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6 first-line treatments for atopic dermatitis in infants

Eczema or atopic dermatitis is a skin condition that causes pain, itching, irritation, and inflammation. It can affect people of all ages, even infants. The first-line treatment for atopic dermatitis (eczema) in infants typically involves a combination of basic skincare and topical ointments. It’s essential to consult with a pediatrician or dermatologist for a personalized treatment plan before applying or considering any of the following options.

Emollients (Moisturizers)
One of the main problems of developing eczema is dry skin. So, keeping the skin well-hydrated is crucial. Dermatologists suggest applying a fragrance-free, hypoallergenic moisturizer or emollient to the affected areas at least twice daily and more often if needed. One should choose products that are specifically formulated for sensitive skin, as infants have soft skin that can easily develop a rash.

Take care while bathing the infant
Identify and avoid potential triggers, such as harsh soaps, that can exacerbate the condition. Dermatologists advise using lukewarm water for baths and suggest limiting the duration to 5-10 minutes maximum. Hot water is not advisable as it can dry out the child’s skin. Experts suggest using a mild, fragrance-free, hypoallergenic soap or cleanser for regular bathing. Also, later on, it’s important to gently pat the skin dry and not rub to prevent skin irritation.

Use topical creams or lotions
In some cases, especially if the eczema is moderate to severe, an ointment prescribed by a dermatologist can help better manage inflammation and prevent flare-ups. These should be used as directed and for the shortest duration possible to control symptoms. It’s essential to follow the doctor’s directions and advice regarding the strength and frequency of application. Infants have sensitive skin, so be careful with any topical applications and its prolonged use.

Cotton Clothing
Dress the infant in loose-fitting, breathable cotton clothing to allow the skin to breathe. Cotton is an extremely comfortable fabric to use, easy to wash, and even sterilize to prevent the spread of any eczema symptoms due to blisters and pus discharge caused by friction. In some cases, allergy testing may be advised to identify specific fabric triggers that can be avoided. Cotton is a relatively safe option for infants and very young toddlers.

Maintain a cool temperature
Overheating can worsen eczema, be it for adults or infants. This is because the underlying inflammation triggers a warm and tingling sensation that gets worse in a hot environment indoors. It’s advisable to keep the baby’s room at a comfortable temperature and avoid excessive bundling that can cause internal heat to build up this raising the baby’s core temperature.

Keep nails short
Infants in distress due to the skin irritation and pain can accidentally scratch the eczema affected area. Keeping the infant’s nails short can prevent them from scratching and potentially causing skin damage or infection.

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