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Metta Health

Abraham Neduvamkunnil

Eczema in children - more than just dry skin

Eczema (or atopic dermatitis) is one of the most common skin conditions in babies and children - and yet it is often misunderstood, mismanaged or brushed off as 'just a phase'.

For some, it is mild and easily controlled. For others, it causes intense itching, poor sleep, infections and frustration for both the child and their parents.

As a paediatrician with experience treating complex eczema cases, Dr Abraham Neduvamkunnil (known to his patients as Dr Abraham) believes that every child deserves a personalised, effective care plan.

What is eczema?

Eczema is a chronic inflammatory skin condition that causes:

  • Dry, itchy, red or cracked skin
  • Rashes behind knees, elbows, neck or face
  • Flare-ups triggered by soaps, weather or allergies
  • Secondary infections if skin breaks open

It often starts in infancy and may run in families with allergies or asthma.

What causes eczema?

Eczema isn't caused by poor hygiene. It is due to a defect in the skin barrier, making it more prone to inflammation and moisture loss.

Triggers may include:

  • Hash soaps or detergents
  • Dust mites
  • Heat and sweating
  • Certain foods (especially in babies)
  • Stress or illness

When to seek help

You should seek medical advice if your child's eczema:

  • Affects sleep or day-to-day life
  • Becomes infected (yellow crusts, weeping, swelling)
  • Isn't responding to moisturisers or over-the-counter creams
  • Causes embarrassment, social anxiety, or distress
  • Seems linked to food or other allergic symptoms

What happens in clinic

In his private clinic, Dr Abraham offers a full assessment and treatment plan, which may include:

  • Identifying and avoiding triggers
  • Choosing the right emollient (moisturiser)
  • Topical steroid advice - safe when used correctly
  • Managing flares and preventing infections
  • Considering allergy testing if indicated
  • Coordinating with schools and nurseries

Treating eczema is not just about cream

Eczema affects not just the skin - but also sleep, learning, mood and family life. That's why Dr Abraham's approach is always holistic, evidence-based and tailored to your child's needs.

Final thoughts

If your child's skin is always itchy, red or inflamed - don't wait for it to 'settle on its own.' Early intervention helps prevent worsening, scarring and unnecessary suffering.

Private paediatric care can offer faster access, longer appointments and a clearer roadmap to relief.

About the author:

Dr Abraham Neduvamkunnil is a Consultant Paediatrician with clinics in Nottingham and Leicester. He has extensive experience in managing eczema, allergies and skin conditions in children - offering allergy testing, skin care guidance and personalised care plans.

www.drabraham.org

Childhood allergies - what every parent should know

Allergies in children are becoming more common and understandably, more concerning for families. Whether it is a rash after eating eggs, wheezing during pollen season, or an unexplained upset tummy, many parents ask: "Is this an allergy?"

As a Consultant Paediatrician with experience in allergies, Dr Abraham Neduvamkunil (known to his patients as Dr Abraham) regularly sees children with a range of allergic conditions - from mild to life-threatening. With the right testing, education, and manInagement, most allergic children can lead full and happy lives.

What are childhood allergies?

An allergy occurs when the body's immune system overreacts to something harmless, like a food, dust mite, pollen or pet. These substances are called allergens.

Common allergic conditions include:

  • Food allergies - e.g. to milk, eggs, peanuts or wheat
  • Hay fever (allergic rhinitis) - triggered by pollens
  • Asthma - often triggered by allergens like dust, pollen or mould
  • Eczema - may flare due to certain foods or environmental triggers
  • Urticaria (hives) - itchy, raised skin rash
  • Anaphylaxis - a severe, potentially life-threatening allergic reaction

What are the signs of an allergy?

In children, allergy symptoms can vary based on the trigger:

  • Sneezing, itchy eyes, runny nose (hay fever)
  • Rashes, hives, eczema flare-ups
  • Wheezing, cough, chest tightness
  • Vomiting, diarrhoea, tummy pain after eating certain foods
  • Swelling of lips or eyes
  • Sudden collapse, breathing difficulties (anaphylaxis - call 999)

If your child has recurring or unexplained symptoms, particularly after certain foods or exposures, an allergy assessment is strongly advised.

How are allergies diagnosed?

At Dr Abraham's clinic, they take a detailed history and may perform:

  • Skin prick tests - results in 15 minutes
  • Specific allergy blood tests (IgE)
  • Food elimination and reintroduction trials
  • Challenge testing - only in specialist settings

Importantly, not all rashes or tummy upsets are allergies, and testing without a full clinical assessment may cause confusion or unnecessary food avoidance.

When to seek help

You should consider a specialist allergy review if your child:

  • Has had a reaction to food or insect stings
  • Has eczema that isn't responding to creams
  • Has asthma or hay fever that worsens seasonally
  • Has a family history of allergies or asthma
  • Has experienced a sudden reaction with swelling or breathing problems

What can be done?

With a confirmed diagnosis, a personalised plan can be created, including:

  • Allergen avoidance advice
  • Allergy action plans for school or nursery
  • Prescribing antihistamines or EpiPens
  • Allergy education for parents and carers
  • Desensitisation therapy (in select cases)

Final thoughts

Allergies can be worrying - but the right diagnosis and management can make an enormous difference. Whether your child has a rash, a runny nose, or something more serious, don't guess, let's investigate properly.

About the author:

Dr Abraham Neduvamkunnil is a Consultant Paediatrician at Spire Nottingham and Spire Leicester hospitals with specialist interest in childhood allergies. With 350+ five-star reviews, he provides expert allergy testing, education and support for children from birth to 18 years.
https:www.drabraham.org

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