Management of eczema
After diagnosing your case, your doctor will start the management. Eczema often comes and goes without treatment (self-limiting). Symptoms in many children may improve when they grow up. There is no unique cure for eczema, just management of your symptoms will occur.
Management may include a combination of lifestyle modification as well as medications.
Here are some self-care tips that can help you keep your skin healthy and decrease symptoms:
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- Take warm baths and avoid high hot showers or bathwater.
- Use moisturizer or creams that contain ceramides daily after bathing to keep your skin smooth.
- Wear cotton and soft fabrics.
- You can use a humidifier in cold weather to prevent the dryness of your skin.
- Use a cold compress with natural remedies, such as an apple cider vinegar bath, aloe vera, and coconut oil.
- Use a mild soap with low pH or a non-soap cleanser when washing.
- Take your precautions to prevent a flare-up of eczema in winter.
- Air drying (or kindly drying) your skin with a towel is better than rubbing your body after bathing.
- Avoid sweating where possible and keep away from rapid temperature changes.
- Ask about eczema triggers to avoid them.
- Cutting your fingernails, pinching, and patting your skin is better than scratching or breaking your skin.
- Don’t sit on the grass, plastic chairs, or rough carpet with bare legs.
- Acupuncture may help you relieve the itching pain.
Your doctor may prescribe some medical treatment to control your symptoms. Medical treatment includes:
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- You can apply topical corticosteroids to your skin to relieve eczema because steroids are anti-inflammatory medications that can reduce itching, swelling, and redness. Your doctor may need to prescribe aggressive medications to some people.
- If topical creams are not enough, you may need oral medications like systemic steroids and immunosuppressants. The use of these medications is only for short periods till symptoms disappear.
- Antibiotics treat skin infections.
- Antihistaminics treat scratching at night, so they act as drowsiness.
- Usage of topical calcineurin inhibitors inhibits the activities of the immune system, so it decreases inflammation and eczema flares.
- Your doctor might prescribe barrier repair moisturizers to reduce water loss and help skin repair.
- Phototherapy may be beneficial to treat moderate dermatitis by exposure to ultraviolet A or ultraviolet B waves. Your doctor will monitor your skin through this time.
- Your doctor may limit your immune response by injecting biological drugs which block proteins in your immune system.
This illness may be recurrent, so follow-up is necessary after your skin has healed.
Finally, live healthily and keep your skin soft and smooth.