Skin Rashes and Eczema in Children

There are various types of rashes and skin irritation that kids can experience and it’s important to be aware of their symptoms to know how best to treat them. Skin rashes can cause a great deal of discomfort or itch. Your child might be tempted to scratch themselves which can make the irritation or flare up worse. Many rashes that start out small can also spread quickly, making it a stressful experience for the whole family. Luckily, there are several ways to ease discomfort and treat skin rashes. 

During the warmer months, children can develop heat rashes, which are more common in babies and younger kids. Heat rashes occur when the sweat gland pores become blocked and sweat can’t be released. You’ll notice patches of small pink or red bumps, especially on areas where the skin folds such as the armpits, elbows, thighs, and neck. To treat a heat rash, you’ll want to keep your child cool by dressing them in light clothing and keeping them in areas where there are fans and air conditioners and away from where they can become overheated. It’s also important to wash their skin with cool water and avoid using any ointments. 

Rashes can also occur from allergic skin reactions. Contact with plants like poison ivy can cause a burning itch and swelling. If your child develops a rash from poison ivy or other plants, it is recommended to wash all of their clothes and shoes in soap and water, as well as your child’s skin in areas where they have been exposed. To ease the intensity of the itch, apply calamine lotion or 1% hydrocortisone cream, which can also reduce inflammation. Don’t use any ointments containing anesthetics or antihistamines as these can cause allergic reactions.

 Another type of allergic-related rash is hives, which are pink or red welts on the skin. The welts can be in various sizes and may flatten out later. It is sometimes difficult to pinpoint what is triggering the hives as they can be a reaction to certain food ingredients and additives, minor infections, or personal products like deodorant. Hives can also be a reaction to stress, exercise, or sunlight. In most cases, however, hives go away after a couple of weeks, though they may frequently reappear. The most common way they’re treated is by using antihistamines which can be applied via a topical cream or by taking over-the-counter tablets. If the cause of the hives is known, avoiding that trigger can also clear out the hives. 

Eczema is another common rash in children and a chronic condition where kids might have to deal with it as an ongoing skin problem. Usually, children who get eczema have sensitive skin compared to others as the rash is caused by not having enough of a special protein called filaggrin, which protects the skin from the environment. Cold weather, overheating, sweating, dry air, and chlorine from swimming pools can trigger flare ups. To treat this rash, families can apply moisturizing ointments that are fragrance-free, dress their kids in soft fabrics, regularly wash their kids’ clothes, and advise their children not to scratch to avoid an infection.  

Some rashes can be caused by insect bites and stings. When this happens, it’s important to clean the skin and remove any insect or sting from your child’s skin. Swelling can be treated by applying a cold compress or an ice pack for several minutes. You can also use calamine lotion or 1% hydrocortisone cream. There are also rashes that can be caused by parasites like sandworms and ringworms or microscopic parasites found in water. An anti-parasitic medication may need to be prescribed in these cases. 

If your child has a serious rash that needs to be examined or a rash that doesn’t go away, please call our office to talk to our pediatrician. 



How to Handle Temper Tantrums in Children

Whether your child is going through their “terrible twos” or simply expressing their frustration through temper tantrums, it can be stressful to deal with as a parent. But knowing how to handle tantrums and outbursts from your child can make things easier for your family. Firstly, it’s important to understand why tantrums happen. Tantrums and meltdowns are triggered by certain emotions such as discomfort, overwhelm, or anger. Toddlers throw tantrums as a way to communicate how they feel because they do not have the words yet to articulate themselves. So instead, they might scream, cry, or throw things. 

During a tantrum, it’s important for you as a parent or caregiver to remain calm. Children are likely going to match your behavior and if you raise your voice, they are likely to yell and be even louder. Speaking to them calmly can help your child calm down and ease their temper. It might be tempting sometimes to give in to your child when they’re having a meltdown, but this only reinforces their behavior. Your child will learn that by throwing a tantrum, they can get what they want. What might be more effective instead is to offer them a small level of control. For example, say it’s time for your child to stop playing a game because they need to eat dinner and take their bath. If they get upset, firmly let them know that their time limit is up, but perhaps offer them a choice on whether to take their bath before or after dinner so that they can have some say in their situation. Another great strategy to use is to offer a distraction. Outbursts are usually triggered by a situation happening currently. Giving your child something else to focus on or even changing their environment by moving them to a different room can make a difference.     

Even though it might seem like a good idea in the moment, avoid trying to reason with your child during a tantrum or meltdown. Your child is upset and is not in a place where they’re ready to take a rational viewpoint. Wait until they’ve calmed down and get their behavior under control before discussing what happened. Once your child is calm, they’ll have an easier time learning how they can better communicate, work through their problems, and accept that they can’t always get their way.

To prevent your child from continuing to express themselves through outbursts, provide negative consequences for their behavior. This could be simply ignoring their tantrum until they’ve stopped so that your child learns that throwing a fit is not going to get your attention. You can also put them on a timeout or take certain privileges away from them so that they understand that tantrums will lead to undesired outcomes. And when your child is behaving well, make sure to give them praise to reinforce the positive behavior. Let your child know when you feel proud of them and how their behavior serves as an example on how to act. Pointing out good behaviors is just as important as pointing out negative behaviors. 

If none of these strategies work and you believe your child’s behavior is out of control or not improving, call our office. Certain behavioral issues may need to be examined and our pediatrician can provide guidance.