Baby Eczema FAQ(Part 2): Parents Care for Baby Eczema

As parents, it can be distressing to see your baby suffer from eczema. However, baby eczema is a common skin condition, and with the right care, you can effectively reduce your baby's discomfort. 

In Part 1, we focused on answering questions about the use of steroid creams for baby eczema. In this article, Dr Chantel Ng addresses breastfeeding, food allergies, daily skincare, and prevention strategies, helping parents effectively manage their baby's condition with confidence. 

1. Does Breastfeeding Reduce the Risk of Baby Eczema?

Breastfeeding may help lower the risk of baby eczema. A 2019 study published in the Journal of Allergy and Clinical Immunology found that babies who were breastfed for at least three months had a significantly lower risk of developing eczema by age six. 

However, baby eczema is influenced by multiple factors, including genetics and environment. Mothers should not feel pressured about breastfeeding. Regardless of whether a baby is breastfed or formula-fed, proper daily skincare is essential to prevent eczema flare-ups. 

2. Is Baby Eczema Related to Food Allergies?

Baby eczema can occur alongside food allergies or other allergic conditions, but they are not always directly related. Eczema and food allergies are different conditions. 

If parents suspect certain foods trigger eczema flare-ups, consult a doctor before removing any foods from your baby's diet. Do not make dietary changes without medical advice, as unnecessary food restrictions may affect your baby's nutrition. 

3. What Dietary Precautions Should Parents Take for a Baby with Eczema? 

• Ensure a balanced diet to strengthen your baby's immune system 

• Keep a food and exposure diary to identify possible allergens if flare-ups occur 

• Introduce new foods gradually and observe your baby's reaction 
• Limit processed foods containing artificial colorings or preservatives, such as barbecued pork (char siu) and sugary drinks (e.g., soda and packaged fruit juices) 

4. How Often Should You Bathe a Baby with Eczema?

It is recommended to bathe or shower your baby once daily for less than 5 minutes using: 

• Lukewarm water (30°C - 34°C) 

• Bath oil and soap-free, fragrance-free cleansers 

• Avoid multiple baths per day or skipping baths entirely 

• Do not use soap or bubble bath products, as they can irritate the skin 

• If your baby has severe eczema, avoid hot springs and beach visits, as they may worsen symptoms 

5. Can Baby Eczema be Cured?

Eczema cannot be cured, but it can be controlled to a point where skin is essentially normal looking. Many children also experience fewer flare-ups as they grow older. 

Parents should focus on daily skincare to reduce the likelihood of eczema flaring up. Maintaining regular communication with a doctor ensures your baby receives the best treatment when needed. 

6. How to Manage Itching Caused by Baby Eczema? 

Scratching can lead to skin damage and infections. Here are some ways to reduce itching: 

• Trim your baby’s nails to prevent skin injuries on scratching 

• Apply emollient creams and ointments to keep the skin hydrated, soft, and elastic, reducing itching and minimising scratching 
• If your baby is extremely itchy, gently pat the affected area instead of scratching
  

• Use anti-itch creams or medications under a doctor’s guidance
  

7. How to Prevent Baby Eczema from Recurring?

Even if eczema symptoms improve, daily care remains crucial: 

• Maintain a comfortable environment – Avoid overheating, excessive cold, or dry air by keeping indoor temperature and humidity stable

• Keep the skin clean and moisturised – After a lukewarm bath, apply fragrance-free moisturisers to lock in moisture

• Reduce exposure to allergens – Minimise contact with dust mites, pet fur, and other potential triggers

• Dress your baby in soft cotton clothing – Avoid rough fabrics that may irritate the skin

• Wash bedding regularly – Prevent dust mites from accumulating and triggering eczema flare-ups

Baby eczema is a common skin condition, but with proper knowledge and daily care, parents can effectively relieve their baby’s discomfort and prevent flare-ups. 

Dr Chantel Ng, our paediatrician with a special interest in paediatric dermatology, emphasizes that patience and consistency are key. Maintain regular communication with your pediatricians for personalised treatment recommendations to ensure your baby receives the best care. With the right approach, eczema can be managed, and your baby can grow up healthy and happy. 

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