PUPPP Rash Treatment - #7428
I’m currently in my third trimester of pregnancy, and a few weeks ago, I started experiencing this incredibly itchy rash all over my belly. It’s gotten worse over time and is now spreading to my thighs and arms. After some research, I discovered this condition might be PUPPP rash (pruritic urticarial papules and plaques of pregnancy), which seems common for first-time moms like me. I’ve tried basic remedies like calamine lotion and oatmeal baths, but the relief is temporary, and the itching is driving me crazy. I don’t want to use steroid creams unless absolutely necessary. Are there any effective PUPPP rash treatments in Ayurveda that are safe during pregnancy? I’ve read that cooling herbs like neem and sandalwood can help with skin inflammation. Can these be used topically for PUPPP rash treatment? Are there any Ayurvedic oils or pastes that soothe itching and reduce redness? Additionally, I’m wondering if my diet could be contributing to this. I’ve seen suggestions that reducing pitta dosha could help manage skin issues. Should I avoid spicy and oily foods or include specific cooling foods to help with PUPPP rash treatment? If anyone here has dealt with PUPPP rash during pregnancy, I’d love to know what worked for you. Did you use natural remedies or Ayurvedic therapies? How long did it take for the rash to improve, and did it completely go away after delivery?
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Doctors’ responses
PUPPP rash can be managed in Ayurveda with cooling and soothing remedies. A paste made from neem and sandalwood, mixed with rose water, can be applied to the affected areas for relief from itching and inflammation. Coconut oil infused with camphor or aloe vera gel can also be used to moisturize and calm the skin. Diet plays a key role in managing pitta dosha; avoid spicy, oily, and acidic foods, and include cooling options like coconut water, cucumber, and fresh fruits like pomegranate. Staying hydrated and wearing loose, breathable cotton clothing also helps. The rash often resolves after delivery, but consistent use of these remedies can provide relief in the meantime. Always consult your doctor before trying new treatments during pregnancy.
Dealing with PUPPP rash during your third trimester can be really frustrating, but you’re on the right track looking into Ayurvedic solutions that are pregnancy-safe. Let’s dive into it!
First up, neem and sandalwood, you’re correct, they can be really soothing for the inflammed skin. You can prepare a paste by mixing neem powder with a bit of water or rose water and apply it directly on the rash. Leave it on till it drys and then wash off gently with lukewarm water, repeat twice daily if possible. With sandalwood, try making a paste using sandalwood powder and milk - it has both cooling and nourishing properties.
You might want to consider coconut oil too. It’s moisturizing and can relieve itching. You can gently massage it on the rash a couple times a day. Another oil option is chamomile oil - mix a few drops with coconut oil and apply it—it’s calming for irritated skin.
Diet’s another key factor in Pitta reduction. Yup, cutting back on spicy, oily foods can be really helpful. Focus instead on including cooling and hydrating foods like cucumbers, watermelons, and coconut water. Also, don’t forget about good old hydration, drink plenty of water—keeps the skin supple and aids detoxification.
For internal use, a safe recommendation would be guduchi (Tinospora cordifolia) which can help with imbalances associated with heat, and it’s generally considered safe during pregnancy. You can take it in a juice or a tablet form but check in with your Ayurvedic practitioner or obstetrician to get the right dosage.
Now, from the experiences shared by other moms, while these remedies can definitely ease the itching and discomfort—often significantly—the rash usually fully resolves after delivery. Just to set expectations, it might take few weeks post-childbirth for the skin to settle completely.
And hey, if the itch or rash makes you miserable beyond the usual discomfort, or you feel any new symptoms, it’s crucial to loop back with your healthcare provider. Pregnancy does change the way our body reacts to treatments, so better safe than sorry! Take care.

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