.
4, the cream should be applied enough
(1) Reason.
Some parents are worried about the side effects of steroids, the amount of medicine applied to the baby’s affected area is too small, resulting in unsatisfactory results, one will make the doctor to the power of the medicine is not enough to increase the points, into a reduction due to the addition; second, this will delay the disease. In fact, the new generation of steroid creams have fewer side effects than before.
(2) Recommendation.
Creams generally contain more or less steroids, no steroids can not be cured eczema. The doctor will use the mildest ointment for the patient when prescribing, and only when it is not effective will the medicine be increased step by step. The actual fact is that you can get a lot more than just a few of these.
5.Avoid external stimulation
(1) Cause.
Baby wear too thick, eat too much, indoor temperature is too high can also make eczema aggravated. So parents need to pay attention to avoid the baby’s skin by the external stimulation.
(2) Advice.
Parents should always pay attention to the hot and cold temperature and humidity changes around the baby. Babies with contact dermatitis should especially avoid exposing their skin to cold wind or strong sunlight. In summer, after the baby sweats from sports, you should carefully dry the sweat for him; when it is cold and dry, you should apply anti-allergic non-oil moisturizer for your baby.
6.Is allergy testing useful
(1) Reason.
It is not worthwhile to do allergy testing in order to find the root cause of allergy. Proving that the body is sensitive to a certain substance does not mean that it is the substance that causes eczema. If the test reveals that the body has allergic reactions to a variety of substances, the result becomes a lot of things to abstain from, but will cause malnutrition problems.
(2) Recommendation.
Moreover, none of the treatment procedures will actually be based on these test results.
What kind of ointment can babies rub?
1.Ointment without hormones
(1) Reason.
Because the baby’s skin is relatively tender, once the baby is given products containing hormones, it is easy to make the baby’s skin form hormone-dependent dermatitis, and any future skin diseases, which are generally difficult to cure with hormone-free drugs and easy to relapse.
(2) Recommendation.
Eczema products for babies, first of all, must be sure that they can not contain hormones.
2.No pigmented ointment
(1) Reason.
Most of the creams for baby eczema are white in color. Only a small number of creams are light yellow, claiming to be the natural precipitation of drugs, this product, generally have not been tested by the state and have a formal production batch number, generally private production, there is no security, and this cream, not home storage, especially in the hot summer weather.
(2) Recommendation.
Choose a white ointment for the treatment of infant eczema.
3, no odor ointment
(1) Reason.
The ointment has a bad smell, not easy to repair the damaged skin of baby eczema, easy to stimulate the baby’s sense of smell, and make eczema is not easy to recover.
(2) Suggestions.
Note that the choice of the general regular qualified eczema products, these products are odorless or light medicinal fragrance.
4, no harmful substances ointment
(1) Reason.
Some prescriptions, or what ancestral pharmaceutical products, because they are not subject to national approval testing, in order to deceive the majority of consumers, is made with some harmful substances, mixed. After the use of infants, not only can not treat infant eczema, but also to the life of the baby has a health threat.
(2) Recommendation.
Do not use the prescription indiscriminately, there is no national approval testing of the product.
5.Ointment without chemicals
(1) Reason.
Some products, in order to increase the skin absorption of medicinal properties, will add some chemicals in the ointment, in order to penetrate the skin, this chemical can cause harm to the skin.
(2) Recommendation.
The actual chemical substances in the ointment will not be chosen.
6, baby anal eczema ointment recommendations
(1) recommended: skin cream.
(2) function: clear heat and dry dampness, dispel wind and detoxify. Used in conjunction with dexamethasone acetate cream for eczema and rubella.
(3) Dosage: For external use, apply to the affected area with dexamethasone acetate cream 2-3 times a day. This preparation is for use in this medical institution only.
(4) Precautions: But if it is serious, it is better to control it with medicine, otherwise the baby will suffer too much. Be sure not to use it for a long time, and stop it as soon as it gets better, to avoid the accumulation of drug components.