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scratching raw in my sleep?

Woke up scratching my arm again last night, no idea how long I’d been at it before I actually surfaced. This has been going on for about 2 months now, worse the last few weeks.

Started wondering if it’s something in the room rather than just the eczema itself – we switched laundry detergent back in July and I honestly can’t remember if the itching got worse before or after that, my sense of timing at 2am is useless.

Also kind of worried about breaking skin while I’m asleep since I obviously can’t control how hard I’m scratching when I’m not conscious (found blood under my nails once and had a mini panic about it). Anyone found something that actually helps with that – gloves, trimming nails super short, anything?

And separately, at what point do you just push for a dermatologist referral instead of continuing to swap products around? Already tried two different moisturizers and can’t really tell if either one is doing anything.

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