Diet in atopic dermatitis in a child. Modern and folk treatment of atopic dermatitis in children

Article will help you navigate the choice of tactics to combat atopic dermatitis in your child.

Atopic dermatitis in a child is a huge discomfort for the baby and constant experiences for the mother. With this state of the body, you must fight to avoid serious consequences.

How does atopic dermatitis occur in infants? Photo of

The way atopic dermatitis looks, directly depends on the complexity of the process. In some, the detective is a barely noticeable rough spot on the skin. At others - terrible moknutija, extended on a body.

Symptoms and signs of atopic dermatitis. Photo

Symptoms of atopic dermatitis:

• Itching
• Skin rash
• Skin redness
• Skin rash
• Skin on skin

At first glance, the external manifestations of atopic dermatitis are similar to manifestations of allergy. But atopic dermatitis presents itself with its features :

• The appearance of symptoms is undulating. You overcome the rash, and after 3 days you see it again
• Itching may be present even in the absence of redness
• All external signs go away after applying corticosteroids

IMPORTANT: If the spots are spread over the body of the child, and you once again failed to identify the source of the problem, excluding fromration of the child almost all products - you are dealing with atopic dermatitis

Causes of Atopic Dermatitis

Atopic dermatitis is an external manifestation of the processes occurring inside the body.

IMPORTANT: Atopic dermatitis occurs when certain substances enter the body, digested and digested which it is not able to absorb due to the immature gastrointestinal tract

. The causes of of atopic dermatitis are reduced to the ingestion of the same substances into the body of the child:

• Through food. You gave the child a product that the body is not yet able to digest and assimilate. As a result, processes occur in the body, leading to the appearance of atopic dermatitis
• symptoms. Contact with the stimulus. The baby's skin has been contacted with an irritant, resulting in a rash and itching
• through the respiratory tract. The child inhales irritants, which provoke the body to produce antibodies leading to the appearance of atopic dermatitis

IMPORTANT: Food allergy is only sometimes the cause, but more often the consequence. The reason is the conditions that allowed penetration into the body of bad substances

The main cause of manifestation of dermatitis is the dryness of skin .When the skin is not moist enough, its lipid layer is broken. As a result, the skin reacts to substances that come into contact with it.

IMPORTANT: Wet skin gives more chances to win over atopic dermatitis

What can react skin:

• On clothes: tough, synthetic, woolen, sometimes even cotton. Including the skin of the child can react if you lean your child to your clothes
• On a washing powder. It is best not to change the already tested powder and rinse out the laundry thoroughly
• For diapers
• For wet wipes
• For disposable diapers
• For hygiene products
• For dry air and too warm. Dry air dry the skin even more, which increases the chances of dermatitis
• Tap water

IMPORTANT: If the baby's skin is affected everywhere except the diaper area, then look for the cause of dermatitis in external factors that the skin can react to.

Diagnosis of atopic dermatitis in children

Diagnosis of atopicdermatitis is performed by dermatologist.

First of all, a doctor about appreciates the skin condition of , as it can immediately give an opportunity to diagnose:

• Area of ​​lesions
• Nature of rashes
• Degree
• Presence of edema
• Degree of dryness of skin
• Presence of crust
• Presence of peel

After evaluating skin condition, the doctor finds outsome details :

• Is there a hereditary predisposition( is there an allergy in mom and dad)
• The degree of itching

As a result of the examination and questioning, the doctor diagnoses steppegravity Diseases:

• Easy
• Medium
• Heavy

IMPORTANT: The infantile form of atopic dermatitis is singled out separately. It is inherent in children of the first 3 years of life and passes by itself.

Than to humidify a skin at an atopic dermatitis?

Before moisturizing the skin with special means, take measures to eliminate external factors that dry the skin:

• Room air temperature should be no more than 22 C
• Humidity should not be below 60%
• Do not overheat the baby. When overheating, the skin loses moisture, as a consequence - dryness
• Do not wear many layers of clothing. Allow the skin to breathe

After eliminating external factors, deal directly with moisturizing.

IMPORTANT: Whichever moisturizer you choose, you must perform this procedure systematically. Even in case of disappearance of external manifestations to avoid recurrences

Moisturize skin can in three ways :

• Use simple children's moisturizing cream. With a very light course of atopic dermatitis, these creams may help. But the chances are small
• Special cream for moistening atopic skin. Such tools are called emollients
• Special emulsions for bathing a child

IMPORTANT: You will achieve the best effect when combining the second and third points of the

Emothenes for atopic dermatitis in children

Emotilents are special expensive means for moisturizing the skin, including atopic. Emolents restore the lipid balance in the skin, moisturize it and create a protective barrier.

The most common in view of the large number of positive responses is the emollients:

• Mustela Stelatopia. Cream-emulsion for newborns with very dry skin. Country of Origin - France

• Avene XeraCalm A.D.Cream for newborns with atopic skin. Country of origin - France

• Avene XeraCalm A.D.Balm for newborns with atopic skin. Has a deeper effect than the cream. Country of origin - France

• Emolium. Triactive cream for dry skin. Country of Origin - Russia

• Topicrem. Lipid-restorative balm for atopic skin. For children 0+.Country of Origin - France

• Locobase RIPEA.Country of origin - Italy. For children 0+.

• Oilatum Cream. Country of origin - Ireland. For children 0+

• Skin-cap. Cream for children from 1 year. Country of origin - Spain

• A series of products for the care of the atopic skin of a child Oillan. Country of origin - Poland

IMPORTANT: The skin of the child is individual. You will not know what kind of remedy will suit the skin of your baby until you try it in practice.

All these products position themselves as effective agents for very dry or atopic skin, are hypoallergenic and dermatologically tested.

How to relieve itching with atopic dermatitis?

It is possible to remove the itching in 3 ways :

• Using emollients. Many emollients indicate on the packaging that the product relieves itch by 90%.It has already been written above that the selection of emo- lents is an individual matter. One helps to remove the itch, others do not.
• Apply locally non-hormonal ointments or creams. Now a strong, but non-hormonal drug has become very popular - Elidel
• Local topical corticosteroid emulsions, ointments and creams

Local corticosteroids with atopic dermatitis

Local corticosteroids are hormonal drugs for fighting atopic dermatitis.

The most common:

• Elokom. Ointment, cream, emulsion( located from the strongest effect on the skin to the most gentle)
• Advantan. Ointment, cream, emulsion

IMPORTANT: The choice of corticosteroids is carried out individually by a doctor. Do not self-medicate with drugs such

Rules corticosteroids:

• only once a day
• Apply before emollients to clean skin
• Apply only on
• affected area During the time can not be applied to funds for more than 30% of the body
• means take the minimum number of
• notapply to the area under the diaper and underarms.

IMPORTANT: If the doctor prescribes corticosteroids before the first use, carefully read the instructions of

Elidel for atopic dermatitis

Elidel Cream is an anti-inflammatory non-hormonal drug for the treatment of atopic dermatitis in adults and children from 3 months. The main active ingredient is pimecrolimus.

Elidel is an alternative to hormonal drugs.

IMPORTANT: The use of Elidel cream has become very popular, but the safety of using this drug is in question. Before use, carefully read the instructions( including side effects)

Diet of a nursing mother with atopic dermatitis in a child

If the infant has any form of atopic dermatitis, the nursing mother must always follow the diet rules :

• Exclude strong allergens from food: dairy products, dairy products( with severe dermatitis), chicken, beef, chocolate, citrus fruits, exotic fruits, nuts, fish, seafood, eggs.
• . Eliminate products with dyes and preservatives: sweets, carbonated drinks
• To avoid the cumulative nature of the allergy, do not rely on the same product

IMPORTANT: The list of allowed products for each is individual. One mother can safely eat tangerines, while the other can not and green apple

Approved products :

• Rice, corn grits, buckwheat, barley
• All green vegetables: cauliflower, broccoli, zucchini, green beans, Brussels sprouts, cabbage, potatoes, peas, greens
• Green apples, banana, pear, plum
• lean pork, rabbit, turkey, lamb, horsemeat
• pastry in small quantities
• Rye bread
• Rice, corn bread
• Blueberries, cranberries, red seeorodina( pre-soaked with boiling water)

IMPORTANT: Do not eat every day the same product

Widespread among allergists received rotational diet ( see details below)

Rotary diet in atopic dermatitis

Rotary diet well helps to maintain the satisfactory condition of the skin and avoid the deterioration. The diet is well suited for those moms who think that the baby pours on everything.

IMPORTANT: The principle of the rotational diet: each product should appear in the menu no more than once every four days.

. Example application of the rotary diet:

• 1st day. Corn porridge, pork, cauliflower, green apple
• 2nd day. Rice, turkey, zucchini, pear
• 3rd day. Buckwheat, rabbit, plum
• 4th day. Perlovka, horse meat, banana
• 5-1 day. You can already repeat the products of the first day or add other

IMPORTANT: You must pick up for each day a set of products from one type of cereal, one kind of meat, one kind, vegetable and fruit

The rotary diet will help to calculate the allergen. If you notice that some product gave a reaction, give it after 5 days with other products. If the reaction repeats, then the product is excluded.

How to feed a child with atopic dermatitis?

If the baby is small and the is on exclusive use of the , the main task of the mother is to choose the appropriate mixture of , so the milk protein of the cow milk is a frequent provocateur of atopic dermatitis:

• Hypoallergenic. You can start with a mixture in which the protein is partially cleaved, but if a deterioration in the course of the dermatitis is detected, proceed to the next version of
• . Medicated mixtures with complete hydrolyzate of cow protein. These medicinal mixtures and give them to the baby are needed according to the manufacturer's instructions for some time. After the expiration and improvement of the skin condition of the child, you can try to return to the hypoallergenic mixture. But at the slightest impairments continue feeding the therapeutic mixture

IMPORTANT: Reception therapeutic mixture check with your doctor

If the child is exclusively breastfeeding or eating already an adult meal , the food regulations must comply with the nursing mother and the child itself( see above Diet nursing mothersatopic dermatitis in a child and Rotational diet for atopic dermatitis ).

IMPORTANT: If the food is directly related to the child, then follow the advice above, but adjusted for the age of the child

. Feeding for atopic dermatitis

. As a basis for feeding a child with atopic dermatitis, you can take the general rules of introducing complementary feeding to a baby. Feeding newborns. Lure for Komarovsky. Tips and feedback. However for the atopic child there are some important digressions:

• For the first complementary food, choose the least allergenic products( zucchini, broccoli, cauliflower, rabbit, turkey, horse meat, green apple), so as not to provoke an exacerbation on this soil.
• You can not introduce complementary foods during the period of exacerbation. If your baby's skin is atopic in nature, then introduce lure only during the period of the smallest rashes
• Enter each product increase from 3-4 days to 7 days. After 2 more days, do not give a new product. Make sure there is no exacerbation of the

IMPORTANT: A child from 6 months needs a lure for full growth and development. The child can not be allergic to all foods. If it seems to you that the baby pours on all the products, then the matter is completely unrelated to the food. Look for causes in external factors( see above Causes of atopic dermatitis)

Atopic dermatitis and staphylococcus

• The opinion of pediatricians regarding the relationship of atopic dermatitis and staphylococcus is completely different
• Some believe that there is no connection, that these are two separate problems of
• Others believe,if a child has atopic dermatitis, and stool is sown with Staphylococcus aureus, then this is definitely the reason. Immediately prescribe to drink bacteria or even antibiotics
• However, practice shows that the problem only leaves in some cases

IMPORTANT: The conclusion is that staphylococcus is not the cause of atopic dermatitis. This opinion is shared by Dr. Komarovsky, who does not at all recognize such a problem as staphylococcus

. Although you can still meet the reviews of moms, when after treatment of staphylococcus a child's skin cleared. But this can be explained by the fact that in the presence of the bacterium staphylococcus in large quantities in the intestines of the child, immunity suffers. As a consequence, the skin reacts to something that it should not react to.

Dysbacteriosis and atopic dermatitis

On the question of whether there is a connection between dysbacteriosis and atopic dermatitis, there is no single answer, although in the symptoms of dysbiosis you can see redness and flaking of the skin( see Dysbacteriosis in the child.)

Similarly with the question about staphylococcus aureus, there are two opposing points of view: there is definitely a connection, there is definitely no connection.

Similarly, you can meet reviews of moms, talking about the magic cleansing of the skin after treatment of dysbiosis. And others, on the contrary, complain that so much effort and money was spent fighting the dysbacteriosis, and the problem of atopic dermatitis has not gone anywhere.

IMPORTANT: Each child is different. The relationship must be sought in each specific case.

Dr. Komarovsky does not see the relationship between these two concepts, nor does he see the existence of such a problem as dysbiosis in principle.

Vaccinations for atopic dermatitis

The opinion of allergists and immunologists is as follows: the snuff can be done with atopic dermatitis in the child, but not during the period of exacerbation.

To prevent exacerbation of dermatitis after administration of the vaccine, it is recommended:

• 3 days prior to vaccination, on the day of vaccination and 2 days after vaccination, take antihistamines in the prescribed dosage

IMPORTANT: Before vaccination, check the composition of the vaccine. If the vaccine has a component that the child has an allergic reaction to - such a vaccine can not be done.

An example of such a vaccine may be a vaccine against measles, rubella, mumps. Such a vaccine contains elements of either chicken protein or quail. A chicken protein is often an allergen for a child

Bathing with atopic dermatitis

You need to bathe a child with atopic dermatitis. But with certain conditions

• Do not bathe the baby with the use of herbs. Herbs very dry the skin. For a child with an atopic skin, additional drying is not possible.
• . The bathing water temperature should not exceed 36 ° C, since hot water exacerbates the affected skin areas.
• Bathing should last 15-20 minutes, so that the skin is sufficiently saturated with water.
• Before bathing, water is best defended 15-20minutes, if there is no filter
• Do not bathe the baby every day with soap. Soap also dries the skin
• Instead of soap, it is better to choose the means for cleansing the atopic skin
• Add water to the water for bathing children with atopic skin
• After bathing, pat the baby's skin with a soft towel
• After 3 minutes, apply emollient to keep moisture in the skin

Bathing Aids baby with atopic dermatitis:

• Bath oil Mustela Stelatopia. Effective in the occurrence of intense reddening of the skin.0+.Country of origin - France

• Avene Trixera + emulsion for bathing.0+.It removes itching and moisturizes the skin. Country of origin - France

• Soap nutritious Oillan.0+.Protects against drying of the skin. Country of origin - Poland

• Oilatum emulsion for bath.0+.Country of Origin - Ireland

Will Atopic Dermatitis Take Place?

• As a rule, atopic dermatitis in a child goes to 3 years - this is the so-called infant form dermatitis
• . About 50% of children dermatitis passes to 2 years of age.
• Pediatric dermatitis occurs at the age of 3-7 years.
• Unfortunately,when the problem remains for life

IMPORTANT: Do not let atopic dermatitis flow into the dark, hoping that the child will outgrow it. Atopic dermatitis should always be controlled, otherwise it can develop other diseases, more severe and serious

Drugs and medications for atopic dermatitis in children

• Since the basis of treatment is skin care, the drugs are reduced to local treatment.
• Local treatment is provided with corticosteroid creams and ointments(see above Local corticosteroids for atopic dermatitis), non-hormonal ointments and creams( see above Elidel), emollients( see above Emothenes)
• There are also medications that are taken internally qFor the treatment of atopic dermatitis. Example of such a preparation Ketotifen
• In 2% of the cases, the above drugs do not help fight dermatitis. Then the doctor prescribes more serious treatment

IMPORTANT: All drugs and medicines listed above, except for emo-lovens, can be used only after their appointment by a doctor. Drugs have side effects and can have an effect on the body if the application is incorrect.

Zinc ointment for atopic dermatitis

The zinc oxide ointment is based on zinc oxide .Ointment has an anti-inflammatory and healing effect.

The instructions for the use of zinc ointment indicate that it is also used to treat dermatitis. Indeed, it can heal damaged areas without harm to the health of the child.

IMPORTANT: Ointment dries the skin due to the content of zinc oxide. After absorbing the ointment, apply emollient

Chatterbox for atopic dermatitis

Chatter is a mass produced in a pharmacy by prescription, which is then applied to the skin.

The substance is based on such substances:

• Talc
• Zinc
• Glycerin
• Starch

Always contains other excipients that agree with the prescription.

Keep the bolt in the refrigerator and shake well before use.

• Do not rub into the skin
• Spread a thin layer on the affected area
• Leave for 30 minutes
• Rinse

IMPORTANT: Chatter removes inflammation and itching, but dries the skin.

Treatment of atopic dermatitis in children with folk remedies

IMPORTANT: To treat atopic dermatitis with folk remedies for a child under 1 year is prohibited. It is better to carry out such treatment after 3 years

Treatment with folk remedies is reduced to making lotions, decoctions, mixtures, which then need to be applied to irritated skin.

IMPORTANT: No decoctions should be applied inside.

The most effective means:

• potatoes Kalanchoe
• Cucumber
• St. John's wort
• Linseed oil
• Celery root
• Salt
• Camomile

See the next section for how to use these treatments.

The baby's skin is very tender and sensitive. Use folk remedies very carefully. First try on a small area of ​​the skin and watch the reaction

Recipes for atopic dermatitis in children

Such recipes will suit you only if their constituents do not cause an allergy to your child

Potatoes.

• 1 Wash potatoes, peel and grate on a large grater.
• resultant potato mass put on gauze folded in several layers
• Apply to the affected area 2 to chasa
• Rinse
• Anoint moisturizer

IMPORTANT: Potato acts as an antiinflammatory agent

Kalanchoe.

• Lime honey and Kalanchoe juice mix in equal proportions
• Place in the refrigerator in a glass dish for 7 days.
• Apply to affected areas to relieve the itching.

IMPORTANT: The remedy has an antipruritic effect.

Cucumber.

• Cucumber juice is applied to the affected areas of

IMPORTANT: Cucumber juice has antipruritic effect of

Hypericum.

• Melt 4 tbsp.butter
• Add 1 tbsp.fresh juices of St. John's wort
• Mix and cool mixture
• Place in the refrigerator in glassware
• Lubricate morning and before bedtime affected areas

IMPORTANT: St. John's wort has an anti-inflammatory and disinfectant effect.

Flaxseed oil.

• Pour 100 g of linseed oil into enamelled dishes
• Add 1 tbsp.dry chamomile flowers
• Bring to a boil and turn off
• Cool
• Strain through gauze
• Apply to affected areas every 3 hours for a week

IMPORTANT: Flaxseed oil acts as a moisturizer. Leaves traces on clothes

Celery root.

• 50 g apple apple vinegar tablets pour into unleaded dishes
• 50 g celery root juice add
• 2 g salt
• Mix
• Wet gauze with solution and apply on the skin for 5 minutes

IMPORTANT: Celery possesses antipruritic action

Use of herbs in atopic dermatitis

Salvia.

• At 5 tbsp.1 liter of water
• Boil 30 minutes in low-heat enamel cookware
• Wrap with warm blanket, towel or blanket
• Insist 2 hours
• Strain
• Pour into glassware
• Pour the moistened gauze pad onto the affected areas like lotions. Change when drying
• Do the procedure for 1 hour before going to bed

IMPORTANT: Sage has anti-inflammatory effect

Camomile.

• In a thermos pour 1 l of water
• Add 3 tbsp.chamomile
• Infuse for 2 hours under the closed lid
• During periods of remission, lubricate the skin with a solution after bath

IMPORTANT: Chamomile has an anti-inflammatory and bactericidal effect. Helps avoid exacerbations

Does calcium help with atopic dermatitis?

• The content of calcium in the body depends on the permeability of the vessels. With a normal calcium content, the walls of the vessels do not allow allergens to penetrate the blood.
• . For children, calcium intake may be relevant, because during the period of active calcium growth, they simply need
• . The simplest preparation for intake is calcium gluconate. Take it 2 tablets a day before or during meals

IMPORTANT: Take calcium only in combination with vitamin D( if taking not in the summer months)

There are many reviews of moms who gave their children calcium gluconate and forgot about the manifestationsatopic dermatitis.

When properly applied during the period of active bone growth, calcium intake will not harm the body, and, probably, will rid the child of dermatitis

Treatment of atopic dermatitis in children according to Komarovsky

Dr. Komarovsky for prevention and treatment of atopic dermatitis recommends:

• Do not overfeed the child
• Notoverheat the child
• Maintain an air temperature of 18-20 ° C in the room and a humidity of at least 60%
• Remove dust sources from the room, wash the floor frequently and ventilate
• Spend a lot of timeon the street
• Wash children's clothing with several rinses only with special means. You can afterwards wash with boiling water in order to rid the water of the chlorine content
• All adult clothing, bed linen and everything a child can contact with
• should be washed in the same way. Do not use soap and shampoo more than once a week when bathing
• Do not allowconstipation in the child. The bowel should be emptied in a timely manner.
• Give the child calcium gluconate

. Local treatment:

• Corticosteroid ointments and cream.
• Emmylents

IMPORTANT: The doctor believes that, according to his treatment plan, most parents are able to help the child on their own

By acting on atopic dermatitis in a complex way, you can save the child from this ailment.

Video on the topic: Dermatitis in a child - Dr. Komarovsky's school