Eczema is a common skin condition causing persistent itchiness, inflammation, and discomfort. For some individuals, a diluted bleach bath may be considered as a treatment option. This approach involves adding a small amount of household bleach to bathwater to help manage eczema symptoms. This article explores the specifics of bleach baths, including their preparation, their proposed benefits, and important safety considerations.
Understanding Bleach Baths for Eczema
Bleach baths for eczema involve soaking in water containing a very small, diluted amount of household bleach, a method often recommended for its potential to address factors that can worsen eczema. A primary reason is the reduction of bacteria, particularly Staphylococcus aureus, which frequently colonizes the skin of individuals with eczema and can contribute to flare-ups and infections.
Beyond bacterial reduction, research suggests that bleach baths may also help by reducing inflammation and improving the skin’s barrier function. While initially believed to work primarily by killing bacteria, some studies indicate that the diluted bleach may influence inflammatory pathways and support skin integrity. This makes bleach baths a potential adjunctive treatment in a comprehensive eczema management plan, aiming to alleviate symptoms and prevent complications.
Preparing a Bleach Bath
When preparing a bleach bath, use only regular household bleach, specifically sodium hypochlorite, and avoid concentrated, scented, or splash-less varieties. Standard household bleach concentrations typically range from 4.2% to 8.25%. For a standard bathtub holding about 40 gallons of water, a common recommendation is to add 1/4 to 1/2 cup of 5-6% household bleach. If using a bleach with a higher concentration, such as 8.25%, use the smaller amount of 1/4 cup.
For smaller tubs, such as a baby bathtub (approximately 4 gallons), use about one teaspoon of bleach per gallon of water. Alternatively, for every 10 liters of water, 12 mL of 4.2% bleach can be added to achieve a final concentration of 0.005%. The water for the bath should be lukewarm, not excessively hot or cold, to prevent further skin irritation. Once the bleach is added to the water, ensure it is thoroughly mixed.
Soak in the diluted solution for approximately 5 to 10 minutes, avoiding submersion of the head or face. After the bath, some sources suggest rinsing the skin thoroughly with fresh, warm water to remove any residual bleach, while others indicate rinsing is not always necessary.
Important Safety Considerations
Careful adherence to safety guidelines is important when using bleach baths to prevent adverse reactions. Never apply undiluted bleach directly to the skin, as this can cause burns, irritation, or stinging. Avoid getting the diluted bathwater into the eyes, mouth, or nose, and do not submerge your head during the bath. Good ventilation in the bathroom is also recommended during the bath.
While generally considered safe when properly diluted, some individuals may experience side effects such as skin irritation, increased dryness, or a stinging sensation. If these occur, rinsing off with plain water and discontinuing the bleach bath is advised. Bleach baths are not suitable for everyone, particularly those with severely broken skin, open wounds, or a known allergy to chlorine, as these conditions can exacerbate discomfort or lead to more severe reactions.
Using white towels after a bleach bath can help avoid discoloration. Gently patting the skin dry, rather than rubbing, is recommended to prevent further irritation. After drying, immediately apply a generous amount of moisturizer to help counteract any drying effects of the bleach and support the skin barrier.
When to Seek Medical Advice
Bleach baths should ideally be considered as part of an eczema management plan developed in consultation with a healthcare professional. It is particularly important to consult a doctor before starting bleach baths, especially for children or if you have severe eczema. A medical professional can assess individual needs and determine if this treatment is appropriate.
Seek medical advice if your eczema worsens, or if you notice signs of infection such such as fever, pus, increased redness, or warmth around affected areas. Additionally, if you experience any adverse reactions to the bleach bath, or if there is no improvement in your eczema symptoms, it is important to contact your doctor. Bleach baths are a supplemental therapy and should not replace other prescribed treatments or a comprehensive eczema care routine.