What should I do if my one-month-old baby has eczema? From medication to daily attention, a thorough explanation

The 21st century is a century of hyperallergy. Nowadays, more and more children are suffering from skin, digestive tract, and respiratory allergies, and their incidence is becoming more and more serious. As far as skin allergies are concerned, eczema has the highest incidence rate and causes the greatest distress to parents. Statistics show that out of 100 children who go to the dermatology department, 80 are for eczema. This data is still scary. Some children are born with eczema all over their face. It is cured with great difficulty, but it relapses not long after. And every spring and autumn, if you are not careful, eczema will appear all over your face. Although eczema is difficult to treat, mothers will find that as their babies grow up day by day, especially after the child is 2 years old, the eczema seems to get better naturally. Therefore, many mothers hope that their children will grow up quickly and say goodbye to eczema. Here, I would like to remind everyone not to take eczema lightly. Because eczema will continue to change as the child grows. Eczema means allergies. The improvement of eczema has nothing to do with the improvement of allergies. The improvement of eczema does not mean the improvement of allergies at all. On the contrary, allergies can change over time and in some cases can even become more difficult to treat. Before a child is 2 years old, the main symptoms of allergies include eczema and gastrointestinal allergies. After a child reaches the age of 2, eczema and gastrointestinal allergies decrease, but the risk of rubella, chronic recurrent otitis media, and allergic conjunctivitis increases significantly. More and more children suffer from allergic asthma. When the child is 5-6 years old, It is the peak incidence of allergic asthma. After the age of 10, the incidence of allergic asthma is getting lower and lower, but the chance of allergic rhinitis is getting higher and higher. Of course, some children continue to have allergic asthma into adulthood. Therefore, the specific evolution of allergic diseases is: eczema or gastrointestinal allergies – → rubella, chronic otitis media, conjunctivitis, etc. – → allergic asthma – → allergic rhinitis. Data shows that 80% of children with eczema will develop allergic diseases such as allergic asthma, allergic rhinitis, and allergic conjunctivitis. Babies who had eczema in childhood will have skin problems when they grow up. Some eczema will continue, and some will not have obvious eczema, but their bodies are itchy and dry all the time, and the baby scratches and scratches desperately. This is also caused by eczema. Some babies When you enter puberty, your face is particularly susceptible to acne. Therefore, if the baby frequently develops eczema, the mother must not take it lightly. After your baby\’s eczema is cured, you should also pay attention to whether your child has other allergic symptoms and manifestations. Next, I will focus on analyzing eczema for everyone. What is eczema? We have been talking about eczema for so long. What exactly is eczema? From the perspective of Western medicine: Eczema is a chronic itchy skin disease with a genetic tendency. If you find that your baby\’s skin is red, rashy, rough, and flaky, and touching your baby\’s skin feels like touching sandpaper, your baby is suffering from eczema. It has the following three characteristics: 1. It has a genetic tendency. Most babies with eczema have a history of allergic diseases in their families. Especially if your parents, grandparents, etc. have a history of allergic diseases such as rubella, eczema, allergic rhinitis, allergic asthma, etc.Your baby will be more likely to suffer from eczema. 2. Chronic! Eczema is a skin inflammatory reaction with severe itching caused by a variety of internal and external factors. Eczema usually recurs, which has a specific medical name: atopic dermatitis. 3. Itching! Children with eczema often experience severe itching. Babies can\’t help but scratch or rub vigorously. Violent scratching can cause damage and scabs on the skin. Some babies seem to have no skin problems, but they often complain of dry, itchy skin and constant scratching. This is also atopic skin. Eczema-prone areas Eczema can occur in various parts of the body surface, mostly symmetrically distributed and in various forms. The most common areas are the face, cubital fossa, popliteal fossa, in front of the ankle or around the neck. Usually for babies under 1 year old, especially newborn babies, eczema mainly occurs on the face. In older children, it mainly occurs in skin folds such as the cubital fossa and popliteal fossa. Mild eczema only presents with dry skin, while severe eczema may cause erythema and papules. In severe cases, oozing and scabbing may occur, and some may cause secondary infection. But don’t worry too much. Most children’s eczema will gradually improve and disappear after they are 2 years old. But I also find that more and more children have recurring eczema even as they grow up, which is very painful for the children and their families. What exactly causes eczema? There are three main causes of eczema: genetics, internal factors, and external factors. And these three reasons are distributed in a pyramid shape. It is generally the result of a combination of internal and external factors when there is a hereditary family history. (1) Hereditary family history If family members have a history of allergic diseases, children are more likely to be genetically allergic and more likely to develop eczema. (2) Internal causes of eczema The internal causes of eczema are mainly the following: 1. Susceptible constitution. The body immunity of children with eczema is lower than the average level, but their sensitivity to allergens or allergenic items is higher than the average level, so they are more susceptible to allergies. This is the understanding of Western medicine. But the understanding of traditional Chinese medicine is different. Traditional Chinese medicine believes that eczema is mainly caused by moisture and heat. Nowadays, the diet is too rich, and eating too many high-calorie and high-protein foods can damage the spleen. Deficiency of the spleen generates heat. This heat is discharged upwards, constantly fumigating the lungs, forming lung heat. The food itself contains a lot of moisture, and moisture can also cause lung discomfort. Under the dual pressure of moisture and heat, the lungs must work hard to expel these moisture and heat. At this time, the lungs will work hard to dissipate toxins from the skin. There will be something wrong with the skin. Therefore, when eczema breaks out, a multi-pronged approach should be taken. On the one hand, it is necessary to deal with the eczema that has formed on the skin itself. On the other hand, it is necessary to remove the dampness and heat from the body. 2. The skin barrier is fragile. The skin barrier is composed of sebum film, cuticle keratin, lipids, \”sandwich\” structure, brick wall structure, dermal mucopolysaccharides, mucopolysaccharides, etc. It is like a protective film of the human epidermis that can resist the outside world. It prevents the entry of harmful substances, irritants, sunlight, etc., while also having moisturizing and regulating anti-inflammatory effects. Under normal circumstances, the skin barrier is intact and protects the skin. However, the skin barrier of children with atopic dermatitis (eczema) is fragile, and modern family living habits are more Westernized. Children need to take a bath every day and use shower gel,Soap, etc., which can cause further damage to the skin barrier. Once the skin barrier is destroyed and the integrity of the skin is damaged, skin moisture will be lost and the skin will become dry and flaky. Such skin is more susceptible to irritation from allergens. Under the constant stimulation of allergens, eczema begins to appear on the skin. After the occurrence of eczema, children will scratch involuntarily due to itching. These behaviors will further damage the skin barrier, and a vicious cycle will occur in the body, causing the eczema to become more and more serious. Therefore, if you want to get rid of atopic dermatitis, you must improve this vicious cycle of the skin and repair the skin barrier function. The most effective way to repair the skin barrier function is to moisturize the skin. 3. Immune dysfunction. Under normal circumstances, the human body\’s immune function is to resist harmful bacteria from the outside world, but some people\’s immune system will fight against their own organs or tissues and produce antibodies against these organs or tissues. This is an immune dysfunction. Because many mothers nowadays pay too much attention to the cleanliness and hygiene of the environment. After the baby is born, the home is spotless, and all the items used by the baby have been disinfected many times. This causes the baby\’s body to be unable to recognize normal bacteria in life. , the body will mistakenly think that these are wrong, and allergies will occur. (3) External causes of eczema 1. Weather factors. When the seasons change, the baby\’s skin becomes sensitive, and the incidence of eczema often increases at this time. Especially now that the weather is cooler and the air is dry, the number of babies suffering from eczema will increase significantly. 2. Food protein intake is too high. There are too many high-protein foods in the current diet. If the intake of these high-protein foods is too high, the baby will be more likely to suffer from eczema. 3. Contact with chemicals. Many people mistakenly believe that chemicals are far away from our lives. In fact, in modern life, the probability of contact with chemicals is very high. The dishwashing liquids, washing powders, soaps, cosmetics, etc. commonly used in our lives are all chemicals. If our daily clothes It is made of synthetic fiber, which is also a chemical product. Even the shampoo and shower gel used when washing your hair and bathing are chemical products. These may induce eczema or aggravate the condition of eczema. The harmful ingredients in modern decoration building materials will also increase skin irritation and aggravate eczema. 4. Animal skins and plants. Children with eczema should try not to come into direct contact with animal fur. Many families like to raise rabbits, and some babies will hug rabbits and kiss them. Once kissed, they are particularly prone to tinea capitis. So try not to keep pets at home. Don’t wear clothes made of animal fur, even woolen sweaters. The children themselves should not wear fur clothes, and parents holding children should try not to wear woolen sweaters and fluffy clothes. Such contact may aggravate the condition. 5. Infection. If parents have a cold, etc., it may also induce eczema in the baby. 6. Sunlight exposure. Eczema will worsen if your baby is exposed to direct sunlight. What are the common allergens in life? Common allergens in life mainly include dust mites, pollen, food, pet fur dander, mold and drugs. Among them, dust mites are the most common allergen and are almost everywhere in our lives. Many respiratory allergic diseases, such as allergic rhinitis and asthma, are related to dust mites.closely related. Therefore, children who often have allergies are best to undergo allergen testing. If they are allergic to dust mites, they can be prevented and treated accordingly. First of all, you can prepare a professional mite remover at home to effectively reduce the harm caused by dust mites. There is also an anti-allergy drop that extracts an allergenic protein from dust mites. This medicine is similar to fighting poison with poison. Children are exposed to it in small amounts and multiple times every day, so that the body can produce antibodies and become desensitized. Treatment of eczema The treatment of eczema requires a combination of internal and external conditions. Internal conditioning is mainly to nourish the spleen and lungs to help the baby strengthen his body. External treatment is mainly based on targeted grading according to the severity of eczema, and comprehensive treatment at the same time. The main purpose of comprehensive treatment is to properly control eczema. The main steps are: 1. The first step is also the most critical: to do a good job in basic skin care, through skin cleansing and moisturizing, to help the skin restore its functions and repair the skin barrier. . Modern people\’s lifestyle is more Westernized. Many families are used to bathing their children every day. Parents will feel uncomfortable if they don\’t bathe for a day. This method may seem clean and clean, but it will cause damage to the skin barrier. In particular, some parents choose to use shower gel or bath soap when taking a bath every day, which will aggravate the loss of skin moisture. When eczema is severe, try not to take a shower. Some time ago, a 15-year-old child had eczema all over his body. He was asked not to take a bath for a week and insisted on taking medicine. After a week, the child\’s eczema was almost completely gone. Babies with recurring eczema should try not to bathe every day. Some children are already accustomed to bathing every day. This can be done when the eczema has not recurred and the skin is not seriously infected. But it is important to pay special attention to using warm water for gentle cleansing when bathing. Regarding the water temperature, the key point is that the temperature should not be too high. Generally, you can use your wrist to test whether it is hot. China has a vast land and rich resources, and the climate varies across the country. At the same temperature of 37 degrees, it feels hot in Guangzhou and cold in the Northeast, so parents need to make their own decisions. The bathing time should be controlled to 5-10 minutes. Shower gel cannot be used every day. In summer, it is generally used 1-2 times a week. In winter, the interval between uses needs to be longer. It is best to use it once every half month or so. Try to choose acidic products for shower gel and bath soap, and try not to use bubble bath. Do not rub your skin vigorously during the bath, otherwise it will aggravate the damage to the skin barrier. 2. Basic moisturizing Basic moisturizing is an issue I have been emphasizing from beginning to end. Moisturizing the skin and repairing the skin barrier can reduce the number of eczema attacks. The key to moisturizing your skin is the use of emollients. The skin is like a wall made of bricks. Under normal circumstances, there is moisture at the joints of the bricks. Once the moisture is lost and the joints of the bricks break, eczema will occur. Therefore, eczema is caused by the lack of moisture on the surface of the skin. The baby\’s skin barrier itself is more fragile than that of adults. In addition, the current air pollution is high, and there are many dirt and allergens in the air. These are always threatening the baby\’s already fragile skin barrier. Nowadays, everyone pays special attention to hygiene when raising babies and bathes them every day. . Bathing will increase the loss of water in the already fragile skin barrier. At this time, the baby\’s skin problems will be aggravated and even more severe.Tricky. To improve your baby\’s skin condition, moisturizing is the top priority. Babies with skin problems should apply moisturizer generously after bathing every day. At other times, when the skin feels dry and itchy, they should also use moisturizer at any time. Moisturizer can repair the skin, replenish moisture to the skin, form a protective film on the surface of the skin, and trap cells that have lost water. Because of Zai Zai’s skin problems, I used many kinds of lotions for him. Foreign, domestic, cheap, expensive, all involved. But after using it, many moisturizers do have a good initial effect, but they only act on the surface and cannot really solve the problem. After using it many times, the effect decreases, and as soon as I stop using it, my skin problems come back! Later, by chance, I opened a can of April Day Chamomile Body Lotion at Huashan Hospital. After using most of the can, I found that Zaizai’s back was obviously not itchy anymore. After using 3 tubes, I found that Zai Zai’s skin condition has obviously changed. Sometimes he doesn’t apply moisturizer for several days after taking a bath, but he is fine. Now he only uses it once or twice a week. This made me understand that April Day Chamomile Body Lotion repairs the skin from deep, not staying on the surface, but truly repairs the brick wall structure and allows the skin barrier to function again, so the skin condition can be truly improved. So I highly recommend everyone to use April Day Chamomile Body Lotion. April Day Chamomile Soothing Body Lotion was developed by Huashan Hospital. Huashan Hospital has been ranked first in dermatology among all hospitals in the country for many years. This product has been used by myself and Zaizai personally. It is indeed very good and highly recommended. What sets it apart from other body lotions is its ability to repair the skin barrier. Many body lotions have no restorative properties. It can only moisturize, not repair. The second time you take a shower, if you don\’t apply anything, your body will feel dry and itchy again. But after using it for four months, even if I shower every day, after the skin barrier is repaired, I won’t feel itchy even if I don’t use it occasionally. When using it, everyone should be bold and don’t be reluctant to part with it. After taking a bath, use a bath towel to gently absorb the water, and then apply a layer of emollient on the surface of the skin when the skin is semi-dry and semi-wet. You can also apply another layer of emollient before going to bed at night. The use of April Day Moisturizing Body Lotion is not limited to after taking a bath. It can be used at any time whenever the skin feels dry and itchy. During an eczema attack, you should always use emollient. Eczema attacks generally require the application of ointments, and the order of use of ointments and emollients must not be reversed. Clean the skin first, apply ointment, and then apply emollient all over the body after the ointment is absorbed. If you feel dry after applying, you can apply again. If the order is reversed and the emollient is used first, the skin will be like a sponge filled with water, forming a protective film, and the ointment will not be easily absorbed by the skin, affecting the therapeutic effect. In areas with severe eczema, apply more layers, thicker, and massage more to allow the skin to absorb it. If it is combined with medication, apply the medication first and then the lotion. Do not reverse the order. Moisturizing is the most important aspect of skin care and is implemented throughout the entire treatment process of eczema. No matter the onset, treatment or remission period, moisturizing is very important. Moisturizing well can reduce recurrence.In order to reduce skin medication and promote skin recovery. 3. Anti-inflammatory treatment. When a baby\’s eczema is severe, it may be complicated by bacterial infection. At this time, some anti-inflammatory drugs need to be used according to the actual situation. There are four levels of eczema: dry skin, mild, moderate, and severe. Eczema initially manifests as dry skin, and the most important thing at this time is to hydrate the skin with an emollient. At the same time, it is necessary to identify and avoid triggering factors and allergens, and avoid scratching. When your baby develops eczema on his face or body, treat it quickly. For milder eczema, Erfukang can be used together with dehumidifying and anti-itching ointment. First wash your face with Erfukang liniment mixed with water. Then apply dehumidifying and anti-itching ointment to the affected area. Apply moisturizer last. These two drugs are commonly used in children with eczema in Shanghai and Beijing Children\’s Hospitals. I myself used them extensively when my son suffered from eczema, and they are very safe. Moderate to severe eczema needs to increase the intensity of hormones, use medium to strong hormonal or non-hormonal drugs, and perform maintenance treatment at the same time. Maintenance treatment means that after the use of general hormonal or non-hormonal drugs takes effect, they should be continued for a period of time and should not be stopped too quickly. Stopping medication too quickly can lead to relapse. Severe eczema requires systemic treatment, such as oral hormones, cyclosporine, etc., and some require UV phototherapy. Generally, children with eczema will not develop into severe eczema, so strong hormones are rarely used. Most eczema can only be controlled with topical medications. Special emphasis is placed on hormones here. If the baby\’s eczema is severe, hormones must be used to control the eczema first. I used to worry about the impact of hormones on the skin, so when Zaizai was over 4 months old and developed eczema on his face, I initially insisted on not taking any medication. As a result, it was delayed and became more and more serious. In the end, it was all over his two faces. He scratched it by himself. If he couldn\’t scratch himself, he would rub it hard. Later, he went to the hospital and was severely criticized by the doctor. He took hormone drugs and quickly Enough. As long as the medication is taken safely under the guidance of a doctor, short-term use will not cause any problems. Regardless of the stage of eczema, you need to use body lotion to maintain the skin\’s barrier function. So moisturizing is very important to carry out the entire treatment and prevention. 4. The following 60-minute massage method for children to clear away heat and clear away rash has been used by many mothers in the group of Mothers’ Private Meeting on their babies, and the effect is particularly good. The specific techniques are: clear the liver meridian 300 times, clear the heart meridian 300 times, clear the lung meridian 300 times, and clear the sky and river water 300 times. This 300 times is the basic number. If the eczema is severe, it is best to increase the number of heat-clearing techniques to 500-800 times. The specific technique for clearing rash is to massage Hegu, Quchi, Zusanli and Sanyinjiao for 2-3 minutes each, and apply Baichong 300-500 times. During the acute attack phase of eczema, this method should be practiced 2-3 times a day. Finally, pay attention to dietary adjustments and eat more fruits and vegetables. For babies with allergies, do not add complementary foods too early. It is best to wait until 6 months before adding them. Before adding complementary foods, try to do an allergen check. When a baby is allergic to a certain food, the food must be suspended for at least half a year before the baby can eat it. It is best for babies whose allergens are found to be reexamined every six months. Parents must pay attention to methods when adding complementary foods to their babies. Add only one kind at a time and watch your babyNo gastrointestinal discomfort, no allergies before adding another. For those foods that are likely to cause allergies, there should be a one-week interval. That is to say, after adding it today, try again after a week. Sometimes a food allergy is related to the total amount ingested, requiring a sensitizing amount for the body to react. Therefore, some parents will find that the baby has no problem eating a certain kind of food for the first few days, but the body does not respond until the third or fourth day of eating. This is because the continuous accumulation reaches the allergenic amount. Therefore, for those foods that are prone to allergies, it is best to wait about a week before eating them, so that the single intake is small and does not reach the allergenic dose. After the body absorbs and excretes it, if you eat the same food every few days, the body will also acceptable. When adding complementary foods to your baby, try to choose fresh vegetables and fruits, as well as nutritious, high-calorie and high-protein foods, and eat less canned foods. Although many canned foods advertise that they have no additives, the nutrition of the food will definitely be lost after such a long period of storage. Chinese people like to start with eggs when adding complementary foods to their babies. Some parents even start feeding eggs to their babies when they are four months old. Eggs are actually very easy to cause allergies, and egg whites are more likely to cause allergies than egg yolks. Therefore, try to let babies eat egg yolks first, and then add egg whites as appropriate if they are not allergic to egg yolks. Children with allergies should avoid eating fishy substances, among which the following are more likely to cause allergies: freshwater fish such as spiny fish (called yellow pepper in some places), eels, etc. Among the sea fish, there are shallow sea fish such as hairtail, yellow croaker, pomfret, etc., as well as various shellfish, shrimp, crab, etc. Deep-sea fish such as cod and salmon are less susceptible to allergies. Therefore, if you need to supplement fish for your baby, try to choose deep-sea fish. Children with allergies should try not to eat too many cold drinks in summer to prevent bacteria from causing intestinal infection. Eating cold food can cause bronchospasm, induce bronchial asthma and rhinitis, and can easily cause intestinal coldness, leading to reduced immunity and rashes. Recurrent.