How to Safely Use Bleach Baths to Treat Eczema Flare-ups

What is a Bleach Bath?

A bleach bath is a diluted soak in a tub of warm water mixed with a small amount of bleach. It is a treatment sometimes recommended for people with chronic eczema (atopic dermatitis).

Eczema is a common skin condition characterized by itchy, inflamed, and irritated skin. Bleach baths can help reduce bacteria on the skin, control infections, and decrease inflammation and itchiness associated with eczema flare-ups.

How Bleach Baths Help Eczema

There are a few ways that diluted bleach baths can provide relief for eczema symptoms:

• Kills bacteria - Bleach is an antimicrobial that can kill Staphylococcus aureus bacteria, which is commonly found in abundance on eczema-prone skin.
• Reduces inflammation - Bleach baths can improve the skin's barrier function and decrease inflammation.
• Calms itch - The warm soak can provide itch relief and decrease inflammation that causes itchiness.
• Hydrates skin - Warm bath water can hydrate and moisturize the skin to reduce dryness that worsens eczema.

The antiseptic properties of bleach along with its ability to hydrate and soothe skin makes it a potentially useful home remedy for controlling eczema flares.

Are Bleach Baths Safe?

When properly diluted and used as directed, bleach baths are generally safe for both children and adults. Here are some tips for safe use:

• Use the correct bleach concentration - Too much bleach can irritate the skin.
• Avoid getting bleach near the eyes and face.
• Rinse thoroughly after soaking to remove bleach residue.
• Moisturize well after the bath.
• Start with short soak times and increase gradually if tolerated.

Check with your dermatologist about the appropriateness of bleach baths for your individual situation. Bleach baths are not recommended for some people, including:

• Children under 6 months old
• People with sensitive skin or skin conditions like psoriasis
• People with frequent asthma attacks or breathing issues
• Pregnant women

How to Do a Bleach Bath

If your doctor has approved bleach baths for your eczema, here are some step-by-step instructions on how to mix one properly and do the soak:

Supplies Needed

• 14 - 12 cup of 6% household bleach solution
• Bath tub filled with warm water
• Clean washcloth
• Mild, fragrance-free soap
• Fragrance-free moisturizer
• Soft, clean towels
• Bath toys (for children)

Mixing the Solution

For a standard bathtub, mix 14 to 12 cup of household bleach into the full tub of warm water just before getting in. The recommended dilution is about 14 to 12 cup of bleach per 40 gallons of water.

For a baby or toddler bathtub, use less bleach based on the smaller water capacity. Mix the bleach in thoroughly to dilute it fully in the water.

Taking the Soak

Soak the affected areas of the body for 5 to 10 minutes to start. Gradually increase the soak time to 10 or 15 minutes as tolerated. Avoid getting the bleach water near your face and eyes.

Let your child bring bath toys into the tub if it helps them enjoy the bath and soak time.

Rinse thoroughly with clean water after completing the bleach bath to remove any bleach residue left on the skin.

After the Bleach Bath

Pat dry gently with a soft, clean towel. Immediately apply a gentle, fragrance-free moisturizer all over while skin is still damp. This helps seal in moisture.

Moisturize twice daily, or more often if your skin is very dry. Keep showers brief and use warm, not hot water.

How Often to Use Bleach Baths

Your doctor will advise on how often bleach baths may be used. For some people with severe eczema, a schedule of 3 to 7 times per week is recommended. Others may only need bleach baths 1 to 2 times per week to see benefits.

Don't overuse bleach baths, as too much frequent exposure can lead to skin irritation. Take a break if your skin becomes sensitive or irritated from the bleach.

Precautions for Bleach Baths

• Never swallow or drink bleach - Seek medical care immediately if bleach is ingested.
• Check for skin reactions during the first couple uses.
• Rinse off thoroughly and avoid getting bleach near the eyes and face.
• Mix bleach baths in a well-ventilated space.
• Use proper bleach concentration - Too much can burn skin.

Stop bleach baths and contact your doctor if you experience any stinging, redness, or irritation during use. Bleach baths are not for everyone, so check with your dermatologist first before trying.

Other Tips for Eczema Care

In addition to bleach baths, here are some other tips for managing eczema flare-ups:

• Use gentle, fragrance-free skin care products.
• Take short, lukewarm (not hot) showers.
• Apply moisturizer immediately after bathing.
• Avoid irritants and triggers like harsh soaps, perfumes, scratchy fabrics.
• Keep nails trimmed to prevent skin damage from scratching.
• Wear gloves at night if needed to prevent scratching.
• Use wet wraps to hydrate extremely dry, itchy skin.
• Try over-the-counter hydrocortisone cream to control inflammation.
• See a dermatologist if symptoms don't improve with home care.

When to See a Doctor

Consult your dermatologist if you experience any of the following:

• No improvement with home care
• Infected eczema
• Severe, widespread flare-ups
• Eczema that interferes with sleep or daily life
• Signs of skin infection like oozing, crusting, fever or pain

For severe eczema, prescription medications or other treatments may be needed to stop the itch-scratch cycle and allow skin healing.

Bleach baths can be a safe, effective approach to controlling eczema flares when done properly. Speak to your doctor and follow usage directions closely for best results.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.