How to curb itching caused by eczema?

Doctor's Answers 2

Itch is an important part of eczema as we know scratching damages the skin, resulting in more gaps and allowing for bacteria to enter, leading to infections.

There are a few ways to help with itch symptoms:

1. Moisturize frequently and liberally

2. Wipe off sweat and then reapply moisturizers if possible

3. Cold short baths

4. Wet wraps - Apply moisturizers, and then wearing a first layer of tubifast / clothes (soaked in warm water and wringed dry) and a second layer of dry tubifast / clothes.

The wet first layer helps the moisturizer to penetrate better and the dry second layer keeps you from feeling too cold. Wet wraps are highly effective for management of eczema and itch.

The only downside of wet wraps is that they can be troublesome. I would advise applying wet wraps over a small area, for at least 30 mins daily for 2 weeks at the start to get used to the idea.

I often advise my patients to put on the wraps and distract themselves with another activity such as watching television, playing games, reading books or having a meal. This allows you to get used to the idea of regular wet wraps.

5. Oral antihistamines - It is generally safe to take and provides itch relieve, especially at night, allowing for a better night’s rest.

6. Use of topicals with anti-itch ingredients

To learn more about eczema, do come down to National Skin Centre's public forum on Eczema on 27 October 2018 to find out more!

Dr Lucinda Tan, Consultant at National Skin Centre

To control an itch, sometimes a bit of self-positive reinforcement in knowing that the more you scratch the worse it becomes is helpful. I always advise not to start scratching because once you start scratching it becomes itchier and the whole itch-scratch cycle beings, so try not to initiate it.

I do recommend a method called cold compress to the area, or alternatively, those cooling moisturizers with that menthol feel may also help to relieve the itch, so these are some of the measures you can do. Of course, you can take antihistamines and apply some topical inflammatory medications to help.

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It does sound like your daughter is still having eczema. In atopice eczema, the skin is often dry and sensitive and itchy. The constant scratching certainly does not help as it leads to breaks in the skin and worsens the eczema. Eczema can also affect other areas and is not always confined to the flexures. In eczema, besides dryness, the skin is also often red and inflamed. Dr Ethan’s advice not to scratch and to moisturize frequently is excellent. However, if the skin is red and inflamed, treatment to bring down the inflammation such as topical steroids or antibiotics may be needed.

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