Does Eczema Flare Up When Scratched?

Imagine you’re sitting on the couch, innocently scratching an itch on your arm when suddenly, the irritated area starts to turn red, inflamed, and even more itchy. Sound familiar? Well, you’re not alone. Many individuals with eczema have experienced the phenomenon of their skin flaring up when scratched. But what exactly causes this reaction, and how can you find relief? In this article, we’ll explore the connection between scratching and eczema flare-ups, as well as tips on how to manage this frustrating cycle. So, sit back, relax, and let’s unravel the mysteries of this itchy enigma together.

What is Eczema?

Eczema, also known as atopic dermatitis, is a chronic skin condition that affects millions of people worldwide. It is characterized by inflamed, itchy, and dry skin patches that can appear anywhere on the body. Eczema tends to come and go in flare-ups, and each individual may experience different triggers and symptoms.

Understanding Eczema Flare-ups

Eczema flare-ups occur when the symptoms of the condition worsen, resulting in increased redness, itchiness, and discomfort. Flare-ups can be triggered by various factors, and understanding these triggers is crucial in managing and preventing the recurrence of symptoms.

Triggers for Eczema Flare-ups

A range of triggers can lead to eczema flare-ups. These triggers may vary from person to person, but some common ones include:

  • Allergens: Substances such as pollen, pet dander, dust mites, and certain foods can trigger eczema flare-ups in individuals who are allergic to them.
  • Irritants: Harsh soaps, detergents, fragrances, and certain fabrics can irritate the skin and cause eczema symptoms to worsen.
  • Climate and Weather: Extreme temperatures, low humidity, and dry environments can dry out the skin, leading to eczema flare-ups.
  • Stress: Emotional stress and anxiety can have a significant impact on eczema, as they can weaken the immune system and make flare-ups more likely.
  • Hormonal Changes: Fluctuations in hormones, particularly in women during pregnancy or menstrual cycles, can trigger eczema symptoms.

By identifying and avoiding these triggers, individuals can effectively manage and reduce the frequency of eczema flare-ups.

Role of Scratching in Eczema Flare-ups

Scratching is a natural response to relieve itching, but unfortunately, it can worsen the symptoms of eczema. Scratching damages the skin and disrupts its natural barrier function, leading to increased inflammation and making the skin more prone to infections. Understanding the itch-scratch cycle is crucial in comprehending why scratching exacerbates eczema symptoms.

The Itch-Scratch Cycle

The itch-scratch cycle explains how itching and scratching become a never-ending cycle, intensifying the discomfort associated with eczema.

How Scratching Affects Eczema

When the skin is inflamed, it becomes incredibly itchy. This itching sensation triggers the urge to scratch, as scratching temporarily relieves the itchiness. However, scratching damages the skin, leading to the release of inflammatory substances that make the itching even worse.

Why Eczema Itches

The itching experienced in eczema is caused by a combination of factors. The dryness and inflammation of the skin disrupt its protective barrier, allowing irritants and allergens to penetrate more easily. This triggers an immune response, leading to the release of histamines, substances that cause itching. Additionally, the nerve endings in the skin become more sensitive, resulting in heightened itchiness.

Effects of Scratching on Eczema

While scratching may provide momentary relief, it can have detrimental effects on eczema-affected skin. Understanding these effects is crucial in avoiding scratching and managing eczema more effectively.

Increased Inflammation

Excessive scratching causes the skin to become more inflamed. As a result, the redness, swelling, and discomfort associated with eczema worsen, making it harder for the skin to heal.

Skin Barrier Damage

The skin’s natural barrier, consisting of lipids and proteins, helps retain moisture and protect against irritants. Scratching disrupts this barrier, making the skin more susceptible to dryness, infections, and further irritation.

Skin Infections

Scratching can lead to open wounds and breaks in the skin, providing a pathway for bacteria and other pathogens to enter. This significantly increases the risk of skin infections, including impetigo, cellulitis, and herpes simplex.

Ways to Avoid Scratching Eczema

While avoiding scratching entirely can be challenging, there are several strategies that can help individuals reduce the urge to scratch and minimize its impact on eczema flare-ups.

Proper Skincare

A good skincare routine can help manage eczema and reduce the need to scratch. It is essential to use gentle, fragrance-free cleansers and moisturizers to keep the skin hydrated and minimize irritation. Regularly applying moisturizers throughout the day can also help alleviate dryness and itchiness.

Using Cold Compresses

Applying cold compresses to the affected areas can provide temporary relief from itching. The cool temperature can numb the nerve endings and reduce the urge to scratch.

Identifying and Avoiding Triggers

By identifying and avoiding triggers that worsen eczema symptoms, individuals can prevent flare-ups and minimize the need to scratch. Keeping a diary to track potential triggers and discussing them with a healthcare professional can be helpful in determining the best course of action.

Stress Management

Managing stress levels can play a significant role in minimizing eczema flare-ups and reducing the urge to scratch. Engaging in relaxation techniques such as deep breathing, meditation, and yoga can help individuals cope with stress and improve their overall well-being.

Treatment Options for Eczema

While avoiding scratching and managing triggers are crucial in eczema management, sometimes additional treatment may be necessary. Several treatment options can help alleviate symptoms and reduce the frequency and severity of eczema flare-ups.

Topical Corticosteroids

Topical corticosteroids are commonly prescribed for managing eczema symptoms. These medications help reduce inflammation and relieve itching, promoting healing and providing relief during flare-ups.

Topical Calcineurin Inhibitors

Topical calcineurin inhibitors are another class of medications used to control eczema symptoms. These non-steroidal creams or ointments help reduce inflammation and relieve itching, especially in sensitive areas like the face and genitals.


Oral antihistamines can be used to alleviate itching associated with eczema. These medications help block the action of histamines, providing relief from the itch-scratch cycle.

Wet Wraps

Wet wraps can be an effective treatment for severe eczema flare-ups. After applying moisturizer or medication, individuals can wrap the affected areas with damp bandages or clothing to provide added moisture and protection. This can help reduce itching and promote healing.

Systemic Medications

In severe cases of eczema, systemic medications may be prescribed by a healthcare professional. These medications, such as oral corticosteroids or immunosuppressants, are used to control widespread inflammation and manage extreme flare-ups.

Tips for Managing Eczema Flare-ups

In addition to medical treatment, there are several self-care strategies that individuals can incorporate into their daily routine to manage eczema and prevent flare-ups.

Moisturize Regularly

Keeping the skin adequately moisturized is vital in managing eczema. Applying a fragrance-free moisturizer multiple times a day can help maintain the skin’s hydration and reduce dryness and itching.

Avoid Hot Showers

Hot showers can strip the skin of its natural oils and exacerbate eczema symptoms. Opting for lukewarm showers and limiting their duration can help minimize dryness and irritation.

Choose Skin-Friendly Clothing

Wearing soft, breathable fabrics such as cotton can help reduce friction and irritation on the skin. Avoiding tight-fitting clothing and choosing loose, comfortable options can minimize the likelihood of exacerbating eczema symptoms.

Maintain a Healthy Diet

While no specific diet can cure eczema, maintaining a healthy and balanced diet can contribute to overall skin health. Consuming foods rich in omega-3 fatty acids, such as fish and flaxseed, and avoiding potential trigger foods can potentially help reduce inflammation and manage eczema.

Avoid Smoke and Pollution

Exposure to smoke, pollution, and other environmental irritants can worsen eczema symptoms. Taking steps to avoid these triggers, such as keeping windows closed during peak pollution times and avoiding cigarette smoke, can minimize flare-ups.

When to Seek Medical Help

While self-care measures can effectively manage many cases of eczema, there are certain situations where medical assistance should be sought.

Severe Symptoms

If eczema symptoms become severe, causing significant pain, discomfort, or impairment in daily activities, it is important to seek medical help as soon as possible.

Persistent Flare-ups

If flare-ups persist despite self-care measures or worsen over time, it is advisable to consult a healthcare professional. They can evaluate the condition, identify any underlying factors, and recommend appropriate treatment options.

Difficulty Sleeping

Eczema flare-ups can often lead to disturbed sleep due to itchiness and discomfort. If sleep disturbances become a recurring issue, it is advisable to consult a healthcare professional for further guidance and support.

Signs of Infection

If the affected skin becomes blistered, oozing, or crusted, it may indicate an infection. In such cases, it is crucial to seek medical help promptly as infections require appropriate treatment to prevent complications.

Preventing Eczema Flare-ups

Preventing eczema flare-ups is a goal for many individuals living with this condition. While it may not always be possible to avoid flare-ups entirely, there are steps that can be taken to reduce their frequency and severity.

Maintaining a Skincare Routine

Consistently following a skincare routine that includes gentle cleansers, moisturizers, and appropriate medications can help manage eczema symptoms and reduce the likelihood of flare-ups.

Avoiding Known Triggers

Identifying and avoiding triggers that exacerbate eczema symptoms is crucial in preventing flare-ups. By keeping a thorough record of potential triggers and taking steps to minimize exposure to them, individuals can minimize the risk of flare-ups.

Managing Stress Levels

Stress can significantly impact eczema symptoms, making flare-ups more likely. Incorporating stress-management techniques, such as exercise, meditation, or counseling, into daily routines can help individuals better cope with stressors and reduce the likelihood of flare-ups.

Protecting Skin from Scratching

Minimizing the urge to scratch is essential in preventing eczema flare-ups. Wearing soft cotton gloves or keeping nails short can help reduce the damage caused by scratching and lessen the risk of exacerbating symptoms.


Managing eczema and preventing flare-ups requires a comprehensive approach that includes understanding triggers, avoiding scratching, and utilizing appropriate treatments. By incorporating self-care strategies, seeking medical help when needed, and taking steps to prevent flare-ups, individuals can effectively manage their eczema and improve their quality of life. Remember, each person’s experience with eczema is unique, and finding the right balance of self-care and medical intervention may require some trial and error. Stay proactive, stay positive, and work closely with healthcare professionals to find the most effective strategies for managing your eczema and preventing flare-ups.