#asktheexpert my baby has severe eczema on all over the body, no any medication is working properly, it is increasing day by day. I don't know whether it is eczema or psoriasis

A. I'm sorry to hear that your baby is struggling with skin issues. It’s important to differentiate between eczema (atopic dermatitis) and pyrosis (which typically refers to heartburn or acid reflux, not a skin condition). Eczema is a chronic condition that causes dry, itchy, and inflamed skin, and it can appear as red or scaly patches all over the body. It tends to flare up in response to triggers like allergens, dry skin, or irritants. Since the medication isn't providing relief and the condition is worsening, here are a few steps you can take: Consult a Pediatric Dermatologist: It’s crucial to have a healthcare professional assess the condition, as they can provide a proper diagnosis and recommend the best treatment plan. Moisturization: Regularly apply a thick, fragrance-free moisturizer to keep the skin hydrated and to reduce itching and irritation. Use a thick emollient cream or ointment, especially after bath time. Bathing Routine: Keep baths short and use lukewarm water instead of hot water. Avoid using harsh soaps; instead, use a gentle, fragrance-free baby cleanser or unscented soap. Avoid Scratching: Keep the baby’s nails trimmed to prevent further skin damage from scratching. You can also try soft cotton mittens if the scratching is excessive. Avoid Potential Triggers: If you can identify any environmental triggers like fabrics, soaps, lotions, or certain foods, try to minimize exposure to them. Prescription Medications: If over-the-counter treatments are not effective, a pediatrician may prescribe topical steroids or other medications to control the inflammation and itching. Since eczema can be difficult to manage and often requires a tailored treatment approach, it’s best to seek professional advice to ensure that your baby gets the appropriate care for their condition.