Any drug should be used for the shortest period of time necessary and the same is true for our ointment. The all-purpose nipple ointment is a stop gap measure . If the breastfeeding parent still needs the ointment after two or three weeks, or the pain returns after the breastfeeding parent has stopped the ointment, the parent should get “hands on” help again to find out why the ointment is still necessary. The most important step for decreasing nipple pain is still getting the “best latch possible.” Sometimes a tongue tie has not been noticed and is a reason for continued pain.
In those children with allergy causing the eczema, they will usually get rashes or more extensive eczema soon after eating a particular food or drinking milk (in the case of babies). If you notice this, remove that food from your child's diet ( if you have a baby, this will need to be done under supervision with an appropriate other formula ). If there is a marked improvement on removal of the suspected food, then the food may have been the cause - cautious reintroduction of the food after 3-4 weeks will enable you to be sure. If on reintroduction of the food, the skin remains clear, the food can continue in the diet. If the skin flares up again, that food needs to be removed from the diet. In those toddlers who do have an allergy to a food causing eczema, a trial of reintroduction can be made in 6 - 12 months time as many children will grow out of these allergies.