I\'m new! Qs about babies, PA, eczema

Posted on: Wed, 03/05/2008 - 9:36am
mom2sam's picture
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Joined: 03/04/2008 - 19:58

Hi everyone! I have a baby boy who is 6 months old.
He has eczema which is what triggered our visit to the allergist.
His percutaneous skin test showed the following
4+ to ALL NUTS
4+ milk
2+ oats, tomatoes, beef
So I have modified my diet completely to ensure he is not getting any allergens. (as he is still breastfeeding, when I was pregnant & nursing I never ate any peanuts though!)

NOTHING makes him stop itching! NOthing!! He itches all day & night, I feel soo upset seeing this. I don't think it is eczema b/c he itches even if he doesn't have red or rough patches.
He has seen Pedi, Pedi derm, allergist. They all seem to think it's eczema, but his skin is baby soft?! any advice on this??

I have tried the entire run of products on him (no more aveeno due to oats), I have tried Mustela dermopediatrics, aquaphor, eucerin, california baby calendula cream & 1% hydrocortisone cream. On occasion I have also used benadryl & vaseline jelly.

Poor little guy still itches 24/7. This is using All free & clear as well.

So that is my first question. [b]Doing all of the above, what else can I do? I lube him up w/ aquaphor right after bathtime, when he is still damp. I tried daily baths vs spreading them out.[/b]

His skin may look & feel baby soft, but that doesn't stop the itchies?! Do you think this is eczema???

My 2nd Q is just in general about nut allergies. I use some products by Mustela Dermopediatrics that have almond oil extract. I called the company & they state that it is refined & should be safe for nut allergies. His skin is really soft after I use it, there is no other soothing bath product that I can find for him. So I have gone back to using it, since once I stopped it, it didn't make him better?
[b]What are your thoughts on topical products w/ refined nut oil? allergist seems to think it is ok...want to know what the parents think.[/b]

I appreciate any insight & advice. I feel very overwhelmed & sad right now. Since I can't get my baby to stop itching & a little sad about PA in general...but I know it will get better as I educate myself more. Thanks agaiN!

Posted on: Wed, 03/05/2008 - 11:10am
MommyOfTwo's picture
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Joined: 11/08/2007 - 09:44

First off, I'm so sorry about the diagnosis! My DS was diagnosed around 3-4 months. He also had really bad eczema so I convinced his pedi to do an allergy referral since I was already trying to elimate dairy from my diet (I was BF'ing too) and it didn't seem to be working. He tested neg. to everything but was 9+ on peanuts. I did eat a TON of pn throughout my pg and while nursing him those first few months too.
As for the 1st question, not one of the dr's put him on Zyrtec? Since my DS eczema was diagnosed when he was about 3 months old (he had it pretty much since he was born but they were telling me it was craddle cap and telling me to do all these other things for it) they put him on 2ML Zyrtec daily. He still gets itchy here and there but for the most he isn't itching 24/7. If they didn't already prescribe him Zyrtec or something I would def. ask them about that.
For our routine we do two "spot treatments" EVERY day. In the morning and at night. I first put the hydrocortizon on any spots that are broken out. Then I slather him in Aquaphor then in Vanicream then get him dressed. I always keep him in a onesie under his clothes. His skin is really sensitive and if I just dress him in a shirt and pants his tummy/back get really irritated. At the very least he is in a onesie and his babylegs. I give him a bath every other night using Cetaphil soap and J&J Gentle shampoo for his hair followed by his nightly spot treatment.
It seems like when he does get a broken out area it feels like it takes FOREVER for it to clear up, sometimes well over a week before I notice an improvement. When he does get a flare up I wrack my brain like crazy wondering if he ate anything that might have been xcontaminated with pn or if I ate anything (I'm in the process of weaning).
As for question #2 I honestly have no idea. I keep all pn/tn out of the house even though DS is only pa but I worry about xcontaminationw with other nuts so I avoid all together but we are pretty set in what we use and I know it is safe.
I was overwhelmed too with everything. Especially as my DS has been getting older, eating table foods, out running around more....it is VERY stressful! Sometimes I'm so happy just staying at home because I KNOW everything here is safe. One of the best things I did was start reading books and doing research. This site has so much wonderful information and you can do a search on any topic just about and pull up a past thread. I also got the Peanut Allergy Answer Book and it was a great easy read. I even sent a copy to my parents before we went to visit and also to my IL's as we are going there in a couple weeks.
It will take some time to adjust, but you will and it is just a whole new way of life that will eventually be like second nature. WELCOME to the board!

Posted on: Mon, 03/10/2008 - 6:33am
williamsmummy's picture
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Joined: 03/26/2002 - 09:00

how about considering environmental allergies, like dustmite?

Posted on: Mon, 03/10/2008 - 7:16am
nutty1's picture
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Joined: 02/24/2008 - 12:46

My son had eczema, and the hydrocortisone did the trick. If what you have done hasn't worked, I would be advocating to try him on Benadryl or Zyrtec. If those work for him to stop the itching, then you would at least know that the itching is related to an allergic reaction of some kind, and not eczema.

Posted on: Wed, 03/12/2008 - 1:12pm
mom2sam's picture
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Joined: 03/04/2008 - 19:58

Originally Posted By: williamsmummyhow about considering environmental allergies, like dustmite?
he didn't react to any on the test?

Posted on: Wed, 03/12/2008 - 1:13pm
mom2sam's picture
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Joined: 03/04/2008 - 19:58

Originally Posted By: nutty1 advocating to try him on Benadryl or Zyrtec. If those work for him to stop the itching, then you would at least know that the itching is related to an allergic reaction of some kind, and not eczema.
interesting I have been doing benadryl for about 1 wk everynight now & not really helping, so it may not be allergic rxn causign the itchies! I am a little hesitant to try zyrtec...I am saving it for a rainy day, IYKWIM!

Posted on: Thu, 03/13/2008 - 12:21am
MommyOfTwo's picture
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Joined: 11/08/2007 - 09:44

Originally Posted By: mom2samOriginally Posted By: nutty1 advocating to try him on Benadryl or Zyrtec. If those work for him to stop the itching, then you would at least know that the itching is related to an allergic reaction of some kind, and not eczema.
interesting I have been doing benadryl for about 1 wk everynight now & not really helping, so it may not be allergic rxn causign the itchies! I am a little hesitant to try zyrtec...I am saving it for a rainy day, IYKWIM!
I'm not so sure about the statement that Zyrtec would only help itchiness due to an allergic reaction and not the eczema....oral antihistamines are a very effective way to control itching in general not JUST itchiness due to an allergen, it is effective for itchiness due to the eczema itself. If you give him Benadryl at night it probably isn't effective enough to last all night then through the day to see a difference in effectivness during the day. That is why Zyrtec is nice because all though it CAN cause drowsiness it isn't as likely to cause drowsiness as Benadryl is. I give my DS his Zyrtec at night but in the mornings if he is really itchy I will give him some Benadryl. The drowsiness doesn't matter so much to him since he still takes a morning nap and afternoon nap anyways.
I wouldn't rely though on saying if it is affective or unaffective for him that it means it is or isn't due to allergic reaction vs. eczema.

Posted on: Thu, 03/13/2008 - 12:35am
Janet76's picture
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Joined: 02/13/2008 - 08:09

My little guy use to scratch til there was blood. But we put little mittens on him when he was sleeping and sometimes when he was awake if he was in a really bad spell.
Went to the dollar store and got those mitten that stretch when u put them on - know the ones??. look really tiny but somehow they fit ur hand (like magic haha)
I know that doesnt help with the creams but it might help him to not scratch it so much cuz maybe thats making it worse too. We did also use benadryl when he got really bad. He's 9 months old and the eczema is now under conrol.
Just a thought that worked for us.

Posted on: Thu, 03/13/2008 - 1:13am
MommyOfTwo's picture
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Joined: 11/08/2007 - 09:44

Originally Posted By: Janet76My little guy use to scratch til there was blood. But we put little mittens on him when he was sleeping and sometimes when he was awake if he was in a really bad spell.
Went to the dollar store and got those mitten that stretch when u put them on - know the ones??. look really tiny but somehow they fit ur hand (like magic haha)
I know that doesnt help with the creams but it might help him to not scratch it so much cuz maybe thats making it worse too. We did also use benadryl when he got really bad. He's 9 months old and the eczema is now under conrol.
Just a thought that worked for us.
Great points Janet! Eczema gets worse and worse the more you scratch it. That is why something like Zyrtec or Benadryl can be so effective to start with to get the itchiness under control which in turn gets the eczema under control. Once the eczema and itchiness is under control you can give your little one a break from the medicines.
I know the weather is warming up but I also try to keep my little guy covered as much as possible to also decrease the itchiness. He wears a onesie under all his shirts or his tummy and back will get all broken out. I used the scratch mittens on him when he was little now I just keep his nails cut really short but he still manages to scratch himself up sometimes.

Posted on: Tue, 03/18/2008 - 3:52am
kandebuttahfly's picture
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Joined: 12/27/2007 - 17:08

just a warning abut hydrocortisone creams... my ped advised me to only use if necessary, as excessive use can actually thin out the skin, causing even more problems with itching, etc. luckily my sons is very very mild, and ive never needed anything more than a thick cream to treat it. disney gentle naturals excema cream works WONDERS!

Posted on: Fri, 03/21/2008 - 12:05pm
Kanji's picture
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Joined: 01/30/2008 - 16:26

You have my sympathy! My child has had bad eczema for years, starting around 9m of age. Up until 6m ago, his hands looked raw, weepy etc. It seems to have improved recently - no idea why.
If your child is itchy everywhere, can't sleep well etc, I'd seriously consider discussing using an antihistamine with your allergist, and looking for other triggers in the home as WilliamsMummy suggested. We used very soft cotton mittens on my son when he was little.
We use strong steroid creams when necessary to keep an eczema flare from getting really bad, but we don't have to apply it to his entire body.
I avoid using any lotions/creams etc on my son that contain any nut or peanut products (except coconut). I also avoid them for myself also.
Yes - Short nails! And if they are still pointy, I have recently tried filing them (my child has just also developed dermatographia).
Good luck!

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