Common Eczema Treatment Questions: Tips from a Dermatologist

Eczema medication issues?

Hello, doctor.
A few days ago, I visited a nearby dermatology clinic, and the doctor diagnosed me with eczema in my groin and buttocks.
They prescribed Kenalog ointment and instructed me to apply it once in the morning and once at night.
However, I still have some questions I would like to ask:
1.
After applying the ointment, should I wash my hands directly with soap?
2.
Can I stop using the medication once the rash feels gone, and how long should I typically continue applying it?
3.
Sometimes the medication applied in the groin area may come into contact with my genital area through my underwear, or my genital area might accidentally touch the treated area.
Will this cause any side effects, or is it better to let the area dry after applying the ointment?
Thank you, doctor!

Nìmíng, 20~29 year old female. Ask Date: 2017/08/15

Dr. Wu Yuxin reply Dermatology

1.
Yes.
2.
For this question, you should consult your attending physician, as they are most familiar with your condition.
3.
Generally, there is no need to worry too much.

Reply Date: 2017/08/15

More Info

Eczema, also known as atopic dermatitis, is a common skin condition that can cause significant discomfort and distress. It often presents as dry, itchy, and inflamed skin, and can occur in various areas of the body, including the groin and buttocks, as you've experienced. Here are some insights and answers to your questions based on common practices in dermatology.

1. Washing Hands After Application: After applying any topical medication, including your prescribed cream, it is advisable to wash your hands. However, you should wait a few minutes after application before washing your hands with soap. This allows the medication to absorb into the skin effectively. If you wash your hands immediately after applying the cream, you may inadvertently remove some of the medication from the treated area.

2. Duration of Treatment: The duration for which you should continue using the medication can vary depending on the severity of your eczema and the specific instructions from your dermatologist. Generally, it is recommended to continue applying the cream until the affected area is clear and the skin feels normal again. However, it is crucial to follow your doctor's advice regarding how long to use the medication. In many cases, this can range from a few days to several weeks. If you notice improvement, you may be able to taper off the medication gradually rather than stopping abruptly.

3. Contact with Other Areas: It is common for topical medications to inadvertently come into contact with other areas of the body, especially in regions like the groin. If the medication is applied to the inner thigh or buttocks, it may transfer to the genital area through clothing or movement. Generally, most topical corticosteroids are safe for use in the groin area, but you should avoid applying them directly to sensitive areas unless specifically directed by your doctor. If you are concerned about potential side effects, such as skin thinning or irritation, it is best to consult your dermatologist. Allowing the area to dry after application can help minimize the risk of transfer to other areas.

Additional Tips for Managing Eczema:
- Moisturization: Keeping the skin well-moisturized is crucial in managing eczema. Use a fragrance-free moisturizer regularly, especially after bathing, to help lock in moisture and create a barrier against irritants.

- Avoid Triggers: Identify and avoid potential triggers that may exacerbate your eczema. Common triggers include certain fabrics (like wool), soaps, detergents, and even stress. Keeping a diary of flare-ups can help you pinpoint specific triggers.

- Bathing Practices: When bathing, use lukewarm water instead of hot, as hot water can strip the skin of its natural oils. Limit bath time to about 10-15 minutes and consider adding colloidal oatmeal or baking soda to the bath to soothe the skin.

- Clothing Choices: Wear loose-fitting, breathable clothing made from natural fibers like cotton. Avoid tight clothing and synthetic materials that can irritate the skin.

- Follow-Up Care: Regular follow-ups with your dermatologist are essential to monitor your condition and adjust treatment as necessary. If you notice no improvement or if your symptoms worsen, do not hesitate to reach out for further evaluation.

In conclusion, managing eczema effectively requires a combination of proper medication use, lifestyle adjustments, and ongoing communication with your healthcare provider. By adhering to your dermatologist's recommendations and implementing these additional strategies, you can help control your symptoms and improve your skin's health.

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