Doctor-Nosa
This video presents tips on how to manage eczema, focusing on individuals with Black or Brown skin. Eczema is a skin condition that affects the skin barrier, causing dry, itchy, cracked, and sore skin. The speaker recommends using emollients, avoiding triggers that may aggravate the skin, and managing stress. They suggest using steroid creams or ointments to manage inflammation, non-drowsy antihistamines during the day and drowsy antihistamines at night to relieve itching, and a soap substitute during showers. They also share tips on applying emollients, such as moisturizing at least four times a day, using a pump dispenser to prevent bacterial contamination, and using roughly 500 grams of cream every week. For severe cases, consult a dermatologist for more aggressive treatment options.
In this section, the doctor discusses eczema and how it differs on white and black skin, as well as the ideal skincare routine for people with eczema, medications, and lifestyle changes that can help manage eczema. Eczema is a skin disorder that runs in families, and in eczema, the skin barrier is defective and allows too much water to leave the skin, causing dry, itchy, cracked, and sore skin. In lighter skin tones, the inflammation appears red, but in darker tones, it appears as a darker brown, purple, or gray color. The doctor recommends using emollients as moisturizers, and cream is an excellent middle ground that is comfortable and provides a better feeling than an ointment on the skin. Additionally, it is recommended to avoid triggers like soap, detergent, fragrances, and food, manage stress, and keep nails short.
In this section, the speaker discusses how to manage eczema, particularly in individuals with Black or Brown skin. They recommend using steroid creams or ointments to manage inflammation, with the strength depending on the severity of the eczema. The speaker suggests using non-drowsy antihistamines during the day, such as cetirizine or fexofenadine, and drowsy antihistamines like chlorphenamine at night if itching is affecting sleep. They recommend using a soap substitute like E45 bath oil or E45 pre-wash, as soaps and shower gels can dry out the skin. Additionally, taking a lukewarm bath or shower for no longer than 10 minutes and patting the skin dry before applying an emollient or moisturizer is also important. The speaker recommends using E45 cream or E45 itch relief cream as they contain paraffin, which is an occlusive that traps water in the skin, keeping it hydrated and preventing it from drying out.
In this section, the speaker explains the importance of using a pump dispenser for moisturizers rather than one that requires dipping hands in it, as it can prevent bacteria contamination that may aggravate eczema-prone skin. For severe eczema, petroleum jelly is recommended as it has a good oil content that can help trap water in the skin and prevent water from leaving it. Additionally, it is recommended to use steroids at least 30 minutes after applying emollients to avoid diluting the effect of the steroid and spreading it to places that don't need it. The speaker recommends moisturizing at least four times a day using roughly 500 grams of cream every week. If the skin stains after trying any of the emollients, it is recommended to stop using that product and try another one. For more aggressive treatment options, such as phototherapy, taco limits cream, and cyclosporine medication, a dermatologist should be consulted.
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