She Strengthens

The Mysterious Case of Nocturnal Eczema

Eczema, a chronic skin condition, is notorious for causing itchy, red, and swollen patches of skin. But why does it tend to worsen at night, disrupting our precious sleep? Let’s dive into the possible reasons behind this phenomenon.

The Body’s Natural Rhythms

Our body’s natural sleep and wake cycles can contribute to eczema symptoms feeling worse at night. As our body temperature drops, skin becomes itchier, making it difficult to resist the urge to scratch. Additionally, daily moisturizers may wear off by bedtime, leaving skin dry and vulnerable.

Nighttime Triggers

Nighttime clothing and bedding can also exacerbate eczema due to friction against the skin. Furthermore, scratching in our sleep can lead to more itchiness, creating a vicious cycle.

The Itch-Scratch Cycle

Researchers are still unsure about the exact causes of eczema, but genetics and environmental triggers are suspected culprits. When eczema flares up, the affected skin becomes red, sore, and itchy. Inflammation increases blood flow, adding to the itch. If the skin barrier is broken due to inflammation and scratching, it can lead to transepidermal water loss, perpetuating the itch-scratch cycle.

Breaking the Cycle: Nighttime Eczema Relief

To prevent nighttime eczema flares, try these strategies:

• Moisturize Before Bed: Use oil-based moisturizers or medicated creams to lock in hydration.
• Bathe Before Bed: Regular bathing can help keep skin hydrated. Apply moisturizer within 3 minutes after bathing to seal in moisture.
• Wet Wrap Therapy: Wrap a damp cloth around affected areas after moisturizing to keep skin hydrated while you sleep.
• Ditch Harsh Fabrics: Switch to 100% cotton bedding and clothing, which are gentler on the skin.
• Escape Allergens: Avoid allergens like pet dander or pollen before bed, especially if you have allergies.
• Pop an Antihistamine: While antihistamines may not reduce itching, they can help you fall asleep faster. Consult your doctor before trying any medications.
• Go for Melatonin: A 2016 study suggests that melatonin supplements can help children with eczema fall asleep faster.
• Slide on Gloves: Wearing gloves or socks can make it harder to scratch yourself in your sleep. Keeping your nails shorter can also help.
• Keep it Cool: Maintain a cool bedroom temperature and avoid sweating, which can make you feel itchier.

Baby Eczema: Soothing Your Little One

Baby eczema can be just as distressing, causing discomfort and disrupting sleep. While symptoms usually disappear as your child grows up, there are ways to help babies with eczema feel more comfortable at night.

• Learn and Avoid Triggers: Identify and avoid triggers that exacerbate your baby’s eczema.
• Establish a Daily Routine: Bathe and moisturize your baby regularly to keep their skin hydrated.
• Be Cautious with Antibacterial Ointments: Avoid using ointments with neomycin or bacitracin, which can irritate the skin.
• Ditch Baby Wipes and Shampoos with Irritating Ingredients: Opt for gentle, fragrance-free products to reduce skin reactions.

The Bottom Line

Eczema is a common condition that can disrupt sleep, but it’s not contagious. While there’s no cure, there are treatments and strategies to help alleviate symptoms. By understanding the causes of nocturnal eczema and adopting these tips, you can finally get a good night’s sleep.