Atopic Dermatitis or Eczema: Soak & Seal Technique

Dr. Ankit Parakh
Medically Authored & Reviewed by Dr. Ankit Parakh MBBS, MD, DNB, FNB (Pediatric Pulmonology), ERS Fellow (London, UK)

Children with atopic dermatitis or eczema, tend to have very dry skin in general. This happens because atopic dermatitis or eczema causes defects in the skin barrier which makes the skin “leaky”. The skin barrier or also called as the “epidermis” is upper most layer of skin that protects it from irritants, microbes like bacteria/viruses, and allergens. The epidermis also prevents moisture from getting out of the skin.

What is Soak and Seal Technique?

The “Soak and Seal” method of treating atopic dermatitis or eczema prevents and reduce the symptoms by putting water back into the skin.

Soal Seal
How is a Soak and Seal Technique done for children with atopic dermatitis or eczema?

Soak and Seal Technique involves two steps:
Step 1: Soak

  • Make your baby bathe in luke warm (not hot) water for around 8-10 minutes. Soaking in a tub of lukewarm water helps your child’s skin to absorb moisture better
  • Add bath oil
  • Use a with a very mild soap or a non-soap cleanser.
  • Avoid scrubbing the affected skin with a washcloth or loofah.
  • After bath, gently pat skin dry to keep it moist or slightly wet.
  • Avoid rubbing the skin
  • In case of a bad atopic dermatitis or eczema soak and seal can be done twice a day

Step 2: Seal

  • Apply moisturizer right away (within three minutes) on the wet skin to retain the moisture in children with atopic dermatitis or eczema.
  • Apply moisturizer liberally all over the body.
  • Bathing and moisturizing can be scheduled at night, just before bed in older children with atopic dermatitis or eczema. This can help skin retain moisture better.
How to treat a child with Atopic Dermatitis or Eczema
Atopic Dermatitis or Eczema in children: Symptoms & Treatment

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Medical Advice & Clinical Disclaimer

The educational medical guidance provided in this guide is for informational purposes only. It should not be used as a substitute for direct pediatric consultation, physical diagnosis, or clinical prescription. For individualized medical assessment of your child, schedule an appointment with Dr. Ankit Parakh.

Dr. Ankit Parakh
ABOUT THE SPECIALIST

Dr. Ankit Parakh

Senior Consultant Pediatric Pulmonologist, Allergy & Sleep Specialist

Dr. Ankit Parakh is among India's leading pediatric lung and allergy specialists, having trained in top institutions in India and the UK (London). He specializes in pediatric asthma, recurrent wheezing, persistent cough, allergy testing, and flexible bronchoscopy.

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