What should not be eaten with eczema?

Written by Xie Ming Feng
Dermatology
Updated on September 10, 2024
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The pathogenesis of eczema is very complex. As for which foods should be avoided, it is based on frequent observation. If you are unsure about which foods to avoid, you can go to the hospital for allergen testing. It is important to be cautious about dietary restrictions for babies, and while avoiding certain foods, it is also necessary to ensure the intake of nutrients.

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Written by Huang Ling Juan
Dermatology
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How to distinguish eczema from prickly heat

Eczema and heat rash have clear differences, including different causes. Eczema is primarily caused by allergens, as well as excessive mental stress, anxiety, and hormonal imbalances. Heat rash, on the other hand, usually arises from overly humid and hot environments that affect normal sweating function, leading to blocked sweat ducts. Their clinical manifestations also differ. Eczema typically presents as polymorphic and symmetrically distributed lesions, usually manifesting as papules and vesicular papules, and in severe cases, erosion, exudation, and significant itching are observed. Heat rash clinically appears as tiny, pin-sized blisters that emerge in clusters and merge into patches, typically found at skin folds without symmetry. White heat rash generally has less noticeable itching, whereas red heat rash is itchy and can also feel burning.

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Traditional Chinese Medicine
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What should I do if eczema is caused by excessive dampness?

For patients suffering from eczema caused by excessive dampness, initially, using a warm towel compress can help alleviate symptoms. It is also important to bathe frequently, maintain cleanliness, and keep dry to effectively prevent and improve the condition. Alternatively, spending more time in the sun, using a sauna, or soaking feet in warm water can also provide some relief. These methods can effectively prevent and treat the condition. Excessive dampness is often related to habitual overexertion and improper diet.

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Written by He Da Wei
Dermatology
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Symptoms of eczema

Eczema is an intensely itchy skin inflammation reaction caused by various internal and external factors. It is categorized into three phases: acute, subacute, and chronic. 1. Acute eczema: Initially, the skin lesions appear as numerous, densely packed millet-sized papules, vesicopapules, or small vesicles with a reddish base that gradually merge into patches. Due to scratching, the tops of the papules, vesicopapules, or vesicles break open, leading to distinctive punctate exudation and minor erosion with unclear margins. If secondary infection occurs, the inflammation becomes more pronounced, possibly forming pustules, crusts, folliculitis, and boils. There is severe itching. Commonly affected areas include the head, face, behind the ears, extremities, scrotum, and perianal region, often symmetrically distributed. 2. Subacute eczema: Following the reduction of acute eczema inflammation, skin lesions primarily consist of small papules, crusts, and scales, with only a few vesicopapules and erosions, yet intense itching persists. 3. Chronic eczema: Often, chronic eczema results from reoccurring episodes of acute and subacute eczema that do not resolve, or it may start as chronic eczema. Characteristics include thickened, infiltrated skin at the affected sites, which tend to be brownish-red or have pigmentation, a rough surface covered with scales, or crusting caused by scratching. There is severe itching. Common sites include the lower legs, hands, feet, elbows, knees, genitals, and anus. The duration of the disease is variable, it is prone to relapse, and is often long-lasting without resolution.

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Written by Yan Xin Liang
Pediatrics
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Baby eczema treatment methods

Eczema in babies is a common problem, generally caused by allergies. To address allergies, it's important to identify the cause. Common triggers in babies include food, with cow's milk allergies being frequent, as well as contact with certain substances. Some babies who often spit up milk can develop eczema around the lips. If the allergen is identified, it is best to avoid contact with it. Topical medications can also be used, with commonly prescribed treatments including Desonide ointment (use medications under the guidance of a doctor). Desonide is a steroid medication. If you prefer to avoid steroids, other options like Dandiphen ointment (use medications under the guidance of a doctor) are available, though they might not be as effective. As the child grows older, the eczema will gradually disappear, so parents need not worry overly.

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Neonatology
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How to treat baby eczema?

Infant eczema is a common type of skin allergic inflammation in children, with a higher incidence in infants and young children. General care for infant eczema primarily involves skin care, focusing on moisturizing the skin. Children who are allergic in nature are more susceptible to eczema triggered by allergens, hence it is crucial to avoid allergens. It is advisable to wear cotton clothing, preferably in light colors, which are soft and comfortable. It is best to avoid synthetic fibers or animal fur clothing, as these can easily cause allergies. Additionally, skin moisturizing is important; it is recommended to keep bath times under ten minutes and the water not too hot. Avoid using alkaline bath products, which can scrub the baby's skin and potentially damage the skin barrier, worsening the eczema. The recommended water temperature is around 38 degrees Celsius, and bathing time should not exceed ten minutes. Room temperature should not be too warm. The room's air humidity should be maintained between 50% to 70%. It is advisable for infants not to be overly full when feeding, as excessive food intake can burden their digestive system and potentially exacerbate eczema. Mothers should be cautious with their diet, avoiding spicy, stimulating foods or allergenic foods like seafood. For baby rashes, moisturizers, predominantly those with a simple composition like mineral oil and free of dyes and fragrances, are recommended. Avoid using diluted lotions with a high water content. Applying moisturizer within about 3 minutes after bathing can optimize moisture retention. If the eczema is extensive with noticeable exudation or redness, and the baby is noticeably distressed, further medical consultation should be sought at a hospital. Dermatologists can prescribe appropriate medication based on the baby’s condition. It is generally not recommended for parents to use corticosteroid ointments on their own due to potential side effects and risks of improper use.