Why Does Your Child’s Eczema Worsen at Night?

If your little one suffers from eczema, you’ve probably noticed that their symptoms seem to flare up more intensely at night. Itchy skin, restless sleep, and increased irritation can turn bedtime into a battle. But why does eczema get worse at night? Let’s explore the reasons behind night time flare-ups and what you can do to help your child sleep more peacefully.

1. Skin Temperature and Moisture Loss

Your child's body temperature naturally fluctuates throughout the night, often rising under blankets and sleepwear. This increase in heat can trigger itchiness, making it harder for them to sleep comfortably. Additionally, moisture levels in the skin tend to drop overnight, leading to dryness and worsening eczema symptoms.

Dry skin is more prone to cracking and irritation, so applying a thick layer of moisturiser before bed is essential. Choose an eczema-friendly emollient or ointment rather than a regular lotion, as these are better at sealing in moisture. Using a humidifier in your child's bedroom can also help maintain a comfortable level of moisture in the air, preventing excessive skin dryness.

2. Less Distraction, More Scratching

During the day, kids are busy playing and exploring, which helps distract them from the constant urge to scratch. But at night, when their body is at rest and there are fewer distractions, the itchiness becomes more noticeable. This can lead to unconscious scratching, which worsens skin irritation and can break the skin barrier, making it more susceptible to infections.

To help reduce nighttime scratching, try these strategies:

• Keep your child's nails trimmed short and smooth to prevent skin damage.

• Use eczema-friendly mittens or soft cotton gloves to minimise scratching.

• Apply a cooling, itch-relief moisturiser before bed to soothe irritation.

• Keep a small container of moisturiser by their bedside for easy reapplication during the night if needed.

3. Fabric & Sleepwear Choices

Certain fabrics can either soothe or irritate eczema-prone skin. Synthetic materials and rough textures like wool can trap heat and cause friction, leading to increased itchiness. Instead, dress your child in breathable, eczema-friendly fabrics like bamboo and silk, which help regulate body temperature and reduce irritation.

Here are some fabric and laundry tips to improve nighttime comfort:

• Choose sleepwear made from soft, natural fibers like bamboo or 100% mulberry silk.

• Use fragrance-free, hypoallergenic detergents to wash clothes and bedding.

• Avoid fabric softeners, as they can leave behind residues that may irritate sensitive skin.

• Consider using silk or bamboo bed sheets, which are gentler on your child's skin than cotton or polyester blends.

4. Histamine Levels

Another reason eczema tends to worsen at night is due to the body’s natural histamine cycle. Histamines are chemicals released by the immune system in response to allergens, and they can contribute to inflammation and itchiness. The body tends to produce more histamines in the evening, making eczema symptoms feel more intense at night.

For some children, taking an antihistamine (under medical supervision) before bed may help reduce nighttime itching and promote better sleep. However, always consult a doctor before introducing any medication to your child's routine.

5. Skincare Routine Before Bed

A consistent nighttime skincare routine can make a big difference in managing your child's eczema symptoms overnight. Preparing their skin properly before bed helps lock in moisture, reduce irritation, and promote healing while they sleep.

Follow these steps for an effective eczema-friendly bedtime routine:

• Lukewarm Bath: Give your child a short bath with lukewarm water (hot water can dry out their skin) and use a gentle, fragrance-free cleanser.

• Moisturise Immediately: Pat their skin dry and apply a thick, eczema-friendly moisturiser while their skin is still slightly damp to lock in hydration.

• Barrier Protection: For areas prone to severe dryness, apply a heavier balm or emollient as a protective layer.

• Wet Wrap Therapy: For intense flare-ups, consider wrapping affected areas with damp, eczema-friendly fabric after moisturising to enhance hydration and soothe inflammation.

Final Thoughts

If eczema symptoms are making nights difficult for your child, identifying triggers and creating a skin-friendly sleep environment can make a big difference. By addressing factors like moisture loss, fabric choices, and histamine levels, you can help reduce nighttime flare-ups and improve their overall comfort.

With the right bedtime routine and adjustments, your little one can enjoy more restful nights and wake up with happier, healthier skin.