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Dr. Praveen Bharadwaj

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Dr. Praveen Bharadwaj

Consultant - Dermatology

Manipal Hospitals, Whitefield

Eczema Treatment: How to Manage and Prevent Eczema Flare-ups

Posted On: May 08, 2024
blogs read 5 Min Read
Eczema: Types, Causes, and Treatment Options Available

Eczema also called Atopic Dermatitis is a skin condition that damages the outer layer of the skin barrier making the skin dry,itchy and bumpy It typically occurs in early childhood; however, it can also develop later in life. 

The early signs of eczema include dryness, itching, and redness. Various factors, such as genetics, allergies, and stress, contribute to its development. It commonly affects children and varies in intensity. Eczema is not contagious; you cannot catch it from another affected person. It’s treatable using medications, skin creams, etc.
 

 

Eczema Types

Eczema is a chronic illness that weakens your skin's natural protection capability and manifests in a variety of forms. Eczema comes in several types, each with specific triggers that can impact how well your skin protects itself, including

  • Atopic Dermatitis
  • Contact Dermatitis
  • Seborrheic Dermatitis
  • Dyshidrotic Eczema
  • Nummular Eczema
  • Neurodermatitis

Causes And Reasons for Eczema

Eczema symptoms can appear anywhere on your skin, commonly seen on

  • Hands
  • Neck
  • Elbows
  • Ankles
  • Knees
  • Feet
  • Face (especially cheeks)
  • Ears and Lips.

Eczema commonly occurs during infancy and can persist into adulthood. Its root cause is unknown. However, several factors can trigger eczema in individuals. Here are the major reasons for eczema.

  • Genetic Link: Yes, if a parent has eczema, their child is more likely to develop it. Our genetic makeup is a very strong determiner of eczema.

  • Weak Immune System: Dysfunction in the immune process is another cause that can activate different eczema types. When you have weak immunity, it overreacts to environmental triggers, increasing the risk of developing skin allergies and eczema.  

  • Environmental Triggers: External allergens play a significant role in its formation. Eczema flare-ups can occur when people with the skin condition use products that aggravate it, such as scents or strong soaps. Severe weather also complicates the symptoms of eczema. 

  • Emotional Triggers: Psychological factors can also worsen the symptoms and increase the frequency of flare-ups. Experiencing excessive stress and anxiety can weaken your immune system and disrupt skin barrier function, leading to irritation and itching.

Consult a dermatology hospital in Whitefield if you need to learn more about the reasons for eczema.

Eczema Treatment and Management

Diagnosing eczema initiates with a physical examination. Eczema symptoms coexist with other conditions. Your dermatologist may recommend a few blood tests, including an allergy test following a visual examination to rule out other conditions and confirm your diagnosis of eczema.  Skin biopsy is also considered in some cases. 

Opt for Mild Skin Products: A gentle skincare routine is an effective measure to treat persistent symptoms of eczema. Ensure you employ paraben-free products as they lock skin moisture, and reduce dryness and the risk of flare-ups. 

Topical Medications: Your dermatologists may recommend effective topical medications to help reduce inflammation and alleviate symptoms. Make sure you follow the instructions carefully for optimal results.

Oral Medications: Oral medication is often necessary for severe eczema. People suffering from severe or persistent eczema face a lot of discomfort, itching, and swelling. You need oral medications such as corticosteroids and immunosuppressants to alleviate it. These medications lessen allergic responses and inflammation.

Consult a dermatologist in Whitefield if you need treatment for eczema. 

Eczema Treatment Creams:

  • Emollients and Moisturizers:

    • CeraVe Moisturizing Cream: Contains ceramides to help restore the skin's natural barrier.
    • Eucerin Original Healing Cream: Provides long-lasting hydration for dry, itchy skin.
    • Aveeno Daily Moisturizing Lotion: Contains colloidal oatmeal to soothe and moisturize sensitive skin.
    • Cetaphil Moisturizing Cream: Non-greasy, suitable for sensitive skin.
  • Topical Corticosteroids:

    • Hydrocortisone Cream 1%: Mild strength corticosteroid available over-the-counter for mild eczema.
    • Triamcinolone (Kenalog) Cream: Prescription-strength corticosteroid for moderate to severe eczema.
    • Fluticasone (Cutivate) Cream: Another prescription option for managing inflammation in eczema.
  • Calcineurin Inhibitors:

    • Tacrolimus (Protopic) Ointment: Used for moderate to severe eczema in adults and children.
    • Pimecrolimus (Elidel) Cream: Alternative to corticosteroids for mild to moderate eczema in adults and children over 2 years old.
  • Barrier Repair Creams:

    • CeraVe Healing Ointment: Forms a protective barrier on the skin's surface to lock in moisture.
    • La Roche-Posay Lipikar Baume AP+: Helps to repair and replenish the skin barrier.
  • Antihistamine Creams:

    • Benadryl Extra Strength Itch Relief Cream: Contains diphenhydramine to relieve itching associated with eczema.
  • Natural and Herbal Creams:

    • Burt's Bees Baby Nourishing Lotion: Contains natural ingredients like shea butter and sunflower seed oil.
    • California Baby Calendula Cream: Calendula extract helps to soothe and moisturize sensitive skin.

Other Tips to Prevent Eczema

  • Insufficient sleep compromises the immune system, worsening eczema symptoms. So, make sure you get sound sleep to empower your body to fight off triggers. 

  • Avoid hot showers as it makes your skin more susceptible to flare-ups or allergic reactions.

  • Dehydration can activate skin conditions, so keep yourself hydrated. 

FAQ's

Both eczema and fungal infections can cause itching and red skin patches, but they are not the same! Eczema is not contagious (caused by genetics/immune system weakness) while fungal infections are contagious (caused by fungi) and appear on moist areas of the body like feet, groin, and scalp. 
 

No, eczema is not curable, but proper management can alleviate its symptoms to a larger extent. It's a long-lasting illness and can recur at any time. 
 

The early signs of eczema include red, itchy, and inflamed skin, dry and sensitive skin, fluid-filled blisters, and skin discoloration.

The early signs of eczema include red, itchy, and inflamed skin, dry and sensitive skin, fluid-filled blisters, and skin discoloration.

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