From Itch to Relief: Optimizing Eczema Management for Kids

Published on
August 6, 2024
Condition Specific
Movement
Nutrition
Sleep
Stress Resilience
From Itch to Relief: Optimizing Eczema Management for Kids
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Eczema, or Atopic Dermatitis (AD), is a common skin condition that makes the skin red, itchy, and dry. It's especially common in children from ages 3 to 12, and it can really affect their day-to-day life. Beyond the constant itchiness, eczema can disrupt sleep, playtime, and even how they feel about themselves.

Dealing with eczema can be tough on both kids and parents. That's why finding effective ways to manage it is so important. This guide will explore various lifestyle changes that might help soothe your child's skin and make them feel better. Each child's eczema is different, so a personalized touch often works best!

Education as a Tool for Empowerment 

Navigating your child’s eczema can be challenging, but you’re not alone. By integrating tailored diet adjustments, stress management techniques, and sleep improvements, you can significantly enhance your child’s quality of life and control over eczema.

Research has actually shown that with the right educational interventions, the quality of life (QOL) scores for children with eczema can improve significantly—demonstrated by a notable increase in QOL scores by 29.01% at week 4 and 78.39% at week 12 in a study in Adelaide, Australia. 

Here are a few steps to get you started: 

1. Consult with your doctor to discuss symptoms, triggers, and treatment options.

2. Explore educational resources like the National Eczema Association for information on eczema management. 

3. Join support groups through online platforms to share experiences and tips 

Now let’s dive into how factors like diet, stress, sleep, and physical activity influence eczema management. 

The Power of Diet in Managing Eczema 

Research says that food hypersensitivity is the first stage in developing ‘allergic diseases’ such as eczema, and common food allergens such as eggs, dairy, and wheat can sometimes trigger or worsen eczema symptoms in children. 

In a recent systematic review of randomized controlled trials, 51% of the children participating in the study found a significant improvement in body surface area with eczema when they excluded eggs and dairy as compared to the participants with eczema who continued to follow a diet with eggs and dairy. 

However, it is important to note that every child with eczema is different, and thus will have different allergens (if applicable). Before making any changes to your child’s diet, consult with your healthcare provider to get an allergy test done. Doing so can help determine specific food triggers that may be causing/worsening your child’s eczema. 

Once these allergens are identified, working with a nutritionist to create an individualized meal plan can be an effective way to manage and prevent eczema flare-ups while ensuring your child receives all the necessary nutrients for healthy growth and development. A study by Rokaitė et al demonstrated that a one-year diet treatment with individualized balanced replacement diets for children with eczema showed a positive effect on the clinical course of their eczema. 

Understanding the Stress-Skin Connection

Stress impacts eczema significantly. When we are stressed, our body releases serotonin, which can aggravate the skin by promoting inflammation. This inflammation can worsen eczema symptoms like redness and itching.

Also, stress can enhance the body’s sensitivity to allergens and irritants, which can make the skin more prone to flare-ups. It’s a challenging cycle, and the discomfort from eczema can lead to more stress, perpetuating the problem. 

However, there is a way to break this cycle of stress and skin flare-ups. By incorporating stress management and mindfulness techniques into daily routines, you can help your child manage their eczema more effectively. Recent studies have shown that mindfulness-based therapies can improve the quality of life and reduce the symptoms of skin conditions like eczema. 

For instance, a study in the British Journal of Dermatology concluded Mindfulness-Based Cognitive Therapy (MBCT) to be an effective intervention in reducing the severity of psoriasis and improving the quality of life in a small group of patients that participated in an 8 week MBCT program for their psoriasis. Fascinating, isn’t it? 

Try these mindfulness techniques with your child: 

1. Guided breathing exercises 

2. Meditation 

3. Family relaxation (read a book or watch a movie together)  

The Critical Role of Sleep in Eczema Management + Best Practices! 

Sleep and eczema have a complex relationship where each can significantly impact the other. Eczema flare-ups can lead to itching and discomfort, making it difficult to fall asleep and stay asleep. This lack of sleep can then worsen the symptoms of eczema, creating a frustrating cycle. 

Studies, like those conducted as part of the Avon Longitudinal Study of Parents and Children, have shown that children with active eczema are more likely to experience poor sleep quality and disturbances at various stages throughout childhood. These sleep issues are not only due to itching but also due to the overall discomfort and stress associated with eczema.

However, studies have also shown that improving sleep hygiene can play a vital role in managing your child’s eczema. Here are some considerations

1. Establish a regular bedtime and wake-up time 

2. Avoid screen time 2 hours before bed

3. Perform a relaxing bedtime routine 

  • Reading a book or taking a warm bath before bed can signal your child’s body to start winding down. 

3. Create a comfortable sleep environment 

  • Keep your child’s bedroom cool, quiet, and as dark as possible. 
  • Invest in hypoallergenic bedding to reduce irritants that might trigger eczema. 

Physical Activity Strategies for Children with Eczema 

It is well known that physical activity is vital for all children to promote healthy growth and development. For children with eczema, regular physical activity (ex. going on walks, playing outdoor games with friends/family) can manage stress and anxiety, which can help control eczema flare-ups. 

How is it possible to exercise when sweat can induce flare-ups? Here are some tips to manage these flare-ups while ensuring that your child can still enjoy the benefits of being active: 

1. Choose the right time and environment, make sure it is not too hot or cold, and look for shaded areas for outdoor play. 

2. Wear fabrics that are loose and breathable, like cotton 

3. Stay Hydrated and incorporate breaks

4. Take a cool shower after exercising and use emollients to retain moisture in your skin

5. Choose low impact exercises such as yoga, swimming, and light jogging

An additional consideration: 

  1. Communicate with coaches and teachers to ensure they are aware of your child’s condition and how to help manage flare-ups 

Takeaways

As we've explored, managing your child's eczema can extend beyond medical treatments to include various lifestyle interventions. From diet modifications that avoid common allergens to incorporating mindfulness and improving sleep hygiene, each strategy plays a critical role in not just managing symptoms, but also enhancing your child's overall well-being. By understanding and implementing these changes, you can help alleviate the discomfort eczema brings and potentially reduce the frequency of flare-ups.