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Tender Care for Your Infant’s Eczema with Dr Dave Ong

Paediatrician at Kids Clinic @ Punggol by Singapore Medical Group

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Caring and managing an eczema child can be stressful and despairing. To optimally care and manage your child’s eczema, you will need to have an optimal medical and skincare regimen. This includes skincare regimen during flares, bathing and maintenance therapy. Beyond that, your child would also require other essential skincare products like diaper cream, insect repellent, hand sanitiser, sunscreen, etc. suitable for eczema-prone skin condition.

It’s understandable that mothers will get flustered or worried when they see their baby’s irritated skin. However, eczema is a very common condition in children. Approximately 20% of children have eczema, which can range from being very mild to very severe.

In babies, it is most commonly found on the face, neck and, later on, over the flexures of elbows and knees. The skin is usually dry, irritated and red.

The most important thing for mothers to understand is the importance of ceramides. In eczema, the skin barrier is weakened because it lacks ceramide.

If you can imagine the skin barrier as a brick wall, ceramide acts like cement, keeping the skin barrier strong. However, without enough ceramide, the wall or skin barrier is weak. This allows irritants to get through and triggers inflammation and itchiness.

Eczema has a genetic link but it is a combination of genetics and environmental factors that contribute to its development.

There is no known cure for eczema. However, in terms of prevention of eczema in situations where the eczema has not developed yet, there is good evidence to show that breastfeeding can reduce the risk of eczema, and some evidence that early moisturising, from the first week of life, can help prevent eczema from developing, especially if there is a family history. There is also moderate evidence that intake of probiotics by pregnant mothers in their third trimester of pregnancy and by breastfeeding mothers can help in the prevention of eczema.

Some children also outgrow eczema. To improve the chances of outgrowing eczema, mothers should use soap-free and fragrance-free products, and moisturise their babies well after every bath with a ceramide-dominant, pH-balanced formulation such as Ceradan® Barrier Cream. This will help to reduce the frequency of flare-ups, and help improve the chance that kids will outgrow it.

The main difference is that heat rash, which usually occurs when the baby is hot, will subside once the baby cools down. However, eczema is a chronic condition and will be there for a longer period of time. On the other hand, fungal infections usually occur in warm, moist and sweaty areas including the armpits, groin, and skin folds, as well as the area between your fingers and toes.

For a proper diagnosis, you should see a doctor to be examined in order to confirm the condition and be prescribed with proper treatment. For example, a fungal infection must be treated with an anti-fungal cream.

To help strengthen the skin, it’s important to restore ceramide to the skin. This means using a moisturiser such as Ceradan® Barrier Cream. with a ceramide-dominant ratio of 3:1:1 with cholesterol and free fatty acids.

Mothers should also look for a moisturiser with a mildly-acidic pH, as the skin’s natural pH is also mildly acidic. This is part of the skin’s natural defence that also helps to keep the skin barrier healthy.

When applying this ceramide-dominant, pH-balanced moisturiser, be sure to apply it all over the baby’s skin and not just on the affected areas. This is because the lack of ceramide does not just affect one part of the skin. By applying the moisturiser from head to toe, including the face, this replenishes ceramides and strengthens the skin barrier all over, making it less likely for eczema to appear on another area.

Genetic mutations in eczema causes the skin to produce less ceramide. As ceramide is the cement which holds the skin barrier together, insufficient ceramide means that the skin barrier is unable to function properly.

Research has shown that you can help to restore or replenish ceramide in the skin by applying a ceramide-dominant moisturiser. Over time, this helps to strengthen the barrier so it can prevent loss of moisture from the skin, which contributes to dryness, and repel allergens that could irritate the skin and trigger a flare-up.

pH level is also an important factor in managing eczema. Our skin barrier has a naturally acidic pH level, while soap is alkaline. When soap is used on skin with eczema, this will raise the pH level of the skin. In addition, soap strips away the skin’s natural moisturisers. This will weaken the skin barrier further.

For these reasons, it’s important to use products that are pH-balanced and soap-free if your baby has eczema.

You can bathe babies once or twice daily, with a soap-free cleanser. Remember to moisturise well, from top to toe, with a pH-balanced, ceramide-dominant moisturiser after bathing.

It’s understandable that you may want to bathe your baby more frequently in Singapore’s warm weather, especially if your baby perspires a lot as this can also cause an eczema flare. However, you should avoid over-bathing babies as this can cause the skin to be drier as well.

The Ceradan® Hand Lotion Sanitiser formula is ceramide-dominant so it will not cause dryness or irritation. It’s formulated to be safe, even for babies, if they happen to suck on their fingers later.

If you find that your baby frequently scratches, or scratches after bathing, this may be a sign of irritation. You can try using soap-free products and a ceramide-dominant moisturiser to break the itch-scratch cycle, or bring your baby to a doctor for a proper diagnosis.

To help prevent diaper rash, regular cleaning and changing is important. Next, apply a thick layer of diaper cream. You should apply diaper cream two or three times a day, or with every change if your baby’s skin is very sensitive to diaper rash.

This will help to protect the sensitive diaper area from urine and faeces which can irritate the skin. Choose a good diaper cream that contains zinc oxide, as this acts to seal the skin surface from irritants, in a ceramide-dominant formula to help rebuild the skin barrier, such as Ceradan® Diaper Cream, which also contains an ingredient to prevent the growth of fungus and bacteria.

Food allergies are usually considered in children below 12 months of age who have extensive and difficult-to-manage eczema. If eczema is not responding well to other things such as soap-free products and moisturising, you may need to look at food allergies as a possible trigger and discuss with your paediatrician about allergy testing However, the underlying genetic defect of the skin remains and,while underlying food allergies may contribute to eczema flare-ups and may require avoidance, good skin care still remains the core of eczema management.

Testimonies

Soothing gel can help calm the skin.

Lennix is super sensitive to mosquito bites not only does it swells up to the size of golf balls but when he scratches it ….
Read More

Joanne

Singapore

Ceradan Hydra moisturiser is able to maintain the hydrated.

Having eczema since I was 2 weeks old at birth, I’ve been on the search for products to keep the eczema under control ….
Read More

Cheryl

Singapore

It’s soap free and safe for all skin types

Honestly though, this 3 are my most used products from @ceradan311sg ? I love using the wash on Shayera & Zayne as ….
Read More

Jane

Singapore

It’s a very gentle and baby-safe product.

We were introduced to Ceradan Skin Barrier Repair Cream by Marc’s paediatric when he started to develop a neck rash from all the sweating, milk and drool ….
Read More

Cheryl

Singapore

It is hypoallergenic and 100% safe for newborn.

My baby is almost 2 months old, for the past weeks, I’ve been overwhelmed by frequent diaper changing and feeding my baby day and night ….
Read More

Adeline

Singapore

Ceramoz will make your life better!

Recommended by a pediatric dermatologist, my 4 YO girl has been using the Ceramoz for more than 2 years now. It is truly the best of both worlds ….
Read More

Alfred

Singapore
  • Lennix is super sensitive to mosquito bites not only does it swells up to the size of golf balls but when he scratches it he gets a bacterial skin infection which either lands him in hospital for IV antibiotics or heavy doses of oral antibiotics.

    So now whenever he gets bitten we immediately apply antiseptic solution and then put a bandaid on it so he wouldn’t be able to scratch.

    However the area around the bite becomes very dry and scabby possibly due to lack of air because we leave the bandaid on until the bite heals? We have been using @ceradan311sg soothing gel to help calm the skin so scratching is minimised to prevent further damage and it’s been working great! We ❤️ it!

  • Having eczema since I was 2 weeks old at birth, I’ve been on the search for products to keep the eczema under control. One thing I found useful before attending this session is that I “drink” moisturisers by the bottle and only came to know Ceradan since Marc was born. What I didn’t know was Ceradan is great for all ages, all skin types, especially dry, sensitive and eczema ones.

    The texture of the Ceradan Hydra moisturiser is very light yet is able to maintain the hydrated feeling for quite a while. And understanding from Dr Lynn that the key issue with eczema skin is to build up the skin’s barrier to minimise inflammation and infection, using a moisturiser with 3:1:1 ceramide dominant ratio is essential.

  • Honestly though, this 3 are my most used products from @ceradan311sg ? I love using the wash on Shayera & Zayne as it puts my mind at ease knowing that it’s soap free and safe for all skin types. As for the diaper cream, I use it on the kids even when there’s no rash to ensure that they’re protected. I used it on myself the other day when I had a minor rash on my hand and it helped! As for Ceramoz, it’s part mosquito repellent and part moisturiser! It’s the kiddos must have when they go over to my in-laws place which is a landed space, so you know how mosquitos love to party inside.?

  • We were introduced to Ceradan Skin Barrier Repair Cream by Marc’s paediatric when he started to develop a neck rash from all the sweating, milk and drool in between his neck folds. And later, when Marc started on his helmet therapy, the orthopaedic suggested using Ceradan Body Wash to help minimise any possibility of heat rashes and keep his skin moisturised.

    Having used Ceradan products on Marc for quite a while now, we do find that it’s a very gentle and baby-safe product. Upon using the Ceradan Skin Barrier Repair Cream, his neck rash was under control very quickly and it’s been very effective even for myself when I have eczema flare ups. Ceradan Regimen, which consists of Ceradan Skin Barrier Repair Cream and Ceradan Body Wash, is suitable for children as young as newborns and it has demonstrated clinically-proven efficacy in a study conducted by KK Women’s and Children’s Hospital and National Skin Centre in Singapore to prevent 1 in 2 eczema flares in Singapore children.

    Since Marc loves swimming, and the chlorine in the water is very drying for the skin, I highly recommend Ceradan Body Wash to cleanse and maintain his gentle baby skin as hydrated as possible.

  • My baby is almost 2 months old, for the past weeks, I’ve been overwhelmed by frequent diaper changing and feeding my baby day and night. ?‍♀️?? Diaper rash is also every mum’s nightmare so choosing the right diaper cream is so important. Ceradan’s diaper cream is clinically proven and also recommended by KK Children & Women’s Hospital.

    It is hypoallergenic and 100% safe for newborn.

    I’m thankful to be able to try out this diaper cream for my baby with its unique triple protective actions◾Zinc oxide to seal out wetness ◾Octenidine to control yeast overgrowth ◾Contains 3:1:1 ratio of ceramic, cholesterol and free fatty acids to repair skin barrier.

    Thanks for keeping my baby’s skin rash-free!

    Ceradan is available at Watsons, Guardian and Unity stores.

  • Recommended by a pediatric dermatologist, my 4 YO girl has been using the Ceramoz for more than 2 years now. It is truly the best of both worlds, being able to moisturise and protect against mosquito bites at the same time!

    One big problem we had to deal with when my girl started childcare was mosquitoes ?. Doesn’t help when she had eczema and very sensitive skin. One bite on her and the bitten site would swell and become inflamed. Mosquito patches don’t work at all, and kid-friendly insect repellents either don’t work so well, or are too “spicy” – imagine the whines when she accidentally rubs her eyes after applying the repellent. When we were initially introduced to Ceramoz, we were a bit doubtful but later glad to learn that my girl don’t get bitten by mosquitoes that often anymore! (Truth he told, she only gets bitten when she forgets to apply it after her shower in childcare). It has proved its use so much that I use it now even during her non school days, 2+ years and counting!

    If you have a school-going child with eczema conditions, delicate skin, or is simply a mosquito magnet, Ceramoz will make your life better!