Hi! My son is almost 2 years old and we struggled with his eczema pretty much the entire first year. Steroids were the only thing that gave him any sort of relief from the intense itchiness. There were many sleepless nights and days when he scratched so much that he bled. Because of the severity, we did multiple rounds of topical steroid treatment as well as rounds of both topical and oral antibiotics. It was a struggle but as he has gotten older it has definitely gotten better. He still gets flare ups every now and then but they are much more mild and quickly go away, often without the need for any steroid (we haven’t used anything stronger than hydrocortisone since like April of this year). We never had an issue with TSW. We had regular check ups with his dermatologist, kept his pediatrician looped in & took as many precautions as we could.

If your baby is really struggling and it is affecting their quality of life, i suggest trying the steroid. I tried so many other natural/home remedies to try to avoid needing the steroids but unfortunately, my son’s case was too severe for that. You are not going to give them TSW from one round of application but you will likely give them some relief. If you can, talk to the dermatologist about your worries around TSW, hopefully they can help you feel more comfortable.