How to treat recurrent itchy skin rashes in a 5-year-old kid?

Q. My 5-year-old son gets recurrent skin rashes with itching and mild fever. Please suggest remedy.

Answered by
Dr. Suresh Kumar G D
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on May 30, 2023

Hello doctor,

My kid is 5 years old. He had a skin allergy with itching with a mild fever below 100 degrees Fahrenheit (nine days before). Rashes disappeared once we applied baby lotion, but again reappeared. We consulted a doctor he suggested taking the following medicine. Syrup Cetirizine one teaspoon (at bedtime for seven to ten days), tablet Dexamethasone (quarter tablet twice daily for five days), syrup Bentex one teaspoon (at bedtime once and repeat after eight days), and Caladryl lotion for external application. We finished the course, but after nine days, it reappeared. From yesterday he developed rashes again that have appeared all over his body, especially his foot (more itching). We applied lotion, and it was fine, but the rashes reappeared, and he has a mild body temperature. Please suggest. He takes a normal diet and eats non-vegetarian food twice a week, especially fish and eggs.



Welcome to

I understand your concern.

From your description and photographs (attachment removed to protect patient identity), it looks like your son has hives or urticaria. It can be due to allergy or viral infections or can occur without any obvious reason. Did the doctor you consulted before see him face to face and confirm it as hives or urticaria?

Usually, these rashes are itchy and resolve in one to two days, but new lesions can occur in surrounding areas of the skin for several days to weeks. Your son has been prescribed the right medicines. Usually, urticaria gets better in a few days, but sometimes it can last for a longer period. So medicines need to be continued for a longer period.

Kindly answer these further questions for clarification. Did your son's rashes and itching settle completely when he took the medicines for nine days? You said your son had similar rashes last year. How long did it last at that time? Is your son otherwise active and playful? Is he eating and drinking well? Is he sleeping well? At any time, did he develop rashes or swelling in his tongue and mouth? Did he develop any difficulty in swallowing or breathing?

Following are my suggestions:

I suggest you continue syrup Cetirizine one teaspoon at night time for another week or two. It is an antihistamine and will help to control new rashes. Apply Calamine lotion three times daily. It will help to control itching. No need to repeat Bendex syrup (Albendazole) again. It is for treating worms and can be given once a year or so. No need to repeat the Dexamethasone tablet for now. But if rashes do not settle or become severe, may need to be given for another five days. If fever is there, give Paracetamol syrup one teaspoon, two or three times a day. Avoid giving Brufen (Ibuprofen). Avoid fish, eggs, nuts, and chocolates for some weeks until the rashes resolve completely. Avoid hot water baths, use lukewarm water for baths. Use loose-fitting cotton clothes only.

Important note:

If the rashes become severely itching or cause eye redness, conjunctivitis, or eye swelling, or the child has difficulty in breathing or swallowing, the voice becomes coarse, then you need to take him to the hospital immediately. Also, if there is persistent high fever, joint pain or swelling, stomach pain, or vomiting, you need to take to the hospital immediately. Generally, these lesions will disappear and reappear and may take time to fully resolve. So if the child is otherwise well, do not worry. But if these rashes are persistent and severe, you may need to consult a dermatologist. He may need further examination and investigations to prevent the recurrence of these rashes.

I hope this helps.

Kind regards.

Hello doctor,

Thank you for your detailed reply.

Below are the answers to your questions:

1. Yes, rashes and itching settled down after taking medicines and again reappeared after a few days.

2. Similar rashes lasted for two to three days.

3. Yes, he is active and playful, drinking and eating well.

4. No, he did not have any swelling in the tongue or mouth or any difficulty in breathing.



Welcome back to

I understand your concern.

Thank you for providing the additional details. It looks like urticaria. Continue Cetrizine syrup and calamine lotion for another ten days. Also, follow the rest of the advice and recommendations mentioned earlier. If your kid develops a high fever, worsening rash, joint pain, abdominal pain, or becomes unwell, then take him to the hospital for a face-to-face assessment. Otherwise, the rashes should settle with medication.

Hope this addressed your concern.

Take care.

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