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Infant has eczema from birth. Temporary relief from medication. Is there any permanent solution?

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This query is regarding my 1-yr old daughter. She has infant eczema since birth.

We started her treatment with allopathic at the age of ~2months. But as soon as we stopped the treatment, her skin was full of rashes. So no option than to continue with the application of medicated creams on the skin.
Somebody suggested to go for Homeopathic/Ayurvedic as allopathic creams has some steroids in them. We tried but it didn't cured the disease as effectively as allopathic.
We again shifted to allopathic. Today we apply 'betnovate-s' on her entire body except face. We use 'flutivate' on the face.

Through XXXXXXX I want to consult a speciaist for skin related problems and want his advice. Do you suggest us something different? OR would you want us to go for some allergy tests? I would welcome any kind of suggestion from you.
Posted Sat, 11 May 2013 in Skin Hair and Nails
Answered by Dr. Kruti 20 hours later

Thanks for posting your query.

I will be glad to be of assistance.
I can understand your concern.

Atopic eczema its a condition that is common in infants. Its a distressing condition as it causes rash and lots of itching. Keeping it under control is a challenge.

Since its an eczema we can't cure it completely but we can just keep it under control and it improves with age.
Its important to moisturize the skin often.

Moisturizers have to be used liberally three to four times a day. Atopiclair, oilatum, Atogla etc are good creams.

Taking bath with oat meal wash or putting oilatum emollient in bath water keeps the skin well hydrated.

No oil massages.

No rubbing the skin dry after bath.

Application of moisturizer on slightly wet skin is important.

Application of elidel cream on affected areas twice a day will be effective in controlling the rash. Elidel contains pimecrolimus and is steroid free. You will require a prescription for this.

If the child is irritable due to itching then anti histaminics like hydroxyzine can be administered after consultation with the paediatrician.

Hope these recommendations are helpful to you.

Please let me know if I can address any other concern for you.

Above answer was peer-reviewed by
Follow-up: Infant has eczema from birth. Temporary relief from medication. Is there any permanent solution? 46 hours later
Thanks Dr. Kruti!

Your reply sounds quite convincing. I have few more questions please:

1) Thanks for suggestion on oatmeal wash. Would you prefer any particular brand for the product?

2) Today we don't use any soap for her for bath. We use either raw milk or curd.
Should we continue to use milk/curd along with oatmeal wash on alternate basis?

3)Would you suggest any soap also for her? I am asking this question because she is involved in some play activities on floor at home or sometime outside and she may catch some bacterias.

4) Some of our neighbours told us not to give her Banana and citrus fruits. They say that they have heard some cases where child had eczema and these fruits bring more rashes and itching. Though personally I feel that all ths is crap but once they mentioned, we are a bit cautious is giving her Banana & Orange. I will also mention here that my daughter likes orange a lot but we stopped it now.

What is your view on this? Is there any medical logic behind? Should we go for any food allergy test?

Thanks in advance for your reply.

Kind Regards
Answered by Dr. Kruti 8 hours later

Thanks for your reply.

1. Any brand of oatmeal body wash would be fine. NMFe is a good brand but I don’t have any particular preferences.

2. To wash her hands you can use baby soap. XXXXXXX or oilatum are good brands.

3. You can use milk or curd in addition to the oatmeal wash.

4. There is no logic in not giving banana or citrus fruits.

5. I don’t recommend any allergy tests.

Please let me know if I can address any other concern for you.

Above answer was peer-reviewed by
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