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Eczema and Skin Management at 35 months TSW (Topical Steroid Withdrawal)

Skin and itch management at 35 months TSW seems pretty simple compared to our treatment and skin/wound care routine at 5 months TSW seen here.

Brian’s current regimen has been as follows. This will likely change (again) as the weather gets cooler, the skin dryer, and the “eczema season” begins once more.

Goals:

  • To keep the skin clean, hydrated, and infection-free
  • To utilize effective itch/scratch management to prevent breaks in the skin
  • To support the body/skin via taking needed vitamins/supplements, monitoring sugar and dairy intake, and getting proper nutrition/hydration, exercise, and sleep
  • Utilizing stress management and deep breathing techniques

Treatment/Skincare Routine: At least once daily shower, followed by application of organic coconut oil (face, extremities, trunk). Hot summer months require a “lighter” moisturizer.

***Lately Brian’s been able to go without using coconut oil (or any) for moisturizer. He still uses it as sunscreen for face and exposed areas when playing baseball.

Infection control measures:

  • Apple cider vinegar (ACV) bath (10 minute soak) or 20 minutes in microsilk tub bath 3-5 times per week,  followed by shower/rinse off and coconut oil or nothing
  • Spray sovereign silver, as needed, on any open areas or broken skin.
  • If all other measures fail and skin/itch worsen, short term oral antibiotics have helped, but thankfully he hasn’t needed them much. In fact, he needed antibiotics more often when he was on topical steroids for his eczema.
  • Change sheets every day

Vitamins/Supplements/Diet: Vitamin D3, Omega 3 fish oil capsules, recommended by pediatrician;  pantothenic acid, DAO histaminase, B complex, culturelle probiotic–supplements prescribed by naturopath to address methylation issues (difficulty processing histamines and sensitivity to eggs, dairy, and fruit-sugar combos) and provide gut support; try to monitor dairy, egg, and processed sugar intake

 Itch/scratch management: Generally 0/5 to 2-/5 scratching (See log for scratch scale.) Cut and file fingernails short. Deep breathing/relaxation techniques, acupressure points, ice packs, distraction. He will use benadryl liquid as needed but hasn’t used it in months.

If needed for >3/5 scratching: Dr. Wang’s purple eczema ointment, The Home Apothecary’s lemongrass balm, moisturizer such as coconut oil, or sovereign silver gel/spray–haven’t needed these lately

Remaining TSW symptoms: (compare to March 2, 2014 at five months TSW and 28 months TSW. )

  • Shedding—As in past 2 summers, progressive decrease in visible, measurable shedding from end of June to now (beginning of September). Now shedding is almost imperceptible even when shaking sheets in morning.
  • Elephant skin—not evident in July, August, or early September
  • Red sleeves, edema—none noted this summer in upper or lower extremities compared to January/February 2016 (feet) 
  • Ooze smell—light to strong ooze smell in May and June but none too obvious from July to now. Heavy night sweating with faint ooze smell was also absent the past few months.

Skin quality:
–Back is soft, smooth but has intermittent eruptions of erythematous papules scattered on posterior scapulae and low back–haven’t pinpointed the trigger

–Shoulders, elbows, knees textured with scattered hypopigmentation from scratching on tan skin. Dry but no obvious flaking

–Still with periodic small breaks in skin on shoulders, elbows, hands, or knees from scratching/picking

–Able to play in the sun and heat and sweat like the best of us–without freaking out

Function: Sleeping through the night (roughly 10:30p-7am). Staying active with 8th grade, travel baseball with 2x/week practice,  cross country, church, golf (which he took up on 8/30/16). Overall, he’s doing well despite “not perfect” skin, but then, no body’s perfect!🙂

We are very thankful that Brian’s skin is no longer limiting his participation in or enjoyment of activities. So, is TSW finally over? Only time will tell. Fall and winter are just around the corner, and we’ll have to wait and see what symptoms arise with the lower humidity and cooler temperatures.

In the meantime, we’ll continue to praise God for his healing touch, live beyond the itch, and “Play ball!”

You make me glad by your deeds, O LORD; I sing for joy at the works of your hands.”

Psalm 92:4


Beyond the Itch

Eczema Cures and Diet Management Plan

Assuredly, you cannot work out any problems if you do not know the root cause of the condition. Ever heard of eczema? This is a skin disease that is frequently described as itchy, crusty and irritated.The worst thing that could develop is further infection in the affected area if not treated abruptly, especially the eczema on face. The causes of eczema are unknown and some assume that it is due to the over reacting of the immune system to allergens. The symptoms of eczema may possibly be caused by external and internal factors such as the substances around us and the food we eat. Nonetheless, there has been exclusive attestation that suggests food consumption can precipitate allergic reactions and can probably cause the incidence of eczema.

For babies, breastfeeding is highly advisable before introducing certain kinds of foods. Gradual introduction of food will help you and your baby in identifying certain foods which causes allergic reactions. For adults and other children, there are actually eczema diet plans available that could help you in determining the foods you should consume and avoid. You must understand that there are certain foods that could trigger eczema flare up and sometimes could cause infection.

You may check which type of foods can easily irritate your skin by doing a trial and error.  Start by listing food groups such as poultry and dairy products. Consume them in one meal and check if you have developed any symptoms of eczema. If rashes started to appear, you must avoid eating these kinds of foods. Sea foods and shellfish could be eczema triggers to others. Some people develop rashes after eating chocolates, tomatoes, and citrus fruits. Food allergy may vary in different people.

Aside from the eradication of allergenic foods in your diet, you can add in your diet foods that can improve your immune system.Due to their immature immune system, babies and infants are commonly affected by eczema.You may increase your intake of vitamin and minerals supplements such as Vitamin C and E. Vitamin E is responsible for keeping your skin healthy and it adds extra protection to your skin against the different allergens in the environment.

If you want to determine which foods you are allergic to, you may seek the advice of a skin expert or dermatologist.Some doctors perform “patch testing” to determine which kind of substances and allergens you should avoid. They would also recommend and prescribe medicines and antibiotics you can take for eczema to subside. More often than not, there are people who prefer the natural treatments since they are cost effective and they have fewer side effects.

Certainly, there are so many things that you can do to manage this skin condition and following these reminders is one of them. It is very easy. All you have to do is to avoid the foods that can trigger eczema and add in your diet foods that can improve your immune system.

Identify the best solutions for eczema on face. Visit us online today and get information about the different causes of eczema.