What should I do if eczema on my feet itches especially badly at night?

Eczema on the feet often becomes particularly itchy at night. This can be alleviated through scientifically managed cold compresses, avoiding contact with irritants, optimizing the sleep environment, proper medication use, and adjusting daily habits. Targeted measures should be taken to reduce the impact of itching on sleep. If severe itching persists for more than one week, or if there is oozing from the skin or spreading of the affected area, prompt medical attention is recommended.

1. Scientific Cold Compress for Itch Relief: Wrap an ice pack in sterile gauze and apply it to the itchy area for 10–15 minutes per session. This reduces local nerve sensitivity and provides rapid itch relief. Avoid direct ice application to prevent skin damage. Applying a cold compress before bedtime can reduce the frequency of nighttime itching episodes.

2. Avoid Contact Irritants: Discontinue use of alkaline skincare products and opt for mild, soap-free cleansers. Choose socks and shoes made of pure cotton and breathable materials. Avoid direct contact between synthetic fibers or rubber materials and the feet to minimize friction and risk of allergic reactions.

3. Optimize Sleep Environment: Ensure good indoor ventilation before bedtime and maintain humidity levels between 50% and 60%. Wear loose, breathable sleeping socks and avoid heavy blankets that press on the feet, reducing moisture buildup and preventing worsening of itchiness.

4. Proper Medication Use: Apply topical corticosteroid creams or calcineurin inhibitors as prescribed by a doctor, applying a thin layer to affected areas and gently massaging until absorbed. If itching disrupts sleep, take antihistamines under medical guidance.

5. Adjust Daily Habits: Avoid spicy foods, allergenic foods, and alcohol during dinner. Refrain from intense physical activity one hour before bedtime to reduce nerve excitement that may trigger itching. Develop a habit of washing feet with lukewarm water before bed and drying them thoroughly immediately afterward to keep feet dry.

In daily life, maintain gentle cleansing and consistent moisturizing care. Use fragrance-free moisturizers and apply them to the feet every day. Avoid scratching and washing with hot water. Regularly air out shoes and socks to kill fungi, and keep feet well-ventilated and dry to reduce the likelihood of eczema recurrence.