Healthy skin habits begin in childhood.
©iStockphoto.com/stevenrwilsonYour skin is like a lifelong outfit — it shields your body, helps control temperature, and complements everything. However, just as some outfits don’t turn out as expected, skin conditions like eczema can disrupt its natural balance.
Eczema, a chronic condition marked by itchy, dry, and inflamed skin, has no known cure. Scratching only worsens the irritation, leading to redness, flaking, and sometimes even oozing.
Remember the relentless itch of childhood chicken pox or the misery of poison ivy? Parents often resort to creative, MacGyver-esque tactics to stop kids from scratching, like oatmeal baths, oven mitts, or ice soaks. Unlike chicken pox, which fades over time, eczema’s itchiness can flare up repeatedly for both kids and adults. To avoid the need for calamine lotion-covered appearances at work or school, maintaining clean, well-moisturized skin is essential.
Keeping eczema-prone skin hydrated is crucial for maintaining its appearance and comfort. Scratching exacerbates the condition, so ensuring your skin remains soft and smooth is vital for managing flare-ups effectively.
Your skin is irreplaceable, no matter its condition, so it’s your responsibility to care for it. Discover the essentials of moisturizing eczema on the following page.
10: Hit the Showers (or Baths)
It’s no surprise that a list about moisturizing eczema would highlight water’s role. When skin feels itchy, dry, or cracked, a shower or bath can provide immediate relief. Water not only hydrates but also washes away irritants that may trigger eczema. Additionally, since stress can worsen symptoms, a soothing bath offers a double benefit [source: National Eczema Association].
However, moderation is key with water exposure. Prolonged baths or showers beyond 10 minutes can strip your skin of moisture, leaving it drier than before. If you have eczema and struggle to finish your routine within five to 10 minutes, consider simplifying your cleaning process to protect your skin.
If you enjoy scalding hot showers or baths to relax, it’s time to rethink your approach. Extremely hot water depletes your skin’s natural oils, so opt for lukewarm water instead [source: American Academy of Dermatology]. Your skin shouldn’t turn red from showering.
With proper bathing techniques for eczema covered, the next step is understanding post-shower care. On the following page, discover why timing is critical the moment you step out of the bath.
9: Getting Amped for Damp
Moisturizing eczema is a battle against dryness. Even after a brief, lukewarm shower, the fight to seal in hydration continues.
After showering, timing is critical for eczema care. Applying moisturizer within three minutes of drying off helps lock in hydration and prevent skin from cracking [source: EczemaNet]. Damp skin is ideal for absorbing ointments and creams, which we’ll explore further on the next page.
While keeping skin hydrated is essential, you don’t need to air-dry completely after bathing. Instead, pat your skin gently with a towel and immediately apply moisturizers to preserve natural oils.
Using the correct moisturizers is just as important as following eczema care routines. Not all products are the same, so understanding the differences between ointments, creams, and lotions is key.
Eczema is a broad term covering various skin conditions. The most prevalent form is atopic dermatitis, a highly itchy type often seen in infants and children. Other forms include contact dermatitis, neurodermatitis, and seborrheic dermatitis.
8: Lotions, Creams and Ointments
Step into any pharmacy or beauty store, and you’ll find shelves packed with lotions, creams, and ointments. While they may appear similar, their effectiveness for eczema varies significantly. The goal is to choose a product rich in oils to lock in moisture and combat severe dryness.
- Lotions are the lightest option for eczema care. They contain some oil but are primarily water-based, which evaporates quickly, making them less effective for severely dry or itchy skin. Lotions work best for mild eczema or in humid environments [source: National Eczema Association, EczemaNet].
- Creams offer a balance of water and oil, making them more effective than lotions. They form a protective barrier to shield moisturized skin, though some creams contain additives that may irritate sensitive skin [source: National Eczema Association, EczemaNet].
- The most effective option for eczema is ointment, which is 80% oil and 20% water. Ointments create a thick, moisture-trapping layer but can feel greasy. Avoid using them on areas prone to sweating [source: EczemaNet].
On the next page, discover why eczema sufferers should treat their skin as if it’s labeled "handle with care."
Doctors may also recommend medicated liquids, pastes, powders, or shake lotions to treat eczema [source: EczemaNet].
7: Be Gentle When Moisturizing
Eczema is a highly sensitive condition — aggressive scratching of dry, itchy skin can exacerbate symptoms and even cause rashes. Gentle moisturizing is crucial for managing eczema effectively. Imagine this: treating your skin with care will eventually result in skin that feels smooth and soft.
Dyes, fragrances, detergents, alcohol, and other chemicals can irritate the skin and trigger eczema outbreaks. Beyond checking moisturizers for these ingredients, it’s essential to scrutinize soaps and cleansers for the same additives. Opt for products containing moisturizing agents like glycerin, mineral oil, linoleic acid, and petrolatum [source: EczemaNet].
Choose mild products designed for dry skin — brands like Dove, Vaseline, Eucerin, and Cetaphil are excellent for providing gentle care. Simple options like Vaseline petroleum jelly and Aquaphor create a thick, protective layer to shield the skin.
As previously mentioned, avoid vigorous rubbing when drying off after a shower; instead, pat your skin gently to preserve its natural oils. Steer clear of abrasive materials like loofahs or scrubbing puffs, and avoid rough fabrics such as wool and polyester, which can irritate eczema-prone skin [source: National Eczema Association, EczemaNet].
While a gentle touch is essential during moisturizing, there’s more to eczema care — discover additional tips on the next page.
6: Apply Yourself
Eczema requires extra attention to your moisturizing routine.
©iStockphoto.com/kati1313Proper application is crucial for moisturizing eczema effectively. Simply dabbing lotion on your legs or layering your hands with ointment won’t suffice to manage the condition.
As previously noted, the goal is to lock in moisture post-bath. Apply the product gently, smoothing it downward onto the skin. Take your time to ensure the cream or ointment absorbs fully, which may take a few minutes. For better application, warm the product between your hands to soften it. Always use topical medications before moisturizers [source: National Eczema Association].
Reapplying moisturizer throughout the day is often necessary, depending on the product. Apply cream immediately after bathing or washing with soap and water. If your skin feels dry or itchy, even without water exposure, gently massage moisturizer into the affected areas.
In low-humidity environments, your skin may need extra protection. Residents of arid regions, like the Southwest, often require richer, less water-based moisturizers compared to those in humid areas. Similarly, harsh winter conditions may call for heavier moisturizing products.
If the itchiness of dry skin becomes overwhelming, consider using a wet dressing for relief.
5: Moisturizer with Extra Dressing
Wet dressings might sound like a messy salad topping, but they’re a practical solution for eczema. They help hydrate stubborn, dry patches that resist other treatments.
Wet dressings, also referred to as wet wraps or wet bandages, are particularly beneficial for children who struggle to resist scratching. They not only prevent direct contact with irritated skin but also soothe hot, itchy areas.
Post-bath, apply prescribed topical medications and moisturizers as usual. Soak bandages, gauze, or paper towels in lukewarm water and wrap the affected areas. Cover the wet layer with dry bandages and allow the skin to absorb the moisture. Remove the wet dressing once it dries, as leaving dry bandages on may cause irritation [source: The Royal Children's Hospital Melbourne, National Eczema Association].
If bandages or gauze aren’t available, wet clothing can serve as an alternative. Follow the same process, layering wet clothing, such as pajamas, with dry garments. For example, wear wet socks under dry ones.
Beyond creams and wet wraps, there’s another effective method to moisturize eczema — discover more on the next page.
4: Humidifier Hope
Caring for dry skin requires more than just affection — it needs the right environment. As we’ve seen, humidity plays a key role in keeping skin soft. This is where a humidifier becomes invaluable.
Humidifiers release water into the air, helping to hydrate dry, cracked skin. These devices use various methods, from steam to evaporative technology, to distribute moisture throughout your home. Their portability makes them ideal for children with eczema who need consistent hydration.
However, improper cleaning of humidifiers can lead to issues. Moist environments can foster mold and bacteria, which you don’t want spreading in your home. Follow the manufacturer’s instructions for regular cleaning. Additionally, steam humidifiers (or vaporizers) can pose a burn risk, so exercise caution if you have children [source: Brain and Nice].
3: Moonlit Moisturizing
Bedtime is for teddy bears — and a generous layer of moisturizing cream.
©iStockphoto.com/matka_WariatkaApplying thick ointments in the morning can lead to messy situations, whether you’re brushing your teeth, getting dressed, or opening doors. Without care, your moisturizer might end up on your clothes, furniture, or even the fridge handle before you leave the house.
For this reason, many doctors suggest nighttime as the ideal time for moisturizing. Bathing and applying creams before bed reduces the risk of skin drying out. Your body can fully absorb the moisturizer, creating a protective barrier. For particularly dry areas like hands or feet, apply treatments, moisturize, and cover them with cotton gloves or socks before sleeping, avoiding the need to wear these during the day.
Wet dressings at night are particularly effective, as they soothe itchy skin and improve sleep quality. When applied correctly, they not only reduce itching but also soften and hydrate eczema-prone skin.
Using blankets and pajamas made from natural, breathable fabrics like cotton can help both children and adults with eczema sleep more comfortably.
2: Nonsteroidal Prescription Treatments
Severe eczema flare-ups often require prescription-strength treatments, especially when itching becomes intolerable. Nonsteroidal prescription creams and lotions can be combined with over-the-counter moisturizers to lock in hydration. Apply these treatments after bathing but before moisturizing, and they can also be used as part of a wet dressing routine.
Many prescription creams target the itching associated with eczema, a critical aspect of treatment since scratching worsens the condition. While most brands are suitable for all ages, consult your doctor, especially for young patients. Products like Atopiclair and Mimyx are nonsteroidal creams designed to treat and hydrate eczema [source: U.S. News and World Report]. Topical calcineurin inhibitors, such as Elidel and Protopic, offer steroid-free inflammation relief [source: Discovery Home and Health].
For eczema patients or parents who prefer to avoid steroid-based treatments, these nonsteroidal creams and lotions are a viable alternative. Your doctor will recommend the best option based on the patient’s symptoms and needs.
Certain forms of eczema, like atopic dermatitis, are more common in infants and children. If you or your spouse had eczema, asthma, hay fever, or food allergies as a child, your child may be at higher risk [source: Discovery Home and Health].
1: Infection Intervention
If you’ve tried all the recommended steps, such as nighttime moisturizing and brief baths, but your eczema remains severe, it’s time to consult your dermatologist again.
Dermatologists tailor eczema treatments to individual cases, often starting with gentle options like over-the-counter moisturizers and progressing to stronger therapies if needed. Keep in mind that eczema can be managed but not cured.
As previously noted, doctors might suggest nonsteroidal treatments like Elidel or Atopiclair alongside regular moisturizing. For more severe inflammation and itching, they may prescribe potent topical corticosteroids, which are also available orally for extreme cases.
If eczema appears unusually red, swollen, or develops pus or thick crusts, it may be infected. Infections are common with eczema, so consult your dermatologist before continuing your usual moisturizing routine. Mild infections may need antibiotic-moisturizer combo creams, while severe cases could require oral antibiotics and topical treatments. If infection is suspected, stop using wet dressings, as they may aggravate the issue [source: Infection and Eczema].
Understanding eczema and how your skin reacts to various moisturizers can empower you to effectively manage dryness and itching.
