What should I do if my baby's eczema recurs during physical examination

Repeated episodes of eczema during a baby's physical examination can be treated through moisturizing care, avoiding irritation, adjusting diet, topical medication, oral medication, and other methods. Eczema is usually caused by impaired skin barrier function, allergen irritation, genetic factors, abnormal immune function, dry environment, and other reasons.

1. Moisturizing care

The skin barrier function of children with eczema is weak, and they need to apply moisturizing cream without essence many times a day, such as Vaseline infant repair crystal jelly or Staffa moisturizing cream. Within 3 minutes after bathing, it is the golden period for moisturizing. It is recommended to use mild soap free shower gel and keep the water temperature below 37 ℃. Parents should observe whether their baby's skin is dry and flaky, and promptly apply moisturizing products.

2. Avoid irritation

Contact with synthetic clothing, sweat residue, dust mites, etc. can all trigger eczema. Parents should choose pure cotton clothes for their babies, use baby specific detergents, and change bed sheets 2-3 times a week. It is recommended to maintain indoor humidity at 50% -60% and avoid using items such as carpets that are prone to dust accumulation. Trim baby's nails to prevent scratching, and wear cotton gloves at night.

3. Adjusting diet

Foods such as milk, eggs, and seafood may worsen eczema symptoms. breastfeeding mothers should avoid common allergenic foods, and try adding complementary foods one by one and record reactions. Babies diagnosed with food allergies should use deeply hydrolyzed formula milk powder under the guidance of a doctor. Moderate supplementation of vitamin D and probiotics can help improve allergic constitution.

4. Topical medication

For moderate to severe eczema, follow the doctor's advice to use weak acting corticosteroid ointments such as dexamethasone cream or hydrocortisone cream, and apply 1-2 times a day thinly during the acute phase. Non hormonal ointments such as tacrolimus ointment are suitable for sensitive areas such as the face. When co infected, topical antibiotics such as mupirocin ointment can be used in combination. Parents should strictly follow the course of medication to avoid sudden discontinuation.

5. Oral medication

For stubborn eczema, short-term use of antihistamines such as loratadine syrup can alleviate itching. When secondary bacterial infection occurs, antibiotics such as cefaclor dry suspension should be used. Immune modulators such as spleen peptide oral freeze-dried powder are suitable for children with atopic constitution. All oral medications must be used under the guidance of a pediatrician, and parents are not allowed to adjust the dosage on their own. Children with eczema should wear loose and breathable pure cotton clothing in daily life to avoid excessive wrapping and sweating. Take a shower for 5-10 minutes and apply moisturizer immediately after bathing. Keep the living environment clean and ventilated, and regularly clean the air conditioning filter. Recording changes in diet and symptoms can help identify allergens. If there are signs of infection such as exudation, scabbing, or fever on the skin, seek medical attention promptly. Eczema management requires long-term persistence, and parents need to patiently cooperate with individualized treatment plans formulated by doctors.