Q. My baby is suffering from eczema. Please suggest some treatment.

Answered by
Dr. Babu Lal Meena
and medically reviewed by iCliniq medical review team.
Published on Apr 03, 2016 and last reviewed on: May 10, 2019

Hi doctor,

My 5 months old baby has pretty bad eczema. Just recently, he had a bad flare-up in which he was weeping from both legs, arms, hands and cheeks. For 80% of the day he is suffering with rash and seems to have no relief at all. He scratches and cries continuously throughout the day and wakes up in his sleep. None of the remedies we tried have produced relief such as wet wraps, bleach baths, ointments, eczema creams, cortisone, etc. Is there a product that is good and available OTC? Would he need something prescription based? Could it possibly be something in the environment that is causing the flare-up like dust? His mother has altered her diet to accommodate him accordingly. Is weeping a sign of infection?

Dr. Babu Lal Meena

Child Health Medical Gastroenterology Paediatrics
#

Hi,

Welcome to icliniq.com.

This is atopic dermatitis. It has many causes. Most common is due to allergy to various dietary protein or external stimuli.

We need to elicit the history properly and need to do investigations to delineate the cause. First we will do basic investigation then we will proceed according to the reports.

My advice is as follows:

  1. Avoid cow milk or related formula milk, egg and ground nuts. This restriction is applied to mother also.
  2. Take care of skin by gentle lukewarm water wash.
  3. Apply coconut oil twice a day.
  4. Apply Cortisone as you are already using it.
  5. Give syrup Zn (zinc) 100 mg once a day.
  6. Give multivitamin syrup 5 mL once a day.
  7. Give Atarax syrup - Hydroxyzine hydrochloride 5 mL (5 mL = 5 mg) two times a day.

We may need systemic steroid to control this intractable eczema. But, first we need to do basic investigations.

Please get the following investigations. Complete blood count, liver function test (AST (aspartate transaminase), ALT (alanine transaminase), bile and protein), ESR (erythrocyte sedimentation rate), platelet size and IgE level (immunoglobulin E).

  • There are many modalities for the treatment of eczema. We need to step up the approach because systemic steroid can lead to rapid response, but more the side effects.
  • Please follow the things that I have advised and report back with the investigation reports or provide report if you have done already.

Revert back with the investigation reports to a pediatric allergy asthma specialist online --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist

Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Can you suggest any effective ayurvedic oil for atopic dermatitis?

Query: Hello doctor, My daughter is suffering from atopic dermatitis from the past five years. She is going to be 6 years old in a few months. We have taken her to multiple doctors including allopathy, ayurveda, homeopathy, etc. Could you please suggest any effective ayurvedic oils for giving relief to he...  Read Full »

After applying Permethrin for scabies my baby got rashes. What to do now?

Query: Hi doctor, My 4.5 months old baby girl was diagnosed with scabies before a month. Her pediatrician advised to apply Permethrin both for mother and baby. After applying she got new rashes all over the body, especially on face, around cheeks and both lower legs, feet and sole. Now on her back three or...  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask a Pediatric Allergy Asthma Specialist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.