music Hello, I’m Dr. Neal Schultz pause and wee to DermTV. Hello, I am Dr. Neal Schultz, and wee to DermTV. The real eczema is called atopic dermatitis and we discussed that in another episode. Today, I am going to give you some at home tips on how to control and manage your atopic dermatitis. The most important symptom that people with this type of eczema have is incessant itching it drives them crazy. When you examine them, you can see scratch marks, especially in the front of the elbow and behind the knee. And the peculiar thing is while the scratching helps to relieve the itching, it makes it worse, because the more you scratch, the more you further irritate the skin, and the more irritated it gets the more it itches. So, you are essentially in an itchscratch loop, and you have got to break that loop. The best way to do it, unfortunately, is not with the oral antihistamines they really do not work very well. And if you use heat to stop the itching, while it feels wonderful for a few minutes, it causes a rebound increase in itching afterwards, so do not use hot water in a shower to stop your itching. The best way to do it is with either cold water or with menthol. With cold water or even better ice cubes, just gently run over the area it stops the itching immediately without doing any damage. Menthol and mentholated moisturizers like Sarna lotion, SAR NA, are very good because the menthol causes a cooling sensation and it fools your brain. It fools your brain into etting about the itching and all you feel is cooling, and the cooling is much less noxious. One other tip for stopping the itching is just pressure. Rather than scratching, just squeeze the area, but very tightly and firmly, and that can also stop the itching. The next issue that you have to deal with is infection because all of that scratching caused little breaks in the skin and those little breaks create little valleys where bacteria can hide, and also all the inflamed skin is all flaky and scaly and bacteria just love to use that for nutrients and to live there. Whether those bacteria are causing an actual infection, whether they are just living there and making their metabolic byproducts which themselves are irritating to your atopic skin and further causing more itching, you have to stop the bacteria. And that is easily done with overthecounter antibiotic ointments like bacitracin or Polysporin. We try not to use antibiotics topically that contain neomycin only because the neomycin sometimes causes further sensitization and itching. The next step is to deal with the actual inflammation of the rash and that is best done with just overthecounter cortisones, 0.5 or 1 percent hydrocortisone, better in an ointment vehicle than in a cream because the skin is so dry. And that brings us to the last part which is the dryness, the flakiness and scaliness. Two ways to approach that either with occlusive moisturizers like Vaseline, petrolatum, or Aquaphor or else by replacing the lost surface lipids. Lipids are fats, and in this very inflamed skin, the fats that hold these normal cells together is missing.
So, we try to use moisturizers that contain ceramides, and ceramides are lipids that need to be restored to the surface of the skin. An example of an overthecounter product containing ceramides is Atopalm, ATOPALM, available in pharmacies without a prescription. If all of these measures do not succeed in giving you some relief from your itching and from the eczema, then of course your are going to see your dermatologist who will either give you prescription strength cortisone, oral antibiotics or topical immunomodulators like Elidel or Protopic, all of which at prescription strength will surely bring your eczema under control. Please join me again at DermTv. If you have a question, please send it to me by visiting DermTvquestion. I am Dr. Neal Schultz, and thank you for watching today.
How to Treat Facial Eczema DermTV Epi 479
Eczema is ufortable and unsightly. But here’s the good news if moisturizers and cortisone creams aren’t giving you relief, help may be shockingly simple. Hello, I’m Dr. Neal Schultz pause And wee to DermTV.
The name Eczema just sounds ufortable And it is. It’s not exactly an onomatopoeia, but it’s cacaphony tells you it’s not something you want. Eczema’s most immediate impact is difort, whether it’s itching or burning or both, and even worse for many people, are the unsightly patches of redness, flaking and even crusting which, when on the face, just don’t cover well with makeup.
Eczema is often persistent, but when it does go away, just to make matters a little worse, it tends to be recurrent ande back for no apparent reason. While eczema can be anywhere on the body, it’s the visual impact of the patches of facial eczema that’s usually the deal breaker.
Your first reaction is usually to use a moisturizer because of the flakes, because most people think of flaky skin as being caused by dryness. But flaky skin is actually the result of many other skin problems such as inflammation or infection, which together or individually, cause the flaking in eczema.
And since moisturizers don’t help either of those problems, they don’t help your eczema. Then it’s onto cortisone creams, readily available over the counter, as well as stronger ones by prescription. If the cause of the flaking, redness and difort is inflammation, then the antiinflammatory powers of the cortisone cream will provide meaningful relief for your eczema.
But so often cortisone creams don’t work because hidden in the redness and flaking and crusting is an invisible and mischievous infection. That infection is usually caused by familiar germs like staph or strep bacteria. But here’s the twist. Through a positive feedback mechanism, the bacteria make the eczema worse, so unless you treat the infection with an antibiotic, the eczema won’t get better.
So to finally control your eczema, in addition to the cortisone cream, a topical antibiotic ointment applied to the eczema at least four times per day is essential and often works magic. My favorites are Bacitracin and Polysporin ointment, both of which are available without prescriptions.
Your take away for treating persistent eczema anywhere on the body should be to use topical antibiotics in addition to cortisone creams and that moisturizers usually aren’t helpful. And now a bonus for the medically curious viewers! The flakes and crusts of the eczema are wonderful nutrients helping the bacteria grow and multiply.
The byproducts from bacterial growth are intrinsically irritating, so they make the eczema worse. This then causes more flaking and crusting. Which then feeds the bacteria more increasing their growth even more and amplifying the positive feedback cycle which can only be broken by an antibiotic.
Eczema Treatment How To Get Rid Of Eczema Naturally
A lot of patience asked me, well, what’s a natural treatment for my eczema Comes up all the time. Eczema is prettymon and a lot of patience and a lot of doctors like to use natural treatments. So I’m gonna make it very simple for you. I don’t want you to go crazy with all these natural treatment and supplement you might see. If you have eczema and you wanna treated naturally, here’s one thing that I want you to do.
I want you to use olive oil. Olive oil is actually a great way to protect your skin if you apply it to the outside of your skin, and it’s also has antiinflammatory properties. So one of the problems of the eczema is that the barrier of the skin is disrupted, and the oil that’s here can actually put that barrier back on your skin and protect it.
Eczema Treatment. How To Get Rid of Eczema
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Eczema Symptoms Eczema Treatment Natural Remedies Medicine Works Really Well!
Let’s talk about how to resolve eczema. To effectively treat eczema, which is an inflammatory skin issue, we first want to understand the cause of the skin inflammation and eruption. Once we understand the cause and take steps to eliminate the triggers and heal the skin, the cycle of skin eruptions will end. Food allergies and intolerances tend to be amon cause of eczema. It is easy to identify food allergies and intolerances with an Elisa blood test or by following an elimination reintroduction diet protocol. We also want to explore adrenal gland insufficiency as a trigger of eczema flareups. The adrenal glands make cortisol, which is an antiinflammatory hormone. When we have been chronically stressed, either physically or emotionally, our cortisol levels tend to be suppressed. Suppressed cortisol levels leave us susceptible to many types of inflammatory conditions, including inflammatory skin issues like eczema. During a flareup of eczema, we can promote skin healing when we address the cause of the skin inflammation associated with the flare up. Since food intolerances are often a cause of eczema, we’ll start by removing triggering foods from the diet.