Atopic dermatitis and bathing

Allergy gives a person a huge number of problems and minor inconveniences, although it cannot be considered a fatal disease. You can live with allergies for a long time, the only exceptions are cases of severe anaphylactic shock. However, the diagnosis imposes its limitations on the life of the patient. You have to deny yourself goodies (especially sweets, dairy products), put woolen and synthetic things in a distant drawer, even give up pets. The last point can really be compensated by purchasing a Sphynx kitten. No wool no problem. True, sphinxes require specific care and are not well adapted to the Russian climate.

Often the disease occurs in a child who is not even two years old, which greatly burdens the parents. Okay with cats. You can live without them. Here, even a bouquet of fragrant flowers, presented by a loved one, can provoke an asthma attack or skin rashes. Agree, such a scene can spoil the relationship and get stuck in the memory of a guy or groom for a long time. You just have to forget about alcohol, as well as about coffee. In general, festive feasts are a sore subject for an allergy sufferer. No champagne to drink, no cake to try. For a child, life without a cake is very sad, and for many adults as well. And you have to sit on ointments and pills. Just some kind of horror!

To swim or not, that is the question

Cleanliness is the key to health.

A common myth, supported even by individual doctors, that swimming is contraindicated, is unfounded. Definitely possible. Cleanliness is the key to health, not skin rashes. Constantly lubricated with ointment skin covered with layers of fat and sweat, microbes multiply on them, which in no way contributes to recovery. Often after washing, red spots spread on the body, taking large area than before contact with water. It is not difficult to avoid the spread of rashes by following the rules of bathing:

A shower is preferable to a bath. The affected areas will not have time to get wet properly, and the dirt will be washed off. Do not use hot or ice showers. 35-40 degrees will be optimal. Do not give a hard pressure, otherwise you risk injuring the skin and provoking the flow of lymph.

Forget about washcloths and other scrapes. You will spread the allergy throughout the body and injure the skin. Just rinse off the soap and pat dry with a clean towel.

If there is no way without a bath, the water temperature should be around 37 degrees. Do not wallow in the bath for more than 15 minutes.

Choose your shampoos, shower gels and soaps carefully. Everything should be natural and hypoallergenic. You can buy at the pharmacy.

Rinse off the cleaning products that washed the bath. Otherwise, exacerbations of the disease are guaranteed.

Folk remedies for safe swimming

Traditional medicine is very effective here, and not only for adult patients. Herbs are less likely to cause a reaction than medications. Wipe the affected skin with a cloth soaked in a succession solution (outside bathing), and after water procedures rinse skin with water potato starch to reduce itching. You can use the recipe "Cheburashka" (take equal parts of a string, chamomile, calendula), and then bathe the baby in it. You should carefully monitor the reaction of the body, in order to avoid herbal allergies. Allergies to individual herbs or combinations of herbs are not uncommon.

water allergy

A seemingly absurd phenomenon began to appear among the Russians. The reaction appears from rainwater, tap water, when drinking and even from sweat. If contact with tap water is easy to remove, then without the daily absorbed liquid, an adult and a child will face a tragic ending in the form of dehydration. Since then, the situation is not happier (it’s not for nothing that the saying “the dead don’t sweat” was invented by the people). Of course, antiperspirant can reduce your perspiration on the body, but the chemicals it contains will exacerbate the symptoms of allergies.

Fortunately, reactions to sweat and drink are rare. The main cause is hard tap water, chlorinated pool water, a specific river or lake. Forget about the pool, try to teach your child to swim in the river in the waters allowed for swimming. Take a bottle drinking water in the supermarket to wash, eat and cook food only with it.

How to bathe as a child

It is better to bathe kids in Cheburashka.

Young children often suffer from skin rashes, hives, and other manifestations of allergies. The lack of water procedures can only exacerbate the problem, leading to the spread of infection. True, in some forms skin diseases(streptoderma) bathing is contraindicated. An experienced dermatologist will always determine the exact diagnosis. If a child is tormented by an allergy to water, everything needs to be washed exactly. With prolonged contact, swelling of the mucous membranes, swelling of the affected areas occurs. Reduce procedures to 1 minute. Boil water for washing, or use purchased water from the supermarket. After bathing, the surface of the skin must be lubricated with creams containing zinc. Lubricate damaged areas with a high-fat ointment to reduce contact with water.

See a doctor

It is preferable to take a shower rather than a bath.

Even if you are coping with the phenomena of allergies, the consultation of an experienced doctor is required. It is necessary to find out the causes of the reaction, eliminate or reduce their influence. Basically, this range of problems is dealt with by an allergist and a dermatologist (skin specialist). Treatment will be complex. This is a specific diet, internal antihistamines (tablets, injections), external (ointments, creams). Specific medications are prescribed by a doctor. Of course, the rejection of certain foods, such as sweets, can be a shock to the child. Try first to reduce the consumption of the desired product as much as possible before giving it up completely.

Sometimes the causes of allergies can be psychological in nature. The consequences of stress, quarrels in the family can provoke a child, and even an adult skin rash. If the allergist finds it difficult to establish the cause, contact a psychotherapist and a neurologist. Many diseases are activated on a nervous basis, in an unfavorable environment. psychological point view of the environment.

The underlying causes of disease

With allergies, it is better to refuse harmful products. Diet will help you get rid of allergies faster.

Unfortunately, the health of today's infants and preschoolers leaves much to be desired. The reasons are complex. First, the deterioration of the ecology of the city. Industrial enterprises emit tons of waste into the air and water (hydrosphere). Then we drink this water (although it goes through some degree of purification). Fortunately, many factories operate in a closed cycle (water is reused, and not drained into reservoirs).

Secondly, food. The abundance of fast foods where for some reason it is customary to come with children (this is provoked by marketing campaigns with animators and attractions) has already undermined the health of Americans and is now targeting Russians. The abundance of multi-colored jars and bottles in supermarkets, equipped with numerous letters E in the description of the composition, causes ripples in the eyes and fear for the future generation. Of course you can buy natural products farms, but not everyone can afford it.

Thirdly, immobility. Teenagers spend time in front of a computer, TV and other gadgets, but physical activity contributes to the proper functioning of the body.

Fourth, stress. The crazy rhythm of life does not allow parents to take up the education of young people. A huge number of divorces, family quarrels, etc. lead to stress factors that cause various physical illness. The manifestation of allergies can be a means of attracting the attention of always busy parents. It is important to remember that unsolvable problems exist only in our minds. Any disease lends itself, if not to treatment, then to optimal adjustment. Health to you and your children!

INTRODUCTION: Atopic dermatitis (AD), a chronic inflammatory disease, is one of the most common pediatric skin diseases, affecting 8% to 20% of children. The mechanism of AD development includes dysfunction barrier function skin, as well as such immunological changes as an increase in the production of specific IgE antibodies and a violation of the ratio of Th1 / Th2 lymphocytes towards Th2 helpers, which changes the cytokine profile.

Therapy and prevention of AD include the use of emollients, a specific bathing regimen, dietary advice, and avoidance of exposure to precipitating factors. When these measures do not control the disease, there is a need to connect medications: local corticosteroids (MGCS), antibiotics and immunomodulators.

Most AD treatment guidelines emphasize the importance of skin care with moisturizing after bath/shower. Violation of the epidermal barrier in patients with AD can facilitate the penetration of allergens and antigens through the skin. Korean dermatologists recommend that patients bathe once a day and very briefly in warm water using mildly acidic soap and then rubbing in an emollient.

Mild, pH-adjusted detergents should be used for washing, acidifying the medium to pH 5.5-6.0, because the use of neutral alkaline soaps can lead to the precipitation of antigen-antibody complexes, highly dependent on the increase in pH and the activity of serine proteases. Thus, in order to remove infectious organisms, irritants, and allergens from the skin, regular showers using mildly acidic soaps may be the least harmful to the AD patient.

However, previous research has shown that a significant number of AD sufferers do not use soap or use emollients after bath/shower. More than half of AD patients are not familiar with the benefits of everyday bathing. In addition, all patients who avoided contact of eczematous areas with soaps and detergents believed that these measures were necessary to improve the condition of the skin.

It is well known that frequent bathing is not good for the course of atopic dermatitis, and the aim of this study was to evaluate the effect of bathing on the skin of patients not using topical corticosteroids.

METHODS: From July to August 2010, the study included 96 pediatric patients, 54 boys and 42 girls, suffering from atopic dermatitis. Age ranged from 1 to 13 years, with a mean of 4.7 years ± a standard deviation of age of 2.3 years.

The parents of most sick children bathed them once a day for 14 days, using moderately acidic detergents, and after bathing they applied emollients. Parents were advised to wash their children once a day for 10-15 minutes in warm, but not hot, soft water. detergent(Physiogel ®; Stiefel, Offenbach, Germany) without using a scouring pad. After bathing, the body was dried with a dry soft towel for no more than 3 minutes and lubricated with an emollient (Physiogel ® lotions, Stiefel, Offenbach, Germany). Parents were asked to apply emollients 2-3 times a day and avoid irritants.

Parents were required to keep a diary in which they noted the frequency of bathing and skin symptoms. On initial stage research and subsequent medical examinations, the value of the SCORAD index (SCORing Atopic Dermatitis) was determined, which allows you to evaluate the rash and its symptoms in the range from 0-103 points. The maximum index corresponds to the heavy atopic dermatitis. According to adherence to the bathing regimen, patients were divided into two groups.

RESULTS: The study excluded 15 patients who had no daily diary entries or who used humidifiers less than once a day. A total of 81 patients, 48 boys and 33 girls, reached the end point of the study.

Group A included 60 children, 34 boys and 26 girls with an average age of 3.9 ± 3.2 years. Group B consisted of 21 children, 14 boys and 7 girls with an average age of 6.1 ± 3.6 years. Patients in group B were older ( R=0.008). At baseline, there was no difference between the two groups in SCORAD, pruritus, sleep disturbance, or transepidermal water loss (TEWL), which is an indicator of the skin's protective barrier.

During the observation period, the frequency of use of moisturizers in group A was 2.3 ± 1.0 and in group B - 2.1 ± 0.4, which was not statistically significant ( R=0.079). The average number of daily baths in group A was 1.2 ± 0.3 and 0.8 ± 0.1 in group B ( R<0,001).

In group A, a significant decrease in the SCORAD index, the severity of itching, insomnia ( R <0,001). В группе В выраженность зуда значительно снизилась по сравнению с начальными результатами (R=0.012), while no differences were found in the SCORAD index and the degree of sleep disturbance ( R=0.595 and 0.067). However, no change from baseline TEWL was found in both groups. A more significant regression of the SCORAD index was noted in group A than in group B ( R=0.038). However, there were no significant differences between groups A and B in changes in pruritus, sleep disturbance, and degree of TEWL.

CONCLUSIONS: Bathing daily with mildly acidic soaps may reduce skin symptoms in children with atopic dermatitis during the summer. Perhaps this is due to the removal of irritating agents from the skin: colonies of microorganisms, dust particles, sweat; or promote skin hydration. Patients and their parents should be educated on how to properly care for sensitive skin and how to bathe regularly.

The material was prepared by Ilyich E.A.

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Is it possible to swim with dermatitis?

Not so long ago, many dermatologists recommended to refrain from frequent bathing if you are diagnosed with dermatitis. Today, doctors' views on this problem are different: if you choose the right composition of water and learn how to prepare decoctions and infusions for bathing, the number of water procedures can not be reduced. And yet, most people suffering from this disease are interested in the question: is it possible to swim with dermatitis in adults and children, and if so, what rules should be followed so as not to worsen the skin condition?

Is it possible to wet dermatitis?

Contact with water on the affected areas of the skin usually causes an increase in the symptoms of the disease, and also provokes the spread of the lesion to other parts of the body. To figure out whether it is possible to swim with dermatitis in an adult and a child, you first need to determine which type of disease was diagnosed:

With atopic dermatitis, swimming is not only possible, but necessary. The main requirement that must be observed is the use of not too hot and not too cold water.

With seborrheic dermatitis, exacerbation may occur due to the use of hard chlorinated water. If you replace it with a soft spring or thermal, unpleasant symptoms may decrease.

With contact dermatitis, you need to pay attention to the condition of the skin after contact with hygiene products - shower gel, soap. Perhaps they are the culprits for the onset of symptoms of the disease.

Is it possible to swim with allergic dermatitis? First you need to establish what exactly causes an allergic reaction. If you use herbal decoctions for bathing, be sure to tell your doctor about it: some plants are precisely provocateurs of allergic dermatitis.

How should and can you wash with dermatitis?

The main requirement in relation to water procedures for dermatitis is the use of special personal hygiene products that are as gentle and soft as possible. Residents of rural areas find it easier to comply with this requirement, since in most cases they have access to well or spring water.

But what about city dwellers? Citizens can be advised the following: to defend the water before bathing, boil it, or purchase a special filter nozzle that is put on the shower head and retains particles of chlorine.

As for the water temperature and the duration of hygiene procedures for dermatitis, the best solution would be to take a bath or shower at a temperature of 37-38 degrees for 10-20 minutes. Longer than the specified time in the water is better not to be. If you choose between a shower and a bath, then it is better to give preference to the soul.

It is forbidden to use hard washcloths, anti-cellulite gloves and skin scrubs. Remember: areas affected by dermatitis should not be rubbed, so during and after bathing, you will have to refuse such products. The same applies to rubbing the skin after taking a bath or shower. Refrain from vigorous movements during drying: simply blot wet skin with a soft towel, allowing the moisture to soak into the fabric itself.

You should not swim in swimming pools, as the water in them is usually very hard and contains a large amount of chlorine.

Dermatitis and sea water

The closer the vacation period, the more adults and children with skin problems are interested in the answer to the question: is it possible to swim in the sea with dermatitis - atopic, allergic and others?

Many people note that during a vacation spent at sea, the symptoms of dermatitis are reduced. The skin becomes less dry, itching and redness disappear. The reason for this change lies in the healing composition of sea water, which has a beneficial effect on the affected areas of the epidermis.

In addition to directly swimming in the sea, it is necessary to take into account the positive effect of the sea climate. Air saturated with microdroplets gently affects damaged skin without harming it.

It is recommended to choose the velvet season as the time for vacation. During this period, the difference between the temperature of water and air is not as big as in July-August. As for choosing a vacation spot, it is worth giving preference to European coasts: a sharp change in climate, which is observed when flying from Russia to Asian countries, Turkey and Egypt, can adversely affect the condition of the skin.

Mineral water for dermatitis

Due to the composition, rich in minerals, micro and macro elements, such water produces a tonic and healing effect. That is why it is recommended to use it for bathing and dousing with dermatitis. It is better to give preference to water without gas, but if you bought carbonated water, do not be discouraged: just let it stand in an open container so that all the gas comes out.

Thermal water for atopic dermatitis

There are many thermal springs in Europe: they are located in Iceland, France, Switzerland, Hungary. For those who are not yet ready to personally visit them, there is an alternative - bottled thermal water, which can be bought at pharmacies and cosmetic stores. Light structure, optimal softness, balanced composition - all this makes thermal water a suitable remedy for the treatment of dermatitis.

Means "La Cree" for washing and bathing

Since the use of shower gel and soap will have to be abandoned during the treatment, it is recommended to replace them with gentle products that do not include fragrances, dyes and parabens. In particular, you can use La Cree cleansing gel. It contains avocado and olive oil derivatives, licorice and walnut extracts, hypoallergenic detergents - these components gently cleanse the skin without overdrying it.

Is it possible to take a bath with dermatitis?

Affecting the skin of a person, dermatitis is accompanied by itching, burning and other unpleasant sensations. Wanting to alleviate the condition during an exacerbation of this disease, many may wonder: is it possible to wash with dermatitis?

Water procedures for allergic dermatitis

The main problem of those who suffer from allergic dermatitis (dermatitis of the skin of the hands, dermatitis of the feet) is increased itching in the area of rashes, as well as their spread to other parts of the body after water procedures. However, despite such an unpleasant side effect, the answer of doctors to the question of whether it is possible to wash with allergic dermatitis is positive. But for this you need to follow some important rules:

With allergic dermatitis, you can take water procedures.

the temperature of the bathing water should not exceed 37-38°C, and the time spent in it should not exceed 20 minutes;
In no case should you rub the skin affected by the disease. Therefore, it is better to abandon washcloths and body scrubs that irritate her;
when choosing between a bath and a shower, it is better to opt for the latter;
after water procedures, the skin is gently dried with a soft towel and lubricated with a nourishing or moisturizing cream.

If desired, it is possible to use a decoction of medicinal herbs for bathing that has a beneficial effect on the skin condition (chamomile, calendula, etc.). However, this procedure should be carried out only with the appointment of the attending physician and in the absence of an allergy to one of the components of the decoction.

Bathing for contact dermatitis

Contact dermatitis differs from allergic dermatitis only in that it occurs as a result of direct contact with the allergen. Can I bathe with contact dermatitis? If a person does not have a negative reaction to water, then the scheme for taking water procedures in this case will be the same as with allergic dermatitis. Otherwise, it is necessary to contact a dermatologist for allergy tests in order to identify reactions to substances contained in local water (since they cause skin rashes). Persons whose disease is exacerbated by contact with tap water are advised to switch to washing with boiled or mineral water.

Can I bathe with seborrheic dermatitis? Throughout the entire period of treatment of this disease, regular water procedures are indicated using special means, since this type of dermatitis can cause complications - pyoderma. These include preparations containing zinc, clobetasol propionate, selenium sulfide, ciclopirox or ketoconazole (to avoid side effects, the prescription of drugs should be carried out by the attending physician).

Advice! With exacerbation of seborrhea, shampooing is shown every 1-2 days and washing the face and body 2 times a day using medicines prescribed by the attending physician.

Influence of sea water

You can also often hear the question: is it possible to swim in the sea with dermatitis? It is not asked by chance, since bathing in sea water, in the absence of allergic reactions to it, really produces a beneficial effect. Trips to the sea during the velvet season are especially recommended, when the water temperature is normal for people suffering from dermatitis.

However, in cases of extensive exacerbation of this disease, a preliminary consultation with a specialist is recommended.

As you can see, the above disease is not a contraindication to hygiene procedures. Water procedures carried out within the recommended conditions will alleviate the patient's condition, while the lack of hygiene will only exacerbate the existing problems.

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Atopic dermatitis in adults, treatment, symptoms, causes

Atopic dermatitis, infantile eczema, neurodermatitis are all one chronic skin disease accompanied by intense itching, which most often occurs in infants and adolescents.

Even 30-40 years ago, this disease did not have such a widespread distribution, and if there were clinical cases of neurodermatitis, this was a rather rare occurrence, especially in the adult population.

However, yesterday's children have already grown up and become adults, so the presence of atopic dermatitis in adults who suffered from this disease in childhood is also not uncommon these days.

Today, general allergization, the presence of an unprecedented chemical attack on a growing organism, lead to the spread of neurodermatitis in children, as well as among adults. Since this is a chronic disease, with periods of remission and periods of exacerbations, the treatment of atopic dermatitis has to be dealt with constantly, more intensively during a relapse and more sparingly during the remission period.

Atopic dermatitis is considered a non-contagious skin disease. During exacerbation, dermatitis is manifested by intense itching, dryness, skin irritation, causing psychological, cosmetic and physical discomfort, worsens the quality of life of a person at work, in the family, and constant itching provokes scratching and increases the risk of secondary infection.

Causes of atopic dermatitis

Inheritance of features of the compliment system

The main role in the occurrence of atopic dermatitis belongs to the genetic disposition, spontaneously manifested excessive sensitivity to various protein and non-protein substances that contribute to a pronounced violation of the barrier function of the skin. When even the first contact with the allergen causes a reaction. Irrational feeding of infants with formulas based on cow's milk protein.

Among family members, the hereditary factor in the transmission of this disease is very high, so if close relatives suffer from bronchial asthma, various types of dermatitis, allergic rhinitis, then in children the probability of developing this disease is 50%, and if both parents suffer from atopic dermatitis, then in 80% of cases children will inherit a penchant for it. The greatest probability of manifestation of this disease in the first 5 years of a child's life. This genetic predisposition is more often passed down through the maternal line.

Most people who suffered from atopic dermatitis in childhood also suffer from it in one way or another as adults.
Often, the presence of such a skin disease is the cause of the development of allergies and bronchial asthma in the future.

Such a wide distribution around the world of this skin disease lies in the causes of a global nature that concern each of us:

Adverse environmental factors - air pollution, water pollution
Irrational and unhealthy diet - fast food, the use of a large number of preservatives, artificial, chemicalized food, pesticides and nitrates, hormones and antibiotics in meat products.
Rising number of drug-resistant infectious diseases
Daily psychological stress, frequent nervous overload
Lack of rational physical activity in the fresh air.

Also, any allergens can become the causes of atopic dermatitis: house dust, in which mites are most often the strongest allergens, the presence of pets, their wool, fish food, bedding for chinchillas, contact with synthetic materials, as well as a sharp change in climate, humidity and temperature air.

Allergy to drugs

often a provoking factor in the development of dermatitis, antibiotics, anesthetics, vitamins, etc. can cause a particularly strong allergic reaction, any pharmaceutical agent can cause an inadequate reaction in people prone to allergic manifestations.

Symptoms, signs of atopic dermatitis

There are cases of spontaneous cure of atopic dermatitis as the child grows. Mostly in boys during puberty or in women with the onset of sexual activity and pregnancy. However, even with this, the skin of such people remains susceptible in response to various external and internal stimuli. Favorite localization of dermatitis in the folds of the bodies, on the arms - elbows, hands, on the legs - popliteal folds, on the face and neck, on the forehead, around the eyes, as well as on the shoulders, on the back and chest, cracking of the skin on the feet and hands is also possible .

In older people, it may look like scaly papules, plaques, without characteristic localization, most often it is chronic eczema of the hands. With severe exacerbations, the rash can be generalized, mainly in the area of \u200b\u200bthe folds. The skin of non-young people with this skin lesion is always too dry and slightly erythematous.

Constant unbearable itching makes patients scratch the foci of inflammation all the time, which is often complicated by the addition of a secondary streptococcal or staphylococcal infection.

In addition to dryness, flaking of the skin, as well as discoloration of the skin, thickening of the skin, bubbles can also occur, which periodically open, causing weeping, then dry up, forming yellowish-rough crusts.

Sometimes conjunctivitis, dermatitis of the breast nipples, urticaria and cheilitis can also be symptoms of atopic dermatitis. In very serious cases, long-term periods of exacerbations, when the patient is treated with various hormonal agents for a long time, a serious disease can occur - hypocorticism (oppression of adrenal function), which is accompanied by constant fatigue, weight loss, hypotension, symptoms of low stomach acid, hypoglycemia (blood glucose - norm).

One of the characteristic symptoms of the disease is thickening of the skin, as well as an increase in the skin pattern, the skin color on the eyelids becomes darker, cracks appear on the skin. And there are also a number of symptoms that sometimes accompany atopic dermatitis:

Symptom of doubling the fold of the lower eyelid.
Insignificant infiltration and hyperemia of the foot, cracks, peeling.
Nails lose their longitudinal striation, so the appearance of the nail becomes as if polished.
Thinning hair in the occipital region of the head, partial or complete disappearance of hair on the eyebrows.

Treatment of atopic dermatitis

Common methods of complex therapy for dermatitis include:

Taking antihistamines (allergy pills), these drugs only help relieve itching, as one of the symptoms of atopic dermatitis - these are Claritin, Suprastin, Cetrin, Zirtek, Telfast.
If possible, avoid contact with the allergen, eliminate its effect.
Diet food - hypoallergenic diet
It is very important to cleanse the gastrointestinal tract with detoxifying agents such as Polyphepan, Polysorb, Enterosgel, Filtrum STI, activated charcoal, etc.

Very often, during an exacerbation, doctors prescribe hormonal creams and ointments for dermatitis, such as Elocom, Akriderm, Celestoderm, etc. Their effectiveness is beyond doubt, they very quickly have an anti-inflammatory and anti-allergic effect, but their long-term use is very dangerous, about the potential harm to hormonal health ointments, as well as a complete list of all topical corticosteroids can be found in our article Ointments for psoriasis - hormonal and non-hormonal.

Non-hormonal ointments for atopic dermatitis

There is a very wide choice of such creams and ointments, read more about their use in our articles Atopic dermatitis in children and ointments for dermatitis. These include - Protopic, Elidel, Eplan, Fenistil, Losterin, Timogen cream, Naftaderm, Videstim, Destin, Aisida, etc. (see treatment of dermatitis on the hands).

Antiseptics and antimicrobial ointments

To treat foci of inflammation, in order to prevent infection, antiseptics are used - Green Brilliant Solution, Fukartsin, Methylene Blue. When a secondary infection is attached, the doctor prescribes local antimicrobial ointments, such as Lincomycin ointment, Erythromycin ointment, Celestoderm with Garamycin, as well as oral antibiotics - Rovamycin, Doxycycline, Sumamed, Zitrolid, Erythromycin, etc. only as directed by a doctor.

Treatment of dysbacteriosis and gastrointestinal diseases

Often, the development of dermatitis is associated with intestinal dysbacteriosis, so taking various probiotics is also advisable - RioFlora Immunno, Bifidobacterin, Lactobacterin, Acipol, etc. (see the list of dietary supplements and probiotic preparations, analogues of Linex). A possible additional cause of such dermatitis and dysbacteriosis may be a violation of digestion, namely the function of the pancreas (Pancreatitis - symptoms, treatment), while enzyme preparations such as Pancreatin, Creon, Mezim are prescribed.

Also, fungal agents can attach to the affected areas of the skin, which are treated with local antimycotic agents and antifungal drugs in tablets.

Since the onset of the disease depends on the psychosomatic state of a person, his nervous system, sedatives such as Novopassit, Persen, Glycine, Valerian, Motherwort, etc. can also be shown.

If a herpes infection joins, local and oral antiviral agents are prescribed - Acyclovir, Famvir, etc. (Herpes on the body - treatment).

In order for the treatment of atopic dermatitis in adults to be as effective as possible, you should not get carried away with drug treatment, since the drugs themselves are often provoking factors for the intensification of dermatitis and the development of allergies, so it is advisable to use non-drug methods of treatment and try to change your lifestyle:

Constantly use hypoallergenic moisturizers for the skin - lotions, creams.
Avoid scratching the rash, in order to avoid infection on the skin, for this it is better to apply bandages to the affected areas of the skin during a relapse.
Use humidifiers and air purifiers

Regularly carry out wet cleaning in the room without the use of various household chemicals, and it is also advisable to use air purifiers and humidifiers in the room where the patient with dermatitis spends most of his time.

Follow a diet, if possible, limit contact with allergens.
Avoid sudden temperature changes

Patients with dermatitis should avoid sudden changes in ambient temperature, extreme heat or exposure to cold. Therefore, visiting the sauna is not advisable for them, but exposure to the sun has a positive effect on the condition of most patients. However, it is not uncommon for people prone to allergies to experience such a strange reaction as a cold allergy or an allergy to the sun.

Since excessive overheating increases sweating, causes additional itching and irritation, it is not recommended to wear tight and too warm clothes, and skin contact with wool and synthetics should not be allowed. Therefore, you should wear hypoallergenic cotton underwear, without aggressive dyes.

Patients with atopy should not bathe too often, as this contributes to degreasing and drying of the skin, and should not be used when bathing with ordinary or liquid soaps with various fragrances. It is necessary to select a soap that does not irritate the skin, such as Aveeno, Dove, Alpha-Kerry. When taking a shower, the water should not be too hot. It is best to smear the body with special oils and wash them off as quickly as possible, you can use Laceran or Eucerin oil, or hydrophilic oils.

Any treatment in sanatoriums, as well as sea bathing, has a very beneficial effect on the condition of the skin, so bathing in cool sea water is desirable for all patients with atopic dermatitis. But visiting pools that are chlorinated or treated with other chemicals is not recommended.

It is very useful to periodically take therapeutic baths with starch - 0.5 kg of starch per 6 liters of water, baths with bran - 1 kg of bran is boiled in 3 liters of water for half an hour, the strained broth is poured into the bath. Baths with chamomile - 1 kg of chamomile is brewed in 4 liters, insisted for half an hour and poured into a bath, you can take baths with coniferous extract.

You should not wear jewelry, nickel watch bracelets, while contact allergies are greatly increased. As recent studies show, even seemingly safe gold can adversely affect a person, especially if gold jewelry contains precious stones processed in a nuclear reactor. Lead, arsenic, mercury, and cadmium have been found in most of the cheap jewelry now produced in China, which negatively affects the health of even an absolutely healthy person.

With atopic dermatitis in adults, it is unacceptable to have pets in the house, and it is also impossible to have animal skins in the apartment. Cats, guinea pigs, chinchillas, birds are especially affected by dermatitis due to feathers and droppings.

If the allergen that causes dermatitis is known, then the modern method of systemic immunotherapy can be used, when they are introduced into the body in stages at an increasing dose of a particular allergen. With such therapy, the immune system in dynamics should become less sensitive to this allergen.

Why do children get atopic dermatitis? How to treat the disease

Atopic dermatitis is a chronic inflammatory process accompanied by severe skin reactions.

The disease often manifests itself in children due to the imperfection of the immune system.

Allergic reactions are caused by dozens of irritants.

Causes of atopic dermatitis in children

Damage to the skin, itching, weeping in children occurs in most cases with a hereditary predisposition to allergic reactions. Weak immunity increases the risk of pathological changes.

Stages of atopic dermatitis in children

Symptoms of atopic dermatitis in children

They have characteristic features. An important feature: the alternation of exacerbation and persistent remission.

Exacerbations of atopic dermatitis in children often occur during a period of weakened immunity after serious illness, with frequent stress. Causes rashes on the skin the use of products that provoke allergies.

peeling of the skin;
Itching, annoying the child, especially at night;
In the affected areas, the pattern on the surface of the epidermis is enhanced;
Hardened areas are compacted;
Secondary infection provokes the manifestation of pustules, weeping of problem areas;
Bubbles often merge, form extensive lesions on the face, under the knees, on the arms, elbows, chest;
Areas of a red-orange hue have a weak or pronounced color, depending on the severity of the disease.

Photo of atopic dermatitis in children

Atopic dermatitis in children is characterized by seasonal relapses.

Symptoms on the skin are manifested by "waves":

Autumn-winter period - rashes, peeling are noticeable on the skin, the affected areas thicken, itch.
Summer is a period of remission: the skin is almost clean, the child feels good.

In case of exacerbation, it is necessary to select the right drugs that alleviate the patient's condition.. An integrated approach is important.

Treatment of atopic dermatitis in children

The main task - minimize the effect of irritating factors.

Exclusion of contact with the allergen is a prerequisite for recovery. The more accurately parents follow the rules, avoid the impact of negative factors, the easier it is to prevent severe relapses.

traditional medicine

To treat atopic dermatitis and relieve symptoms, allergists recommend the following treatment:

Means do not cause drowsiness, have a prolonged action.

Known drugs of previous generations will do:

Purpose - to collect, remove toxins, allergens from the body.

Enterosgel;
White coal;
Polysorb;
In extreme cases, give the child activated charcoal (1 tablet per 10 kg of weight).

Ointments, gels, creams for children with atopic dermatitis

The doctor will prescribe a drug suitable for age.

Daily lubricate the child's affected areas on:

Monitor your child's skin reaction to glucocorticosteroids and non-hormonal ointments:

Accession of a bacterial infection requires the appointment of antibiotics. The drugs are prescribed by the doctor after a special test.
Eliminate stressful situations, provide a calm environment in the family.
Give sedatives as recommended by your doctor, decoctions of herbs with a calming effect.
Physiotherapy treatments provide excellent results: magnetotherapy, phonophoresis, laser treatment.
It is important to treat intestinal diseases often annoying children at an early age.
Avoid food allergens, prepare dishes that do not irritate the walls of the stomach and intestines.
Create optimal conditions in the room where the allergy is located. Optimum air humidity and comfortable temperature are important, especially during the heating season.

During these periods, the amount of vitamins entering the body is reduced, the course of respiratory and viral infections is aggravated, and epidemics begin. Conduct vitamin therapy, give children immunomodulators to increase their defenses.

If you are prone to allergies, ensure that your baby's skin is properly cared for.

Among the effective running formulations, doctors distinguish emollients - cosmetic products containing special fatty components.

Topicrem;

Oilatum series (soap, emulsion, shower gel, cream);

Cream + milk Physiogel;

Milk + balm + Dardiya cream;

Cosmetic products Lipikar;

Sensitive skin care line A-Derma.

Do not buy cosmetic products in advance: formulations with a high concentration of emollients have a relatively short shelf life. The cost is quite high, but the effect of regular use justifies the cost.

After consulting a dermatologist and pediatrician, supplement the treatment of atopic dermatitis in children with home remedies. The combination of medicines and natural ingredients will accelerate the disappearance of unpleasant symptoms.

Proven recipes to help your child:

Herbal baths. Brew 2 tbsp. l. series in a liter of boiling water, let the product brew in a thermos for an hour. Filter the liquid, add to a bath of boiled water;

Starch bath. Per liter of cold water - 2 tbsp. l. starch. Stir, pour the mass into a bath of water. Make sure the temperature is comfortable for irritated skin, not too hot.

Sanatorium-resort treatment is an effective method of restoring protective forces.

Baths with medicinal ingredients, fresh air, natural phytoncides are a great way to strengthen the body.

The doctor will advise areas that are optimal for the recovery of the baby and older children.

Consider the age of the young patient, the climate of the spa area.

Israeli sanatoriums deserve excellent reviews. Maximum comfort, high level of technology, an integrated approach to the treatment of atopic dermatitis provide high results of therapy.

What to bathe a child in

Water - warm, settled or filtered;

The duration of the procedure is from 15 to 20 minutes;

Discard the washcloth, gently wipe the affected skin with your hand;

Use special compositions for the care of problem skin in children;

It is forbidden to take the baby to the pools, where the water is necessarily treated with chlorine.

Use a soft towel. To soften the epidermis, reduce itching, apply Lipikar or Bepanten to the skin.

Bathing products

Buy special medicated cold cream soap that does not irritate delicate skin;

Use hypoallergenic shower gels, emulsions without synthetic dyes and fragrances;

TO upite delicate compositions for bathing from well-known manufacturers: Trixera bath, Mustela Steratoria bath oil, A-Derma bath;

During an exacerbation, replace bathing with gentle rubbing of atopic skin. Effective micellar water from the company Bioderma Sensibio H20, La Roche thermal water.

What can children eat with atopic dermatitis

Diet is a necessary condition for maintaining a stable remission. Do not risk the baby's health, give only products with a low degree of allergization.

Vegetables, fruits with a light color;

Dairy products;

Lean beef, rabbit meat, turkey meat;

Buckwheat, oatmeal;

Vegetable and melted butter;

Soups on vegetable broth or second broth;

Fruit jelly (not too sweet);

Fructose instead of sugar;

biscuit cookies;

Mashed potatoes, pre-soaked for 5-6 hours to remove excess starch;

Green tea, mineral water (on doctor's recommendation).

How to introduce complementary foods with atopic dermatitis

Toddlers suffering from atopic dermatitis need to carefully add new foods.

The timing of the introduction of complementary foods is shifted by a month and a half, when the digestive and immune systems are stronger. For infants, the optimal period is 7–7.5 months, for artificial babies - 6 months.

carrot juice;

Enter meat dishes carefully;

Later, introduce fruits, juices, cereals into the diet.

Let's new product no more? tsp, follow the reaction for a day or two.

Now you know what atopic dermatitis is, why allergic reactions occur. Follow the recommendations, avoid provoking factors, and you will make life easier for a baby with increased sensitization of the body.

Most specialists from the field of dermatology, allergology and pediatrics advise their patients to organize trips with dermatitis to the sea as often as possible. The climatotherapeutic properties of fresh air and sea water have an unusual effect on the body prone to autoimmune diseases, among which there is dermatitis.

The choice of the required resort becomes an additional moment of complex therapy aimed at eliminating the disease, increasing the period of remission.

Atopic dermatitis, regardless of the cause of occurrence (contact with a potential allergen, reduced immunity, the presence of systemic diseases, genetic predisposition), is expressed by unpleasant symptoms. The appearance on the skin of redness, swelling, elements of a rash against the background of annoying itching cause physical and moral discomfort to a person, reduce his social activity. The search for an alternative method of treating this pathology is the subject of discussion among various medical specialists.

Long-term observations confirm the effectiveness of the physiotherapeutic effect of the marine climate on the skin. What is its feature?

The main positives include the following:

biochemical compounds present in sea water relieve puffiness, hyperemia, promote skin regeneration, eliminate rashes;
sea water eliminates itching, this allows you to use antihistamines and sedatives less often;
a noticeable reduction in the intensity of the inflammatory process, an increase in the period of remission.

The tactics of treatment at the resort is somewhat different from the usual. In the first days of rest, you should not use corticosteroid preparations for external use in the form of an ointment. Enough antihistamines and probiotics. Enzyme agents and sorbents may be needed when changing the diet. The hypoallergenic diet does not lose its effectiveness. The use of new products that are potential allergens should be minimized: berries, juices, culinary masterpieces of local cuisine.

If a child suffers from atopic dermatitis

A trip to another climatic zone is always stressful for the body, especially for children. The acclimatization process usually takes place within the first 10 days. This explains the rationality of the trip for a period of at least 1 month.

The hot, humid climate requires a gentle day regimen. Visiting the beach should be moved to the morning and afternoon hours. Any exit from the premises requires the presence of a protective layer of clothing made from natural materials (cotton, linen). Clothing not only protects the child's body from ultraviolet radiation, but also absorbs the secretions of the sweat glands.

For prevention, you can use sunscreen hypoallergenic cosmetics that protect children's skin from UV radiation. Any decision must be agreed with the attending physician.

Young children (up to 3 years old) are especially sensitive to climate change and any changes in their usual routine. When deciding on a planned vacation, you need to take this factor into account. Ideally, you should refuse to travel at all: a long journey, high ambient temperature, the likelihood of meeting new viruses pose a real danger to the baby's fragile immune system. If the temptation is great, then you should limit yourself to a trip to a similar climatic recreation area. You can stop your choice on the southwestern and southern coasts of Crimea, the Sea of Azov, Anapa, Gelendzhik. As an option, the coast of Greece and Bulgaria is often recommended. A trip to the eastern countries (Turkey, Egypt and others) is not even worth remembering.

A sparing diet and stay in the open space complements the complex therapy prescribed by the doctor.

What is gentle mode:

Compliance with a hypoallergenic diet that excludes the use of foods with potential allergens. Even habitual food products in the process of adaptation can affect the child's body in a specific way.
Preventive measures are aimed at maintaining the hydration of the skin. After swimming in the sea (no longer than 10 minutes), the body should be washed under a shower with fresh water to avoid peeling of the skin. It is better to wipe the body with a soft towel with blotting movements.
Good rest during the day and night has a positive effect on the result of therapy.
The absence of stress during the treatment period allows you to strengthen the body's defenses.
General therapy includes taking antihistamine, anti-inflammatory, prebiotic and probiotic medicines prescribed by the pediatrician.
Locally, foci of inflammation are treated with hypoallergenic agents with regenerative characteristics, and decoctions of medicinal herbs used at home.

Any decision made by the parents is agreed with the attending physician without fail.

Which resort do you prefer

Each resort area has its own advantages. Sometimes it's hard to make a choice. For advice, you can contact an allergist or health facilities that provide services to patients with allergic diseases.

Among the resort areas you can choose from the following:

Black Sea coast of Crimea. The water of the Black Sea contains a large amount of hydrogen sulfide compounds, calcium, magnesium (chloride and sulfate). According to the microelement composition, it is closest to the composition of human blood. Such water has a positive effect on the nervous and endocrine systems, which explains its choice for allergy sufferers.

Sea of Azov. It is the shallowest in the world (the maximum depth is only 15 meters). The coast of the Sea of Azov is most suitable for vacationers with children. The water of the sea is three times less salty compared to other seas. It contains a small amount of chloride and sodium ions, has a high content of calcium, iodine, carbonates and sulfates. The water is warmer compared to other bodies of water.
Dead Sea. Allergists often recommend resting at the Dead Sea for atopic dermatitis. The endorheic salt lake, located between Israel and Jordan, contains a unique composition of salts and healing sulphite mud. The water contained a high content of bromine, iodine, and hormone-like substances. The Dead Sea is a real miracle of nature with healing properties.
Adriatic Sea. The choice can be stopped on the coast of Slovenia (Koper, Isola, Portoroz, Piran), Croatia (Dubrovnik, Makarska Riviera), Montenegro (Budva Riviera), Italy (Rimini, Cattolica, Pescara, Palm Riviera).
For those who cannot stand the heat, it is better to plan a trip for the spring or autumn period. As an alternative, they consider holidays in Switzerland or Austria.

Regardless of the choice of the resort area, you should follow the usual preventive measures, pleasantly combining relaxation with treatment.

There are many recipes for baths and rinses that will help with various forms of this disease. Let's highlight some of them and consider what to bathe a child with atopic dermatitis and allergic dermatous rashes.

We will talk about babies, since this age category is most sensitive to the effects of various drugs and plant elements.

Allergy sufferers can swim, moisture is not harmful to sick skin. The problem is often caused by the chlorine found in tap water. Residents of cities are forced to put up with this, since they simply have no other options.

But is it possible to bathe a child with dermatitis arising from allergic reactions?

In order not to aggravate the irritation of the baby's skin, parents will have to work hard. Settling water or cleaning filters will help reduce the alkaline environment.

Parents are often interested in whether it is possible to bathe a child with allergic dermatitis with special means and decoctions of herbs, and with which ones?

Note that with allergies, you need to be very careful when using any new remedy, especially synthetic or plant origin.
Having applied any remedy for the first time, you need to wait two days and look at the reaction of the child's body.

Folk methods

Traditional medicine advises bathing a child with allergic dermatitis using the following remedies:

Freshly brewed black tea.
Decoction.
Decoction of oak bark.
Infusion of wheat bran or oats (for dry skin).
A decoction of string, chamomile, mint (for wet or oily skin).

The last of these recipes can itself cause allergies, so you need to be extremely careful when using it to bathe a baby with an allergy.

It is better to brew the ingredients in turn, and not to make a decoction from all at once. An allergic reaction to only one of them may occur.

Atopic dermatitis

To bathe or not to bathe a baby with atopic dermatitis (aka diathesis, allergic dermatitis, childhood eczema, neurodermatitis) is a question to which domestic doctors give radically opposite answers. And the thing is that some time ago, the benefits of bathing were really called into question due to the fact that after swimming in our “environmentally friendly” water, many babies had worsened skin conditions. However, it has long been proven that babies (and especially babies diagnosed with atopic dermatitis) cannot do without water, and daily bathing is simply necessary. Nevertheless, here, as with a diet, it’s easier to ban everything than to explain how it’s right, so there are still specialists who either don’t want to delve into the essence of the issue themselves, or don’t want to put everything on the shelves for their mother.

So now the generally accepted position is: bathing a child with atopic dermatitis is not only possible, but necessary in connection with the following:

Bathing hydrates the skin. It is believed that one of the main ones is dry skin, which lacks lipids and filaggrin protein. Allergy or dysbacteriosis does not always lead to atopy, but dry skin that is not protected from external influences will be constantly irritated even from mechanical friction when crawling, from sweat, from saliva, etc. That is why it is important to monitor the condition of the skin and moisturize it as it dries. What is the best moisturizer for skin? Of course, water.
Bathing cleanses the skin. Bacteria, viruses and other exogenous substances, as a rule, enter the body through the intercellular spaces of the stratum corneum. These gaps cover lipids, ensuring the integrity of the skin. However, as mentioned above, in children prone to atopy, the process of lipid production by the skin does not always work correctly. Accordingly, one of the measures aimed at preventing exacerbation is to control the cleanliness of the skin and periodically cleanse them (not to fanaticism, so as not to destroy the beneficial flora, but it will not hurt to wash the future with some water).
Bathing is relaxing. As a rule, stress, emotional tension, depression have an extremely negative effect on the course of the disease. And there are many reasons for excitement in babies: teeth, new skills, itchy spots, etc. For the most part, babies get incomparable pleasure from bathing, and therefore this is another argument in favor of water procedures.
Bathing is good for health. If you approach bathing with all responsibility, then this is not only a pleasant pastime, but also hardening of a small organism (and atopics often have reduced immunity).

Thus, bathing is more good than bad. Yes, there are stories when they stopped bathing and the manifestations of atopic dermatitis significantly decreased (or even disappeared altogether). However, here it is worth understanding: how exactly did the baby bathe? As mentioned above, the water in our taps leaves much to be desired. However, this is not a reason to give up bathing - you just need to learn how to bathe correctly in order to get the most out of the process.

Bathing rules for atopic dermatitis:

Bathe in the bathtub, not in the shower. The skin of the baby is very delicate, so strong jets can damage it (this is especially true for the period of exacerbation).
Should be applied. It is the presence of chlorine in water that often becomes the reason for refusing to bathe, because it tends to dry the skin, which can be one of the causes of exacerbations of the disease.
Bathing water should not be hot. As you know, bacteria develop much more actively in heat, and itching also increases, and therefore, it is worth starting bathing from a temperature not higher than 35 ° -36 °. In addition, if we are going to harden a little one, it is recommended to reduce the initial temperature by one degree in a week to 26°-28° degrees. Here, of course, everything is individual: while the baby is actively doing swims with a circle around his neck, this is one thing, and when he just sits, watching the passing ducks, it is a completely different story. We ended up settling on 32°-33° for a seated baby doll.
The use of washcloths is unacceptable, as they can damage delicate skin and increase irritation.
Detergents should be used only as needed (usually no more than 1-2 times a week). Moreover, these should be special products with a neutral pH (roughly speaking, acidity) of 5.5, suitable for age and intended for atopics, and not just moisturizing.

Why pH 5.5: This is considered normal skin acidity for the average person (to be more precise, normal skin pH is in the range of 5.0-6.0, but marketers have chosen to take the average value for convenience). In turn, the use of products with a high pH (by the way, ordinary natural bar soap, as a rule, has a pH of about 9-11) helps to wash out the components that maintain the skin barrier (in particular, the hydrolipidic film) at the proper level. The skin will certainly recover its losses, but this will take time. At the same time, if oily skin needs about 3 hours to recover, then dry atopic skin needs much more time (up to 14 hours). The thinning of the protective layer can lead to the colonization of the skin by harmful microorganisms and, as a result, to the exacerbation of atopic dermatitis.

However, neutral pH is not everything. It should be taken into account that some components included in the composition of detergents can overdry the skin (in particular, surfactants of type S sodium Lauryl Sulfate (aka SLS), Sodium Lauroyl Isethionate and others). They also dry the skin of herbs, bathing in which was previously mistakenly considered the first aid for diathesis. The mother of a baby prone to rashes should very carefully study the composition of each product used and, if possible, use cosmetics without the indicated ingredients.

When choosing funds, it should also be borne in mind that they differ for the period of remission and exacerbation. In addition, even the most hypoallergenic agent can cause a negative reaction in a child prone to atopy - here only by trial.

The bathing procedure should last no more than 10-20 minutes. It is believed that this time is enough to saturate the skin with moisture.
After bathing, the skin should be slightly blotted with a cotton diaper, without wiping it dry (we simply wrap it in a diaper and take it to the changing table for further procedures). A terry towel and intense friction, again, can damage the skin.
Within 3 minutes after the end of the procedure, an emollient should be applied to wet skin to retain the moisture received by the skin.

Subject to these rules, bathing, as a rule, brings only positive emotions to the little one and benefits his delicate skin.

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