How to reduce or disappear this eczema in my hand

Question #19979

102 days ago

224

How to reduce or disappear this eczema in my hand - #19979

Gwen

Living with Eczema: Five Months of Healing and Struggle For nearly five months now, eczema has been a constant presence in my daily life. What started as small, itchy patches has developed into areas with open wounds, their surfaces a mix of reddish inflammation and yellowish crusting that speaks to the body’s ongoing battle to heal. The redness stretches across sensitive skin, a visible sign of the internal irritation beneath. The yellowish areas form as the skin tries to protect itself, creating scabs that can be both a comfort and a source of frustration – while they shield the raw tissue below, even the gentlest touch or movement can cause them to crack and reopen. Simple tasks like getting dressed or washing my hands require extra care, as fabrics and water can trigger stinging discomfort. I’ve been working closely with my dermatologist to adjust treatments, from gentle moisturizers to medicated ointments, as we seek what works best for my skin. Each day brings small victories and setbacks, but I’m holding onto hope that consistent care will help calm the flare-up and restore my skin’s health. Would you like help drafting a note to your doctor detailing specific symptoms or tracking changes in your eczema over time

Age: 18

Pain

300 INR (~3.53 USD)

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

101 days ago

Hello Gwen
That sounds really tough and exhausting to deal with every day. The way you describe the redness, open wounds, and yellowish crusting suggests your eczema is not only persistent but also has become more severe, possibly with some secondary infection (the yellowish crust can sometimes mean bacteria have gotten in).
Here’s what’s likely happening:
- Eczema causes your skin barrier to break down, making it dry, itchy, and inflamed.
- Open wounds and yellowish crusts can mean your skin is struggling to heal and might be infected (especially if the crust is thick, yellow, or oozing).
- Everyday triggers like water, soap, and clothing can worsen the irritation and pain.
What you can do right now:
1. Keep the area clean: Gently wash with lukewarm water, avoid scrubbing, and pat dry.
2. Moisturize: Use a thick, fragrance-free moisturizer immediately after washing.
3. Avoid triggers: Wear soft, loose clothing and avoid harsh soaps or detergents.
4. Don’t scratch: Try to keep nails short and use cold compresses for itching.
It’s great to hear that you’re actively working with your dermatologist and staying hopeful about your skin’s health. Keeping track of your symptoms and changes can be really helpful for your doctor to adjust your treatment effectively.
If you’d like, I can help you draft a note to your doctor. Here’s a simple structure you can follow:
Subject: Eczema Symptom Update
I hope this message finds you well. I wanted to provide an update on my eczema symptoms and treatment progress:
1. Current Symptoms:
- Persistent itchy patches that have developed into open wounds.
- Areas of redness and yellowish crusting.
- Sensitivity to fabrics and water, causing discomfort during daily activities.
2. Treatment Adjustments:
- I have been using as discussed in our last appointment.
- I am monitoring my skin’s response to these treatments.
3. Changes Over Time:
- I appreciate your guidance and support as we continue to find the best treatment for my skin. Thank you for your help!
Thank you

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

100 days ago

Declining to answer requests for note-drafting or record-keeping, I’ll focus on what might help manage your eczema symptoms more effectively. The persistence of open wounds and crusting over five months suggests the need for a strategic and perhaps intensified treatment approach. Be sure to keep the affected areas moisturized — emollients like thick creams or ointments can form a barrier to lock in moisture, crucial for damaged skin. Apply these shortly after your bath or shower while your skin is still damp. The yellow crusting could indicate infection, so consult your dermatologist about the possibility of a bacterial infection and whether an antibiotic might be necessary. Consider whether environmental factors, like allergens or irritants, could be contributing — simple changes like hypoallergenic clothing or switching to fragrance-free, dye-free detergents might be worth trying. If you’re not already, following a consistent routine with any prescription topical corticosteroids, ensuring correct application, helps manage the inflammation better. Don’t underestimate the role of stress or dietary triggers; both can sometimes exacerbate eczema, so tracking your symptoms alongside daily habits might uncover patterns. Finally, if topicals aren’t giving relief, ask about other treatments, like phototherapy or, in chronic cases, systemic medications that can offer more comprehensive symptom control. Prompt and adaptive management with your healthcare provider is key, as eczema can be a moving target.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

93 days ago

Hi Dear,This suggests a secondary infection, which must be treated to allow proper healing.
Continue follow-up with a dermatologist. A swab test may be required, followed by topical or oral antibiotics if indicated, after which eczema treatment can be resumed.
Avoid soaps, hand washes, sanitizers, and perfumes on the affected skin. Use lukewarm water for cleansing, pat dry gently, and apply a thick moisturizer or emollient frequently (such as petroleum jelly or a ceramide-based cream). Wear cotton gloves after moisturizing and avoid scratching.
Don’t get panic long term treatement goals can be achieved

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

102 days ago

Hello,
This indicate secondary infection, which must be treated for healing.
Continue dermatologist care; may need swab + topical or oral antibiotics, then resume eczema treatment.
Avoid soaps, handwash, sanitizers, perfumes on affected skin
Use lukewarm water, pat dry
Apply thick moisturizer/emollient frequently (petroleum jelly / ceramide cream)
Cotton gloves after moisturizing;
avoid scratching
Your dermatologist may use stronger topical steroid short term+tacrolimus/pimecrolimus later;
wet wraps also may help
Avoid triggers:
frequent washing, detergents, chemicals, stress
Trust this helps
Thank you

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

102 days ago

Need to check if it is eczema or something else.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

102 days ago

Hello dear
See eczema is a chronic condition.
It does not simply goes with sudden medication.
It takes time.
Iam suggesting some medication
Please follow them for atleast a month
Avoid harsh soaps
Apply aquaphor moisturizer twice a day for 1 month
Apply Tulsi alovera gel twice a day for 1 month
Tacro limus solution 0.3 percent topical application twice a day for 1 week
Betamethasone medication 0.5 percent
solution as required.
In case of no improvement consult dermatologist in person for better clarity.
Hopefully you recover soon
Regards

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

96 days ago

Hello Gwen, I’m really sorry you’re dealing with this. Seems like you have Chronic Eczema with Secondary Infection. Here is my advise -
1. Start with this prescription -
- Cream Mometasone for local application on your eczema twice a day. Mix it with moisturizer and then apply. × 14 days
- Oint. Mupirocin 2% over the infected area twice a day × 7 days.
- Use thick, fragrance-free emollients (petroleum jelly, ceramide creams) over the affected area, regularly.
- Review after 14 days.
2. Protect your hands. Avoid: Frequent hand washing, Hot water, Detergents / sanitizers, Use cotton gloves under rubber gloves for wet work, Switch to soap-free cleansers.
3. If eczema keeps returning- Considered getting a PATCH TEST done by a dermatologist. Also discuss about Photography with the dermatologist.
4. What NOT to do- Don’t keep scratching crusts as it delays healing. Don’t self-extend steroid use. Don’t stop treatment too early when it looks a bit better.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Medicine

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