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.
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?
Related Questions:
• Palmoplantar Keratoderma - Causes and Treatment
• My baby is suffering from eczema. Please suggest some treatment.
• Does Itching Disturb Your Regular Activities?
Dr. Babu Lal Meena
MD PEDIATRICS PGIMER, CHANDIGARH., MBBS DR. S.N.M.C JODHPUR., PDCC PEDIATRIC HEPATOLOGY
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:
- Avoid cow milk or related formula milk, egg and ground nuts. This restriction is applied to mother also.
- Take care of skin by gentle lukewarm water wash.
- Apply coconut oil twice a day.
- Apply Cortisone as you are already using it.
- Give syrup Zn (zinc) 100 mg once a day.
- Give multivitamin syrup 5 mL once a day.
- 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
Related Questions & Answers
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 »
Ayurveda Specialist
Answer: Hi, Welcome to icliniq.com. Atopic dermatitis is very common in children. It may cause itchy, red and dry skin. Sometimes it happens due to allergies. Chronic dermatitis or eczema needs regular medications for long time to get better results. Read Full »
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 »
Cosmetologist, Dermatologist, Family Physician, General Practitioner, HIV AIDS Specialist, Plastic Surgeon, Venereologist
Answer: Hi, Welcome to icliniq.com. Please send the photographs of the lesion. She might be suffering from atopic dermatitis. I can able to give a definite diagnosis only after seeing the lesion. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/d... Read Full »
Most Viewed
Can transvaginal scan cause spotting during pregnancy?
Hi doctor, I have a history of recurrent early miscarriage (before seven weeks). Investigations pointed to high autoimm ...Read more »
My hairline has reduced. Should I opt for Ayurveda, homeopathy, or other alternative medicine?
Hello doctor, I am a 40-year-old male. For past five to six years my hairline has reduced drastically, a kind of patter ...Read more »
How to Grow Thick and Dark Eyelashes - Uses | Work | Effective | Precautions | Side Effects
Women use mascaras, artificial eyelashes, and a lot of other cosmetic products to make their eyelashes look long, thick, ...Read more »