How is severe eczema treated?

Hello,

Welcome to icliniq.com.

Thank you for your query.

I have gone through the details provided from your end and I do understand your concern. Firstly, I would request you to kindly provide a clear image of the affected areas so that I can understand the degree of the condition and provide the best treatment possible for reducing the symptoms. Secondly, concerning the concerns that you have mentioned, I would like to explain the causes, treatment modalities, and risk factors of eczema. Eczema is an inflammatory condition that may be present since childhood or may occur during adulthood for the first time. They usually appear as thick dry flaky areas and may affect any part of the body including the scalp, legs, hands, face, and so on. Eczema appears as a reaction to different external as well as internal stimuli. External stimuli usually include sun exposure, exposure to extreme climate changes, possible allergies to fabrics, paints, location changes, insect bites, smoking, drinking, direct contact with strong chemicals like detergents, dish wash soaps, and extremely drying hand washers and soaps, and also due to consuming hot and spicy food. The internal stimuli include stress, fever, minor or major surgeries, genetic susceptibility, and temperature changes within the body which appear anytime during the day or following a shower. Because eczema is a reaction to external or internal stimuli, it may appear whenever there is an exposure to any of these. Unfortunately due to the same, there is no permanent cure for this, and may be managed with appropriate medications to reduce the symptoms and preventive methods which reduces the chances of the appearance of eczema.

Home remedies:

1. Finding out the possible allergen is the first step to reduce exposure to the allergen in case there are external stimuli.

2. Oil massage using coconut oil can be done once a week before bathing which can then be kept for at least 30 minutes before washing off during bathing.

3. Consuming seafood which includes fish, nuts, berries, and spinach can help him keep his skin more moisturized and reduce the chances of eczema.

4. Using the opposite temperature in the form of warm compresses or cold compresses based on the temperature that is causing you to have eczema rashes will help.

5. Keeping skin extremely moisturized is very important.

6. Lukewarm salt water fomentation or application on the affected area or soaking on the affected area can help for 10 minutes daily to reduce and prevent chances of secondary bacterial infections in the affected area.

7. Avoid scratching to prevent secondary bacterial infections and for faster healing.

8. Using soft fabrics and clothing daily and using soft footwear would help.

9. Daily 15 minutes of sun exposure from 7 am to 8 am helps with the synthesis of vitamin D which is good for skin.

Medications:

1. Mild to strong steroid ointments in the form of Clobetasol or Hydrocortisone combined with an antibiotic cream like Fusidic acid or Mupirocin ointment can help.

2. Oilatum soap may be used for bathing. Oilatum (liquid paraffin and soft white paraffin) emollient 3 caps full mixed with 1 liter of water as a last step to be used following bathing.

3. Antihistamine tablets like Levocetirizine, Montelukast, or Cetirizine may help reduce symptoms.

4. Cetirizine 10 mg (antihistamine) may be consumed 2 hours before bedtime at night for 2 weeks.

5. Take tablet Evion 400 mg (vitamin E) after dinner may be consumed for 3 months.

6. Take vitamin D 3 capsule 60k IU may be consumed once every week for 6 to 8 weeks after dinner.

hope this helps. Thank you.