LIVING WITH ECZEMA Our Stories! 1 This scrapbook is dedicated to Scotland’s inspiring children with eczema. A special thank you to the families who made this exciting project a reality by taking the time to share their thoughts and hopes. Intro This book is the first publication gathering the stories of families of children with severe eczema in Scotland and also marks the first anniversary of our activities. Selecting its content from all the fantastic work received from our families was a difficult process, though many stories have indeed much in common; we hope that our readers will gain a better understanding of life with eczema, while families joining us realise that they are not alone in their daily battles with the symptoms of eczema. Amelia Calvert (Chair), Magali Speight (Manager) & Christine Roxburgh (Project Co-ordinator) About Eczema Outreach Scotland Set up in 2011, Eczema Outreach (Scotland) is a support charity for people affected by eczema in Scotland. It specialises in providing support, practical advice and networking opportunities to families of children & young people suffering from this misunderstood and often distressing condition. Join or contact on: www.eczemaoutreachscotland.org.uk Contents Page Page 3 16 “It’s itchy and sore but I won’t let it get me down” Eczema from a child’s perspective “We feel like we are going round in circles trying to find things that help, but we are starting to understand the triggers which is a step forward” A parents’ perspective Page Page 22 “It’s such a shame when his skin is so red but I hope it goes away one day” 24 “We can help!” The impact of eczema on siblings Dermatologists’ point of view Page 25 “Eczema Outreach has empowered me to ask for help, and it is so good to feel we aren’t alone” How is Eczema Outreach Scotland helping? Eczema from a child’s perspective Eczema can have a big impact on a child’s life: it can affect school, relationships, activities, diet and self-confidence. Over the next few pages children tell us what it is like to live with eczema and what they think about it. ous but think it’s seri ’t n o d le p o d ce. Pe ave it too ba st a hindran ugh to not h o n e Eczema is ju y k to c d lu m sh?”. It use it can be. I’ hat’s that ra sometimes “W ry y sa d n a I’ve tried eve still notice t eczema”. o g e but people ’v “I y t, sa g is the wors ut now I just early! Itchin bother me b n … m is re e th ing slimy fro eatment don’t like be o ls cream and tr a I . p o st it is hard to sometimes ge 20) h g - Heather (a s on, eu ! n o ti lo g in tt pu - Ciara (age 8) I will fight my eczema, it won’t beat me. - Dominic (age 12) 3 Eczema from a child’s perspective THE GOOD - Gemma (age 23) TOUGH DAYS sad day rs old. Sometimes I can be really think it’s caused on with my Mum and Dad and I to day and a bit hyper like I carry ld be something I really would wish that there cou by my sad sore life of eczema. I always tell happy in life! On the weekends that would really help me to stay out the house ere fun or shopping so I can stay my Mum to take me out somewh ays feel that s and stomach pain cause I alw instead of itching, rubbing my eye t it is! house but I can’t figure out wha there’s some kind of allergy in my Hello! My name is Khadijah I am 13 yea - Khadijah (age 13) 4 A week with eczema What is it like to live with eczema day to day? The following excerpts from children’s journals give us an insight… COLE’S JOURNAL Monday Tuesday Wednesday Thursday COLE (age 12) Friday Saturday Sunday Tuesday Niall (age 7) Monday Lewis “Thurs: My skin is feeling really good today, I feel good when I look like everyone else.” Harley (age 6) (age 9) 5 A week with eczema Mya’S JOURNAL Monday Tuesday Wednesday Thursday Friday Saturday Sunday by Mya (age 5) Lauren (age 6) Friday “Friday: My arms aren’t as itchy today but my legs are, Mum keeps on telling me to stop scratching. 6 I can’t help it.” Dominic (age 12) If eczema was a ‘thing’... Gaelle (age 7) It would be a hedgehog Isla (age 8) Kira (age 9) 7 If eczema was a ‘thing’... An evil fairy sending out his little fairies to tickle me. - Harley (age 9) This is a jaggy plant as my skin feels when it’s sore - Lucy 8 (age 6) Ciara (age 8) If eczema was a ‘thing’... My skin is like traffic lights - Lewis (age 6) Mya (age 5) 9 If eczema was a ‘thing’... Lauren 10 Finlay (age 6) (age 6) If eczema was a ‘thing’... My eczema would be a stress-ball, happy on one side, sad on the other and with spiky bits that make things worse. Soft so I could squash it when I itched. Cole (age 12) Natalya (age 8) I chose a dog because: If you don’t look after it, it will go bad. If you feed and clean it properly, it can stay nice and clean. - Rosanne (age 9) 11 If eczema was a ‘thing’... Monsters this is me being attacked by the monsters. Emma (age 6) 12 What’s annoying about your eczema? “That people make fun of it.” - Niall (age 7) “Doctors aren’t too bothered about eczema; I keep hearing “maybe you’ll grow out of it”. “I can’t concentrate.” - Heather (age 20) - Rosanne (age 9) “I don’t look good.” - Gaelle (age 7) “It is really itchy sometimes.” - Ciara (age 8) e - Finlay (ag 6) ) 6 - Lucy (age - Isla (age 8) “It sometimes makes me fe el super-hot e house/school ven when the is quite cool. When I get ex I just can’t st cited or tired op scratching . I hate it whe hate the dea n it bleeds. I d skin in my b ed.” - Emma (age 6) When my skin is really bad, I don’t want to do anything, not even my judo!! Cuddles from mum and dad help and mum gives me a back rub too! Soaking in the bath sometimes helps but it’s hard trying to find something I can use in the bath. The doctor has tried me on loads of different emollients too! I would really like to soak in a bath with bubbles! - Dominic (age 12) 13 Are things different at school because of your eczema? “Yes because I look not nice. Everyone’s skin is beautiful except of mine. (Hard for mummy to hear)” - Mya (age 5) Gaelle (age 7) “Can’t sit still or concentrate. I have to go out of the class to get cream on. When I get super-hot I cry and the teacher stops the class. Everyone hates this.” - Emma (age 6) “I have lots of friends, they always help me when I am itchy they tell me not to scratch.” - Kira (age 9) Lauren (age 6) - Natalya (age 8) 14 Happy days... Niall age 7 Cole age 12 “I like this picture of me and my family. We were on our first holiday and my eczema went away completely.” - Harley (age 9) 15 A parent’s perspective For a parent, the experience of having a child with eczema can be very difficult. Frustration, isolation and a feeling of helplessness are all common experiences. Some parents share their stories… “At 19 weeks old our daughter was admitted to children’s hospital for infected eczema affecting every part of her body. We spent 4 days in hospital and on returning home she was free from eczema for the first time in her life. My 3 year old son took one look at her and said “she has big eyes”. A few days later our daughter was covered with eczema again including her eyelids making her eyes swollen to the point she could barely open them. As a mother this broke my heart. I felt useless and not in control. I wanted to make my daughter well but had no knowledge or experience of eczema prior to the birth of my daughter and other than put my trust in the health service had no idea how to deal with it or help her. On returning to children’s hospital the doctor was baffled and began allergy testing. At this point we were attending several times per week until at last she was put on a milk and egg free diet. At this time we also implemented other measures such as using surcare soap powder, not allowing her near anyone wearing perfume, only using cotton clothing and washing her with emollient. It took 6 long weeks until finally our daughters skin was improving. It was the first turning point in her condition. She is now 2 years old and still suffers from eczema. We struggle with the itch scratch cycle every day and night despite daily antihistamine 16 “The ha rdest t hing is watchin g your child scratc h them s e lves to shre ds putt in g sore ho les in th eir perfec t bodie s.” - Ella medication. We still have a rigorous skin care regime each and every day which she hates. Every day is a fight and difficult as a parent knowing the alternative of what would happen if we did not use creams. She also has other allergies and is on a very restricted diet which in itself is difficult to manage. She still can’t have any milk product touch her skin or tolerate anyone breathing on her or kissing her after eating a dairy product such as ice-cream. Our daughter is at an age where she wants what other kids have and doesn’t understand why she can’t have it. It is hard as a parent knowing what to do when it comes to birthday parties, toddler sessions and places where kids are eating things she can’t have. Nursery is another problem and I am terrified of putting her somewhere where myself or a family member are not around to be vigilant in what she is eating and what is going near her skin. I was ignorant to the impact eczema can have on the sufferer and their families. As a mother of a child with eczema I cannot describe the anxiety and stress I have experienced. Normal family outings like swimming, going to a restaurant or going on a family holiday need to be managed carefully to ensure we can reduce the risk of a reaction or flare up.” Lydia A parent’s perspective “My son and his eczema have brought him and I closer and we have a fab relationship! It is frustrating when he is itching and I can’t help him but a cuddle helps! I’ve found that having a positive attitude helps and also being forceful with the school to get them to apply creams etc. Also making people aware of what living with a child with eczema is like, there are loads of ignorant people out there who think ‘it’s not eczema, there’s no such thing!’ They should try living with a child/person with eczema, it affects the whole family! We all help with the applying of lotions and potions and also in the encouragement of getting him to apply them. It can be like a cafe in the house because he often can’t eat what the rest of us are having. Nothing triggers his flare ups and it is trial and error but hey we cope!” Katie “On-going battle with medication. Going round in circles with crea ms. ITCHING AHHH!!!” - Emily “Now that we are successfully managing our sons eczema I am finding his food allergies the bigger challenge. I have made so many egg and dairy free cakes I think I have lost count. I have been determined that my wee boy would be able to have a birthday cake he could actually eat. I have included the cake recipe that I have found the best in the hope I might save others the time and heartache baking in the kitchen!” Flora Dairy & Egg free Chocolate Cake Ingredients for Cake 1 ½ cups plain flour 1 cup Sugar 1/3 cup cocoa powder 1 tsp bicarbonate of soda ½ tsp salt 1 cup warm water 1/3 cup vegetable oil 1 tsp vanilla essence 1 tsp white wine vinegar 180 degrees Celsius Muffins – 15/20 minutes Cake – 40/50 minutes Use a silicon cake tin or line a cake tin with greaseproof paper as it is difficult to get the cake out. Mix all the dry ingredients together and the liquid ingredients in a separate bowl. Add the liquid ingredients into the dry ingredients. Mix as quickly as possible and get it into the oven as fast as you can. I think the white wine vinegar starts reacting with the rest of the ingredients to help the cake to rise. Ingredients for Icing 100g Stork block (Not the stork tub as it contains milk) 300g icing sugar 40g cocoa powder 40 ml oat milk or soya milk Mix the Stork, icing sugar and cocoa powder together. Slowly add the milk a small bit at a time. You may find you don’t need to use all of it. Mix with an electric whisk for 5 minutes until soft and fluffy. 17 Challenges parents have faced / are facing e g lik “We were feelin “An ongoing ba no-one else ttle to get the co left to rrect medication ‘get on with it’. h it.” was going throug - Megan we require. We are looked upon I feel we get very as an ‘atopic’ fa mily and little support fro m professionals. trigger foods “Current challenge is managing diet – mainly ndent.” home environment as our daughter grows older and more indepe ” - Abigail – out with the - Faith attitudes of others “The staff have been very helpfu l and have supported our son at school. Although tremendously!” - Bea “Our daughter can be very difficult to persuade to do things she doesn’t want to do. For get in a ‘tizz’ about putting on the prescribed example, she will hing worse.” creams and cotton bandages. Of course the tizz makes her scratc - Paul What parents wish they’d known sooner “That we could have been referred a lot quicker to a nurse lead dermatology clinic, this was so helpful and came from a conversation the school head teacher had with the school nurse. To keep on asking for advice!” - Bea “That allergy testing and diet control could be effective in maintaining the skin.” - Faith “GPs sometimes get it wrong…we were told for months “It’s just dry skin, you don’t need anything, she’ll grow out of it…”. If we used emollients early she wouldn’t have ended up admitted to sick kids with infected facial eczema.” - Anna 18 Top tips from parents There is no magical cure for eczema so parents can feel they are going round in circles trying to find something that helps. We’ve pulled together some tips from parents, things that have worked for them… Creams & Bandages * * * * Use lots of emollient and apply as often as possible. Keep up the cream regime. Steroids first, then emollient. It’s better to use steroids when things start to get red, don’t wait to see if it gets better. It probably won’t. * Involve your child from a young age to apply creams with you so it becomes fun rather than something they hate. * Try applying the cream to the bottom half of the body and then put pyjama bottoms on and then apply cream to the top half. Cheap hand towels are great if you need to quickly wipe creams off your hands between applying creams and putting clothing on. * * “When my son has to wear his bandages (vest, gloves and leggings) we drew on them to make him a wrestler - this is now his favourite thing!” - Caroline Use bandages when the skin is cracked. Wearing a sun protection suit to go swimming allows you to apply creams but you don’t need to worry about them turning into a slippery bar of soap! Spot the Triggers * Keep a skin diary to help spot the eczema triggers e.g. particular foods, woolly tights, swimming * Once you have found triggers make a list and make “important” people aware of them e.g. school, clubs, friends and family * Prepare the skin for ‘trigger’ situations e.g. extra cream before swimming * * Stay cool – overheating can cause itching Avoid foods that you find irritate the eczema e.g. milk, egg, citrus fruits etc. * Stress can play a big part in eczema and if you’re stressed, your baby is stressed. Lots of cuddles, smiles, playing and giggles. * If you think something is irritating the eczema get your GP to refer you for patch testing so you can isolate the allergen. “No stress. When our daughter is stressed with homework she immediately starts to scratch.” - Yelena 19 Top tips from parents Day to Day * Try to get as much sun as * “Cleanliness is next to Godliness” – a well aired and dust-free bedroom will help banish the dreaded house dust mite. Polish surfaces with a damp cloth and a few drops of lemon essential oil. Mop laminate floors regularly. possible. When warm enough encourage your child to wear shorts and sandals to school to avoid getting hot and itchy. * * Try specialist cotton eczema pyjamas. * * * * * * * Specialist suits need to be hand washed and cannot be cut despite what the company reps tell you. If you cut them they start to fray and ride up the arms and legs. If they go in the washing machine then they lose their soft feel. “As our son’s eczema is at its worst on his feet, a good pair of leather, breathable shoes is essential. His cost £50, which is a lot of money but it makes a huge difference to sweaty little feet. As soon has he comes in from school I have him steep his hands and feet in a basin with hot water and a capful of Savlon for 5 minutes. I then moisturize his skin. He is then comfortable to start and concentrate on completing good quality homework. I’ve been doing this for 6 months now and it’s stopped the need for steroid creams dramatically.” - Joanna Use non biological washing detergent. * * * * * No fabric conditioner. Fragrance / soap free hand wash. Limit perfumed products around the house. * Just because your child is not scratching doesn’t mean they are not itching themselves. For example, crossing their legs, moving around their cot etc. * Try not to say “don’t scratch” as it only makes them scratch harder and faster so they stop quicker for you. * Use a favourite toy to squeeze at night time when they feel itchy. * Find fun ways of distraction when itchy e.g. singing, dancing, painting or favourite TV shows. * Encourage your child to stroke the itchy skin instead of rubbing and scratching. Natural fibres in clothes and beds. PJs, teddy and creams in the fridge. Keep teddies to one or two and wash each week with the bedding. Use pillow and mattress protectors. 20 Scratching Try showers instead of baths. Eat good food and drink plenty water. Get plenty rest and sleep. Try evening primrose tablets when skin is very sore. Top tips from parents Riley is allergic to dairy and since cutting it out his eczema has improved greatly. Riley’s eczema affects his wrists, hands, ankles and behind his knees. Getting Help * Don’t take no for an answer with health professionals (pester, insist and battle for the right treatment and tests). * Find the right GP. Normally the right GP also has a child with eczema. * etc. It’s good to talk! Talk to friends, family, support groups * * Talk to everyone you can find who has experienced eczema. * allergies. Make your dermatology nurse your new best friend! Persevere and insist if you feel your child has * * * Get the family on board. Ask for support. Visit your GP regularly – if eczema is bad and shows no signs of clearing with steroids the skin may be infected and an antibiotic might help. Words of Wisdom Artie Bear has been a brilliant way to help Riley cope with his eczema as none of his friends have it. He tells people that he has a special bear who is just like him. - Claire * Don’t let eczema define who you are or what you can * Trust your instinct, listen to your child (with regard to * Give reassurance and try not to be stressed when do! creams, reactions, foods etc.). your child is upset and not wanting to use creams or try different techniques. * * Lots of praise and encouragement. “Tell everyone you can about eczema and how it affects the family. A child approached mine and said they couldn’t play together as he had a disease he might catch!” - Joanna * * It’s difficult, but try not to nag! Your child will be feeling guilty enough if they have damaged their skin through itching. Talk about it as a family Stay calm! 21 The impact of eczema on siblings Eczema affects the whole family, including siblings. This is what some brothers and sisters had to say… Holly It was sad to see him suffering when it was at it’s worst - Jonathan age 7 It’s a shame sometimes to see him so red and itchy - Alice Niall 22 age 7 The impact of eczema on siblings “It’s horrible watching Finlay scratch but he does well not to scratch (most of the time). He copes well with his eczema.” - Maddie “Both my brother and I have eczema, but Cole’s is worse than mine. Cole does not let his eczema get him down. He is confident and usually happy. He has to get his creams done every day but he never moans. Sometimes he gets upset when people tell him to stop scratching. Cole does everything the same as his friends. His eczema doesn’t stop him. We have a new baby sister and we are both hoping she doesn’t get eczema like Cole.” - Cameron - Aaron Not that fussed about it - Rosanne’s brother Rosanne age 9 - Fiona “Maia (age 11) says: because my little sister has eczema, when she puts her cream on she starts crying because it stings her so I go calm her down and give her a hug and put her to bed and make sure she is ok. Andrew (age 7) says: sad because my big sister has eczema and it is hard for me to cope.” - Kira’s siblings 23 Dermatologists’ point of view Some Scottish De rmatologists share their tips, challenges and w hat they understa nd of the impact eczema has on fa milies (captured at an EO S awareness sess ion, Feb 2013) Main challenges as a Dermatolo gist, when deal child with ecze ing with a ma and their f amily * * * Parents are afraid of ste * * roids Conflicting advice before coming to th e hospital from othe Some families think r healthcare profes food and diet are th sionals. e answer (over emph allergies), though it as is on th e role of can be useful to inv estigate Time spent in cons ultation is restricted , which makes it ha full impact on life rd to take into acco unt the Parents looking for a single cure Tips/advice fr om Dermatologi sts * * Bath daily, without so ap Apply lots of moistu risers – apply in do wnwards strokes an from the tub d use a spoon to re move Avoid triggers – heat , dust, pets, etc. Keep trying different creams; tell us what you don’t like to us Input from Dermatolo e, we can help! gy nurses Don’t continue elimina ting a food if it’s no t making an improv Be aware there is no ement to eczema single cause Don’t give up * * * * * * What Dermato logists underst and about the on the child an impact eczema d the family Sleep disturbance * De * Itchycreaansed d concentration of child may impact performance at school * Limits the painful * Conflict beparticipation in some activities e.g. swimming, sleep overs, school * Worry of aptween parent/child with treatments * Self-cons pearance, particularly with facial eczema and using greasy ointments * Feeling ofciousness of the child can affect relationships * Parents m guilt and frustration from parents * Effect of sway feel they are neglecting other family members eating / * 24 exercise How is Eczema Outreach Scotland helping? “The night before I searched the internet for info on a support group, I had been crying, feeling no-one understood and I had nowhere to turn.” - Julie “Joining EOS makes us feel we aren’t alone.” - Yelena “We joined so Emma could meet other children with similar problems and so we could meet other parents with similar problems.” - Pete “EOS is great, just to know someone is at the end of the phone to support and counsel us.” - Eva “The welcome pack was amazing, empowered me to ask for assistance with benefits - which my child received and it helps buy bedding and clothes.” - Joanna “Ciara is proud of her medal from an EOS outing.” “The best thing about being a member so far has been meeting other families and my daughter realizing she’s not the only one and her eczema isn’t as bad as some peoples’.” - Anne “It’s been good meeting people in the area with similar issues in a relaxed environment. The welcome packs are FANTASTIC!” Lucy - Fiona (age 6) 25 How is Eczema Outreach Scotland helping? “I think EOS is great. I’ve met new friends and been on most of the outings. The best so far has been to the Glasgow Science Centre.” - Dominic (age 12) “My daughter gets excited when items arrive in the post for her from EOS. The information, communication and the welcome we received has been warming.” “Our daughter loves her welcome pack, and it was full of useful info for us too!” - Lesley - Erika “We decided to join to meet other people and gain some new ideas and tips. We wanted to show Mya she is not alone.” - Elaine - Mya 26 (age 5) Living with me Ava-Celine hopes her Eczema will ‘get better’. Think that says it all. Scratching and scratching While asleep in the night Scratching and scratching Lying waiting for the light Waking in the morning To find patches of redness Waking in the morning To find dryness and parchedness Dressing for my day Wearing materials, kind Dressing for my day Wondering whether people mind - Julie Slapping on some creams Steroids and mixed potions Slapping on some creams With some bandages and lotions Things that I have tried Different diets, even herbs Things that I have tried Ways of lessening the nerves What would I suggest To a younger one with eczema? What would I suggest? Get to know yourself and Oompa! For now I’ve come to reason That I’m more than just my skin For now I’ve come to reason To forget some times within The time when I requested That my hands be tied at night The time when I decided That my skin gave all a fright I’ve made myself a pact now That helps me keep on track I’ve made myself a pact now Just takes a certain knack. - Amelia, October 2011 27 t e e m o t e c n a h c e Th r families othe n o i t a m Infor vice & ad Family Line: 0800 622 6018 Confidential support Invitations to our free outings Text: 07807 048 070 Office Tel: 01506 840 395 Email: [email protected] Or Join Online: www.eczemaoutreachscotland.org.uk Project Sponsored by Registered Charity SC042392
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