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Quick answer
Colloidal oatmeal is oats ground into a very fine powder that stays suspended in water instead of sinking to the bottom. It is added to baths and used in creams and lotions for dry, itchy or irritated skin.
- It is a recognised skin protectant. In the United States it is approved as an over-the-counter skin protectant, and oatmeal bath products are labelled for temporary relief of minor itching from rashes, eczema, insect bites and poison ivy.
- Creams have the better evidence. Small trials of 1% colloidal oatmeal creams found modest improvements in eczema scores and itch over two to three weeks.
- Baths can be soothing, but expect modest results. Dermatologists suggest oatmeal baths for itch relief, yet a large UK trial found that adding emollient products to bath water did little for children's eczema compared with usual care.
- Moisturise straight afterwards. Dermatologists advise applying moisturiser within a few minutes of bathing.
- It does not replace eczema treatment when itching is severe or keeps coming back.
What the research says
Regulatory status. The US Food and Drug Administration (FDA) approved colloidal oatmeal as an over-the-counter skin protectant in 2003. A typical oatmeal bath label says it "temporarily protects and helps relieve minor skin irritation and itching" from rashes, eczema, poison ivy, oak or sumac, and insect bites.
How it may work. Oats contain starches and beta-glucan, which hold water on the skin, and plant compounds called avenanthramides. In laboratory and animal studies, avenanthramides reduced inflammatory signals and reduced scratching in a mouse model of itch. Oat proteins may also help buffer the slightly raised skin pH seen in eczema. Lab and animal findings do not prove the same effect in people.
Studies of oatmeal creams. A 2020 review in Practical Dermatology by Wu and colleagues summarised the clinical research on colloidal oatmeal for atopic dermatitis (the most common type of eczema):
- In two studies of people with mild to moderate eczema, a 1% colloidal oatmeal cream used twice daily for two weeks improved eczema severity and itch, and some people reported less itch within the first few days.
- In a double-blind randomised trial in children with mild to moderate eczema, a 1% oatmeal cream performed about as well as a prescription barrier cream after three weeks.
These studies were small and short, so the results should be treated as encouraging rather than conclusive.
Studies of oatmeal baths. The evidence for baths is older and thinner. One study from 1959, cited in the same review, reported that 29% of children with eczema had clearing or marked improvement after one to three weeks of oatmeal baths, but it did not have the controls that modern trials use.
The BATHE trial. This UK trial, summarised by the National Institute for Health and Care Research (NIHR), followed 482 children aged 1 to 11 with eczema for a year. Adding emollient bath products to usual care made almost no difference to symptoms or quality of life compared with usual care alone. It tested emollient bath additives in general, not oatmeal specifically, but it suggests that what you put directly on the skin probably matters more than what goes in the bath water.
Overall. Colloidal oatmeal is a reasonable, low-risk option for dry, itchy skin, with the best support for leave-on creams.
How to use it
Oatmeal bath (based on American Academy of Dermatology advice):
- Fill the bath with lukewarm water, not hot.
- Sprinkle the colloidal oatmeal under the running tap so it spreads evenly. For packaged products, follow the label for the amount.
- Soak for about 10 to 15 minutes. Soaking too long can dry the skin out.
- Pat the skin gently with a towel, leaving it slightly damp. Do not rub.
- Apply a moisturiser within 3 minutes of getting out. For very itchy skin, a thick ointment such as petroleum jelly may help more than a light lotion.
Product labels may allow longer soaks, but if your skin feels tight or drier afterwards, cut the time down. Colloidal oatmeal is milled much finer than breakfast oats so that it mixes into the water.
Oatmeal creams and lotions. These are used like any moisturiser. The trials above used a 1% colloidal oatmeal cream twice daily. People with eczema are generally advised to moisturise at least twice a day and to keep going even when the skin looks better.
Other simple itch relief. The American Academy of Dermatology also suggests a cool, damp cloth on itchy patches, keeping nails short, and wearing loose, soft clothing.
Possible side effects and interactions
Colloidal oatmeal is generally well tolerated. Among more than 2,000 people using oatmeal-containing skin products, in data summarised by Wu and colleagues, about 1% had a mild, short-lived skin reaction, and serious problems were not reported in the eczema cream trials.
Occasionally, people react to oatmeal products with skin irritation or an itchy, red rash. If your skin becomes redder or itchier after using oatmeal, stop and switch to a plain, fragrance-free moisturiser. None of the sources reviewed for this article list medicine interactions for colloidal oatmeal used on the skin.
Who should be careful
- Anyone who has reacted to oat products before should avoid them.
- People with broken, weeping or infected skin should get medical advice before using home remedies on those areas.
- Babies and young children can use oatmeal baths, which the American Academy of Dermatology describes for children, but they need close supervision in the bath.
- People using prescribed eczema creams should keep using them as directed; an oatmeal product is an add-on, not a replacement.
When to see a doctor
See a doctor or pharmacist if:
- itching or a rash lasts more than about a week, or clears and quickly comes back (oatmeal product labels advise stopping and asking a doctor in this case)
- you or your child have eczema-like symptoms that have not been diagnosed, or the eczema seems more severe
- self-care is not helping, or you are not sure what is causing the rash
Get urgent medical help if eczema or a rash:
- becomes blistered, crusty or weeps fluid, or has pus-filled spots
- is painful, swollen or hot to the touch
- suddenly gets worse or spreads quickly
- comes with a fever or feeling generally unwell
These can be signs of a skin infection or a more serious condition called eczema herpeticum, which needs prompt treatment.
Frequently asked questions
Is colloidal oatmeal safe for babies and children?
The American Academy of Dermatology includes colloidal oatmeal baths in its itch-relief advice for children with eczema. Use lukewarm water, keep the soak to 10 to 15 minutes, watch them closely because the tub gets slippery, and make sure they do not eat the powder. For a baby with a new or unexplained rash, speak to a doctor or health visitor first.
Does colloidal oatmeal help chickenpox itching?
Oatmeal bath labels cover minor itching from rashes, and many people use them for chickenpox. NHS advice for chickenpox focuses on cool baths, patting the skin dry, cooling gels and keeping nails short. Check with a pharmacist before giving any medicine, and contact a doctor if the skin around the spots becomes hot, painful and red.
How often can I take an oatmeal bath?
Oatmeal bath labels say they can be used as needed, and the reviewed sources do not set a fixed limit. Keep each soak to around 10 to 15 minutes, use lukewarm rather than hot water, and moisturise straight afterwards, because soaking too long can dry the skin.
Is a cream or a bath better?
The trial evidence is stronger for colloidal oatmeal creams than for baths. For eczema, leave-on moisturisers used at least twice a day are the foundation of care, while a bath is an optional extra that some people find soothing.
References
- American Academy of Dermatology. Home remedies: what can relieve itchy eczema? https://www.aad.org/public/diseases/eczema/childhood/itch-relief/home-remedies
- Wu JJ, Kearns DG, Uppal SK, Chat VS. Colloidal oatmeal in the treatment of atopic dermatitis. Practical Dermatology. https://practicaldermatology.com/topics/atopic-dermatitis/colloidal-oatmeal-in-the-treatment-of-atopic-dermatitis/23338
- Aveeno Soothing Bath Treatment (colloidal oatmeal) Drug Facts label, via OTC Labels. https://otclabels.com/lib/otc/otc-meds/aveeno-soothing-bath-treatment/
- NIHR Evidence. Adding emollients to the bath unlikely to help children with eczema (BATHE trial summary, 2018). https://evidence.nihr.ac.uk/?p=38845
- NHS. Atopic eczema. https://www.nhs.uk/conditions/atopic-eczema/
- NHS 111 Wales. Chickenpox. https://111.wales.nhs.uk/chickenpox/