• 20 MAY 14


    Eczema is a chronic, red, itchy skin disorder that is very common, affecting 10% of children. It is often seen in children who have allergies. The skin is usually dry and may also become thickened with time. In babies it often begins on the cheeks and forehead and then spreads to the body, arms, and legs. In older children, the rash commonly occurs in the elbow creases and behind the knees, wrists, and ankles.

    The cause of eczema is unknown. When it is severe, there is often an allergy that is making it worse. Foods such as eggs and peanuts, pollens, and house dust mites are all common allergic triggers for eczema. Very hot/humid or very cold/dry weather can worsen eczema, as can wool clothing. Scratching of the itchy skin will aggravate eczema as well.

    There is no cure for eczema, meaning no treatment that will make it go away and never come back. Fortunately, most children see their eczema improve or resolve as they get older. There are many treatments that can manage eczema very effectively. Most important is the use of moisturizers twice a day. (Eucerin and Aquaphor are popular choices.) The best time to moisturize is after bathing with a moisturizing soap such as Dove. Apply the moisturizer within 3 minutes of drying your child off with a towel to trap moisture in the skin.

    If your child’s eczema is triggered by a food allergy, avoid that food. If a dust mite allergy is the problem, special pillow and mattress covers may be helpful. Keep your child’s fingernails short to reduce the impact of scratching. Topical steroid ointments are an important part of treatment. Oral antihistamines can help eczema by relieving itching, especially at night. Since these medications can have side effects if not used properly, we will evaluate your child in the office and select the right amount of treatment for his/her eczema. We will also make any necessary referrals to allergists or dermatologists in the case of severe eczema.

    Eczema can become infected, so call our office right away if there is redness, oozing, crusting, and/or fever.

Health Topics

  • Colic

    Newborns with colic have long-lasting periods of crying and fussing. The cause of colic is unknown but is probably related to the baby’s temperament. It occurs in infants from birth to age 3 months.

  • Croup

    A croupy cough is a tight barking (like a seal) sounding cough. The voice or cry is hoarse usually and sometimes there is a fever and congestion. If you think your child has croup, they should be seen in the office.

  • Diaper Rash

    A baby’s sensitive skin is easily irritated by urine and stool. To prevent this irritation, you can apply a barrier cream like Desitin with each diaper change.

  • Eczema

    Eczema is a chronic, red, itchy skin disorder that is very common, affecting 10% of children. It is often seen in children who have allergies. The skin is usually dry and may also become thickened with time.

  • Insect Bites

    If the insect bites are itchy and swollen, it’s okay to apply hydrocortisone cream 1% (Cortaid or other brand) twice a day as needed for 5-7 days.

  • Immunization Reaction

    Common side effects following vaccination include local reactions such as redness, swelling, or tenderness at the site of injection and fever less than 101 degrees F.

  • Gastroesophageal Reflux

    Gastroesophageal reflux occurs when the contents of the stomach, including stomach acid, move upward (reflux) into the esophagus (swallowing tube).

  • Ear Infection

    If your child is verbal and complains of ear pain, or crying and tugging of the ear in a younger child, you may use a warm pack applied externally over the ear to help alleviate the pain.

  • Pink Eye (Conjunctivitis)

    Conjunctivitis, or Pink Eye, is caused by viruses, bacteria or allergies. Commonly this occurs with viral upper respiratory infections.

  • Strep Throat

    If your child complains of a sore throat along with possibly fever, headache, stomachache, nausea or vomiting, call our office to make an appointment to have your child examined.

  • Teething

    Provide hard, cold teething toys to chew on. You may also give infant’s Tylenol.

  • Urinary Tract Infections

    Urinary tract infections (UTIs) are infections of the bladder, kidneys, or both. They are caused by bacteria that spread from fecal (bowel movement) material.

  • Cold or Sinus Infection

    A cold is an infection of the nose and sinuses caused by a virus, while a “sinus infection” is caused by bacteria in the nose and sinuses.