How Do You Calm Down Severe Eczema?

Do you find yourself struggling to calm down severe eczema? If so, you’re not alone. Dealing with this skin condition can be incredibly challenging and distressing. The itching, redness, and inflammation can not only affect your physical well-being but also take a toll on your mental health. However, there is hope! In this article, we will explore some effective strategies and remedies that can help you find relief from severe eczema. By implementing these techniques, you’ll be on your way to soothing your skin and regaining control over your life.

Understanding Severe Eczema

What is eczema?

Eczema, also known as dermatitis, is a common skin condition characterized by inflamed, itchy, and dry patches of skin. It can affect people of all ages, but it is most commonly found in children. Eczema is not contagious, and its exact cause is not yet fully understood. However, it is believed to be a combination of genetic and environmental factors.

Different Types of Eczema

There are several different types of eczema, each with its own unique characteristics. The most common types include atopic dermatitis, contact dermatitis, dyshidrotic eczema, and nummular eczema. While they may share some common symptoms, such as dry skin and itching, the triggers and areas of the body affected can vary.

What is severe eczema?

Severe eczema, also referred to as severe atopic dermatitis, is a more intense form of the condition that can significantly impact a person’s quality of life. It is characterized by widespread and persistent inflammation, severe itching, and skin lesions. Severe eczema often requires medical intervention and intensive treatments to manage symptoms and prevent flare-ups.

Causes of Severe Eczema

The exact cause of severe eczema is not known. However, several factors can contribute to its development and exacerbation. These include genetics, immune system dysfunction, environmental triggers such as allergens and irritants, and problems with the skin barrier. Understanding and identifying these triggers can be crucial in managing the condition effectively.

Medical Treatments for Severe Eczema

Topical Steroids

Topical steroids, available in various strengths, are commonly prescribed by dermatologists to reduce inflammation and relieve itching associated with severe eczema. These medications work by suppressing the immune response in the skin and should be used under the guidance of a healthcare professional to prevent potential side effects.


For individuals with severe eczema that does not respond well to topical treatments, systemic immunosuppressant drugs may be prescribed. These medications work by suppressing the immune system as a whole, reducing inflammation throughout the body. Immunosuppressants are generally reserved for severe cases and require close monitoring due to potential side effects.


Antihistamines are often recommended to provide relief from itching associated with severe eczema. These medications help block histamine receptors in the body, reducing itching, and promoting better sleep. Some antihistamines can cause drowsiness, so it is essential to discuss with a healthcare provider which type is most suitable for your needs.

Systemic Treatments

Systemic treatments, such as oral corticosteroids or immunomodulators, may be prescribed for short-term relief during severe eczema flare-ups. These medications are not intended for long-term use due to the risk of side effects. Systemic treatments should only be used under the guidance of a medical professional.


Phototherapy, also known as light therapy, involves exposing the skin to controlled amounts of ultraviolet (UV) light. This treatment is often used for individuals with severe eczema who have not responded well to other treatment options. The UV light helps to reduce inflammation and relieve itching, but regular sessions and monitoring are required to minimize the risk of skin damage.

Lifestyle Changes and Home Remedies for Severe Eczema

Moisturizing the Skin

Keeping the skin well moisturized is essential for individuals with severe eczema. Regular application of moisturizers can help prevent dryness and itchiness, providing a protective barrier for the skin. Opt for fragrance-free and hypoallergenic moisturizers to reduce the risk of further irritation.

Avoiding Triggers

Identifying and avoiding triggers that worsen eczema symptoms is crucial in managing the condition. Common triggers include certain foods, allergens, harsh soaps, and environmental factors. By being aware of these triggers and taking steps to avoid them, individuals can reduce the frequency and severity of eczema flare-ups.

Wet Wrap Therapy

Wet wrap therapy involves applying moisturizers and topical medications to the affected areas and then covering them with dampened bandages or clothing. This technique helps lock in moisture, soothe the skin, and enhance the absorption of medications. Wet wrap therapy is typically used under the guidance of a healthcare professional.

Bathing Techniques

Proper bathing techniques can make a significant difference in managing severe eczema. Avoid using hot water, as it can strip the skin of natural oils and exacerbate dryness. Opt for lukewarm water and mild, fragrance-free cleansers. Gently pat the skin dry instead of rubbing, and moisturize immediately after bathing to lock in moisture.

Dietary Modifications

While the relationship between diet and eczema is complex and varies from person to person, some individuals may find relief by making certain dietary modifications. Keeping a food diary and noting any potential triggers can help identify specific foods that may worsen symptoms. Consultation with a healthcare professional or registered dietitian is recommended for personalized dietary advice.

Natural and Alternative Therapies for Severe Eczema

Aloe Vera

Aloe vera, known for its soothing and anti-inflammatory properties, is a natural remedy that can provide relief from severe eczema symptoms. Applying pure aloe vera gel to affected areas can help alleviate itching and redness. However, it’s important to ensure that the product used does not contain any additional additives or fragrances that could potentially irritate the skin.

Coconut Oil

Coconut oil is a popular natural remedy for a variety of skin conditions, including severe eczema. Its moisturizing properties can help soothe dry and itchy skin. Applying a thin layer of extra virgin coconut oil to affected areas can provide temporary relief and improve the skin’s barrier function. However, be mindful that coconut oil may not be suitable for everyone and can potentially cause allergic reactions.

Unrefined Shea Butter

Unrefined shea butter is another natural remedy that can help moisturize and soothe the skin. It contains rich fatty acids and vitamins that promote skin hydration and reduce inflammation. Applying shea butter to the affected areas can help alleviate itching and protect the skin from environmental irritants. Look for unrefined shea butter that is free from added fragrances or preservatives.


Honey has natural antibacterial and anti-inflammatory properties that can be beneficial for individuals with severe eczema. Applying a thin layer of raw, unprocessed honey to affected areas can help calm the skin and prevent infection. However, it’s essential to patch test honey on a small area of skin first to ensure there are no allergic reactions.


Probiotics, often found in fermented foods or in supplement form, can help improve gut health and potentially reduce eczema symptoms. While more research is needed to fully understand the relationship between probiotics and eczema, some studies suggest that certain strains may help modulate the immune response and improve skin barrier function. Consult with a healthcare professional before starting any probiotic regimen.

Managing Stress and Emotional Well-being

Counseling and Therapy

Dealing with severe eczema can take a toll on a person’s emotional well-being. Seeking counseling or therapy can provide a safe space to discuss the challenges and frustrations that may arise from living with a chronic skin condition. A mental health professional can help develop coping strategies and provide support throughout the journey.

Relaxation Techniques

Incorporating relaxation techniques into daily life can be immensely beneficial for managing stress, which can exacerbate eczema symptoms. Techniques such as deep breathing exercises, progressive muscle relaxation, and guided imagery can help calm the mind and reduce stress levels. Find what works best for you and make it a regular part of your routine.

Mindfulness and Meditation

Mindfulness and meditation practices can help individuals with severe eczema cultivate a sense of awareness and acceptance of their condition. By focusing on the present moment and observing thoughts and sensations without judgment, individuals can reduce stress and improve their overall well-being. Various apps and online resources are available to guide beginners through meditation practices.

Support Groups

Joining support groups or online communities can provide an invaluable source of support for individuals with severe eczema. Connecting with others who share similar experiences can help reduce feelings of isolation and provide a platform for sharing advice, tips, and emotional support. Support groups can be found online, through social media, or through local community organizations.

Preventing and Treating Eczema Flare-ups

Protecting the Skin

Taking steps to protect the skin can help prevent eczema flare-ups. This includes wearing loose-fitting clothing made from breathable fabrics, using gentle detergents and fabric softeners, and avoiding excessive friction or scratching. Protective gloves can be worn when engaging in activities that may irritate the skin, such as washing dishes or gardening.

Identifying Triggers

Identifying triggers that cause eczema flare-ups is essential in managing the condition effectively. Keep a record of potential triggers, such as certain foods, environmental allergens, or specific activities, and try to avoid or minimize exposure to them. Working closely with a healthcare professional can help identify and manage individual triggers.

Skin Care Routine

Establishing a consistent skin care routine is crucial for individuals with severe eczema. This includes using gentle cleansers, moisturizing regularly, and applying any prescribed medications as directed by a healthcare professional. It’s important to avoid harsh soaps, fragrances, and irritating ingredients that can further irritate the skin.

Following Doctor’s Recommendations

Following the recommendations and treatment plan outlined by a healthcare professional is vital for managing severe eczema. Take prescribed medications as directed, attend follow-up appointments, and communicate openly with the healthcare team about any concerns or changes in symptoms. They can provide guidance and make necessary adjustments to the treatment plan as needed.

Regular Check-ups

Regular check-ups with a dermatologist or healthcare professional can help monitor the progress of severe eczema and make adjustments to the treatment plan if necessary. These visits provide an opportunity to discuss any concerns or new symptoms and ensure that the condition is being managed effectively.

Dealing with Itchiness and Discomfort

Over-the-Counter Anti-itch Creams

Over-the-counter anti-itch creams, such as hydrocortisone cream or calamine lotion, can provide temporary relief from itching associated with severe eczema. These creams work by reducing inflammation and numbing the skin. However, it’s important to follow the instructions on the packaging and consult a healthcare professional if the itching persists or worsens.

Cool Compresses

Applying cool compresses to the affected areas can help alleviate itching and reduce inflammation. Simply wet a clean washcloth with cool water and gently apply it to the itchy skin for a few minutes. This can provide immediate relief and soothe the skin temporarily.

Wet Dressings

Wet dressings can be particularly effective for individuals with severe eczema who experience intense itching and discomfort. They involve applying a wet layer of dressings or bandages over the affected areas, which helps cool the skin, reduce inflammation, and prevent scratching.

Oatmeal Baths

Oatmeal baths can help relieve itching and soothe the skin in individuals with severe eczema. Colloidal oatmeal, which is finely ground oatmeal, can be added to lukewarm bathwater. Soaking in the oatmeal-infused bath for about 15 minutes can provide temporary relief and improve overall skin comfort.

Prescription Medications

In severe cases of eczema, a healthcare professional may prescribe stronger medications, such as oral antihistamines or oral corticosteroids, to alleviate itching and discomfort. These medications should only be used as directed and under the supervision of a healthcare professional.

Preventing Infection

Practicing Good Hygiene

Maintaining good hygiene practices can help prevent infection in individuals with severe eczema. This includes keeping the skin clean and dry, washing hands frequently, and avoiding sharing personal items, such as towels and clothing, with others. It’s important to use gentle cleansers that do not irritate the skin and pat the skin dry instead of rubbing.

Keeping Nails Short

Keeping nails short and smooth can help reduce the risk of skin damage caused by scratching. Long nails can inadvertently cause breaks in the skin, leading to potential infections. Regularly trimming and filing nails can minimize the harm caused by scratching and prevent further complications.

Avoiding Scratching

Although it can be challenging, avoiding scratching or rubbing the affected areas is crucial in preventing infection. Scratching can damage the skin’s protective barrier, making it more susceptible to bacteria and other pathogens. Distraction techniques, such as engaging in a hobby or using fidget toys, can help redirect the urge to scratch.

Using Medicated Creams

For individuals with severe eczema prone to infection, healthcare professionals may prescribe medicated creams or ointments containing antibiotics or antifungal agents. These topical medications can help reduce the risk of infection and promote healing. It’s important to follow the instructions provided by the healthcare professional for proper application.

Seeking Medical Attention for Open Sores

If open sores develop or the skin becomes abnormally red, swollen, or oozes fluid, it is crucial to seek immediate medical attention. These symptoms may indicate an infection, which requires prompt treatment with antibiotics or other necessary interventions. Early detection and treatment can help prevent complications and promote healing.

Avoiding Irritating Substances

Chemical Irritants

Chemical irritants, such as certain skin care products, cleaning agents, or fragrances, can worsen symptoms in individuals with severe eczema. It’s important to read ingredient labels carefully and avoid products that contain known irritants. Opt for gentle, hypoallergenic alternatives that are free from harsh chemicals or fragrances.

Harsh Soaps and Detergents

Harsh soaps and detergents can strip the skin of its natural oils and disrupt the skin barrier, leading to increased dryness and irritation. It’s advisable to use mild, unscented cleansers and detergents that are specially formulated for sensitive skin. Rinsing clothing and bedding thoroughly to remove any residual detergent is also crucial in preventing skin irritation.

Synthetic Fabrics

Synthetic fabrics, such as polyester or nylon, can trap heat and moisture against the skin, leading to increased itching and irritation. Opt for clothing made from natural, breathable fabrics like cotton or bamboo, which allow for better airflow and help prevent overheating.

Cigarette Smoke

Cigarette smoke contains numerous chemicals that can irritate and worsen eczema symptoms. Avoiding exposure to smoke, both directly and secondhand, can significantly improve the management of severe eczema. Creating a smoke-free environment at home and in public spaces can help minimize exposure.


Allergens, such as pet dander, dust mites, pollen, and certain foods, can trigger or worsen eczema symptoms in some individuals. Identifying specific allergens through allergy testing and taking steps to reduce or avoid exposure to them can help minimize the frequency and severity of eczema flare-ups.

When to Seek Professional Help

When symptoms worsen

If the symptoms of severe eczema worsen, despite following a treatment plan or implementing home remedies, seeking professional help is crucial. A dermatologist or healthcare professional can assess the condition, make necessary adjustments to the treatment plan, and provide additional guidance and support.

Persistent itchiness and discomfort

If severe itchiness and discomfort persist, despite implementing various measures to manage eczema, it’s essential to consult with a healthcare professional. They can evaluate the underlying causes and prescribe specific medications or therapies to target persistent symptoms.

Signs of infection

The development of open sores, redness, swelling, warmth, or oozing of fluid may indicate an infection. Seeking immediate medical attention is necessary to prevent the infection from worsening and to receive the appropriate treatment.

Sleep disturbances

Severe eczema can significantly disrupt sleep due to itchiness and discomfort. If sleep disturbances persist and impact overall well-being and daily functioning, it is advisable to consult with a healthcare professional for further evaluation and management strategies.

Impact on daily activities

If severe eczema negatively impacts daily activities, productivity, or quality of life, professional help should be sought. A healthcare professional can provide tailored strategies to manage symptoms effectively, reduce flare-ups, and improve overall well-being.

In conclusion, understanding severe eczema and its various treatment options is essential for managing this chronic skin condition effectively. Medical treatments, lifestyle changes, natural remedies, and stress management techniques can all contribute to alleviating symptoms and preventing flare-ups. Identifying triggers, practicing good skin care, and seeking prompt professional help when needed are crucial steps in managing severe eczema and regaining control over one’s skin health. Remember, you don’t have to face severe eczema alone – there is support and solutions available to help you on your journey to healthier skin.