How long does it take for baby eczema to heal?

Nowadays, many people are very concerned about some changes in their bodies, especially the changes in their babies. Children will experience eczema several times when they are young. The repeated occurrence of eczema may cause many painful experiences. Therefore, many young mothers will be particularly anxious to take these protective measures when they see small red spots on their children.

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Treatment of neonatal eczema

A. Treatment measures:

Many mothers have experienced their babies having eczema, especially new mothers. When they see their babies covered with red spots, they become anxious and at a loss as to what to do. So what should we do about neonatal eczema? Treatment measures include the following:

1. Diet management comes first. Avoid feeding too much food to maintain normal digestion. If you suspect you are allergic to milk, you can boil it for a longer time to denature the protein, which can reduce allergens, or you can choose a low-allergy formula milk. If the condition is more serious, special formula milk should be used instead of milk. If egg white allergy is suspected, give egg yolk alone, or start with a small amount of egg white and gradually increase the amount. Breastfeeding mothers can stop eating eggs.

2. Antihistamine drugs such as chlorpheniramine, phenergan, diphenhydramine, promethazine, etc. taken orally alone or in rotation have good antipruritic and anti-allergic effects, and have varying degrees of sedative effects. Non-sedating antihistamines, such as astemizole (tablets or oral solution) and terfenadine. Antihistamines with sedative effects are preferred over the latter.

3. Whether taken orally or injected intravenously, corticosteroids can quickly control symptoms and have obvious anti-inflammatory and antipruritic effects. However, they are prone to relapse after discontinuation of the drug and cannot be cured. Long-term use can cause dependence and various adverse reactions, so they should be used with caution as appropriate. For patients with generalized acute eczema who do not respond well to other treatments, oral prednisone can be taken for a short period of time and the dosage can be gradually reduced as the condition improves.

4. Antibiotics are only used for children with secondary local or lymph node infections, increased white blood cell count and increased body temperature. Generally, intramuscular injection of penicillin or oral administration of erythromycin or co-trimoxazole is used.

5. Currently the most commonly used external Chinese herbal cream is used 2-3 times a day for complete treatment.

B. Cold and wet compress:

(1) Commonly used 1:10000 potassium permanganate solution for wet compresses (be careful to make sure the potassium permanganate is completely dissolved, as undissolved potassium permanganate will burn the baby's skin). This not only cleans the wound surface, but also has a bactericidal, astringent and oxidative effect.

(2) Use 4-6 layers of gauze, making sure it does not drip water. Apply the wet gauze to the wound surface. The time and frequency of replacement should be determined based on the amount of exudate from the eczema. When the exudate absorbed by the gauze reaches half saturation, replace the gauze. Two to three times daily. When there is a lot of exudate, the dressing should be changed more frequently during wet compresses to avoid leaving the dressing soaked with exudate on the wound for a long time, which will irritate the surrounding normal skin and cause the wound to expand.

(3) For large-area eczema, proper attention should be paid to the nature, concentration and size of the compress area of ​​the drug.

(4) If the redness and swelling of the wound gradually subside, the exudate decreases, and the wound is dry, stop applying wet compresses and use paste instead.

(5) Please note when applying cold wet compress: the wet compress area should not exceed 1/3 of the body area to avoid excessive evaporation from the body surface causing dehydration in the baby.