#asktheexpert
my son has 20 months old..he is getting itching on his hands & legs...what I will do..

Question

#asktheexpert 
my son has 20 months old..he is getting itching on his hands & legs...what I will do..

Accepted Answer

Itching in young children can be caused by various factors, including dry skin, eczema, allergies, insect bites, or infections. Here are some steps you can take to address your 20-month-old son's itching:

### 1. **Identify the Cause**
- **Dry Skin**: Look for flaky, dry patches.
- **Eczema**: Red, itchy, and sometimes oozing patches, often found in the creases of elbows, knees, and around the wrists and ankles.
- **Allergies**: Could be food, environmental, or contact allergies. Look for patterns or triggers.
- **Insect Bites**: Check for small red bumps or welts.
- **Infections**: Such as scabies or impetigo; these often have additional signs like sores, blisters, or crusting.

### 2. **General Care Tips**
- **Moisturize**: Apply a gentle, fragrance-free moisturizer several times a day, especially after baths.
- **Bathing**: Bathe your child in lukewarm water for no more than 10 minutes. Use mild, fragrance-free soap and gently pat the skin dry, avoiding rubbing.
- **Clothing**: Dress your child in soft, breathable fabrics like cotton. Avoid wool or synthetic materials that can irritate the skin.
- **Avoid Scratching**: Keep your child's nails short and consider using mittens at night to prevent scratching.

### 3. **Specific Treatments**
- **Dry Skin**: Use a thicker cream or ointment like petroleum jelly.
- **Eczema**: Over-the-counter hydrocortisone cream may help, but use sparingly and under a doctor’s guidance.
- **Allergies**: Identify and avoid triggers. Antihistamines like cetirizine or diphenhydramine can help, but consult your pediatrician before use.
- **Insect Bites**: Apply a cold compress and a mild hydrocortisone cream or calamine lotion.
- **Infections**: Consult your pediatrician for appropriate treatment if an infection is suspected.

### 4. **Consult Your Pediatrician**
- If the itching persists, worsens, or is accompanied by other symptoms such as a rash, fever, or swelling, consult your pediatrician for a proper diagnosis and treatment plan.

### 5. **Environmental Adjustments**
- **Humidity**: Use a humidifier in your child's room to maintain moisture in the air.
- **Avoid Irritants**: Keep away from harsh soaps, detergents, and lotions with strong fragrances or dyes.

### 6. **Dietary Considerations**
- If you suspect a food allergy, keep a food diary and note any reactions. Consult with a pediatrician or allergist for testing and advice.

By following these steps, you can help alleviate your child's itching and determine if further medical attention is needed.

#asktheexpert my son has 20 months old..he is getting itching on his hands & legs...what I will do..