Itchy skin in babies and children

Itchy skin (also known as pruritus) in children is very common. It can be uncomfortable and cause them to want to scratch their skin. It is usually a symptom of skin disorders, infections or other conditions. Your child's skin can look normal, or it may have a rash.

If your child's skin is itchy, they may also:

• have a rash on their body that may or may not be serious
• have dry or bumpy skin
• feel discomfort or burning
• feel that the itchiness worsens at night
• feel itchy all over their body, or only in certain parts of their body

These symptoms often differ between children, depending on what is causing their itchy skin.

Often, itchy skin is caused by a skin condition or an infection. Although less commonly, it may also be caused by allergic reactions, burns, infections, illness or some medical conditions.

Common skin conditions that can cause itchy skin in children:

• atopic dermatitis (a type of eczema) is the most common cause of itchy skin in children
• contact dermatitis — your child's skin can flare up and become itchy after touching something that irritates it
• hives (urticaria) are pink itchy skin rashes, that may be small or large, and sometimes are mistaken for mosquito bites

Infections that can cause itchy skin in children:

• bacterial infections such as impetigo
• viral infections such as chickenpox
• parasitic infection such as scabies
• fungal infections such as tinea

Other reasons why your child may have itchy skin include:

• burns — scalds or sunburns
• allergic reactions
• insect bites
• some medicines
• some medical conditions

Sometimes, during a serious allergic reaction to a food or a medicine, the first symptom your child can develop is very itchy hives.

Read more on common childhood rashes and serious childhood rashes.

Your child's family doctor, paediatrician or dermatologist (skin specialist) can diagnose itchy skin by:

• examining their skin and asking questions about their symptoms and medical history
• taking a swab of their skin if they suspect the itch is caused by an infection or infestation
• recommending blood, urine or stool tests if they suspect the itch is caused by a general health problem

Based on your child's situation, their doctor will decide the best way to diagnose them.

There are many treatment options for itchy skin, such as:

• creams — moisturisers, steroid creams or ointments
• oral medicines — antihistamines or other medicines

Ask your pharmacist to recommend a moisturiser without fragrances, dyes or preservatives.

Depending on what is causing your child's itchy skin, you may be able to prevent it.

Tips to prevent your child from having itchy skin:

• Moisturise your child's skin with a recommended emollient.
• Avoid soaps, bubble baths and shower gels because they can dry out your child's skin — use a soap-free wash instead.
• Avoid long or hot showers or baths.
• Wear loose cotton clothing.
• Avoid overheating.
• Keep fingernails short to prevent skin damage caused by scratching — try using cotton gloves overnight.
• Be SunSmart to prevent sunburn.

If the itch is caused by a specific condition, treating the condition can help prevent the itch.

Itch-scratch-itch cycle

Tips to help your child avoid the itch-scratch-itch cycle include:

• deep breathing, relaxation techniques
• distraction — playing a game, massage
• put a soft, cool and wet towel over their itchy area
• pat or pinch the itchy skin rather than scratching it

Chose a strategy that is appropriate to your child's age and maturity.

As your child scratches their skin, they can develop sores that can become infected.

Itchy skin can also affect your child's sleep, mood, quality of life, performance at school and social and family interactions.

Learn more on the ASCIA website about how itchy hives can be part of an allergic reaction to foods, medicines or something else.

Read about skincare for babies on the Royal Children's Hospital Melbourne website.

For more information about progressive familial intrahepatic cholestasis, see the Liver Foundation website.

Do you prefer to read in languages other than English?

The Royal Children's Hospital has factsheets about eczema in Arabic, Chinese and Vietnamese.