Eczema Baths for Children — Bath Oil, Pool Salt and Optional Bleach
A Royal Children's Hospital–style eczema bath recipe for children, combining bath oil, pool salt and optional household bleach at safe dilute concentrations. Includes the measuring trick for adult-sized baths (the "15 bucket problem"), a step-by-step home protocol, when bleach is appropriate, where to buy ingredients in Australia, and how often to use the bath.

By Dr Christopher Irwin, MBChB, FRACGP, MMed (Skin Cancer), FACAM, MSCCA
Last reviewed 2026-06-06 · 8 min read · Editorial policy
Quick definition
The eczema bath is a Royal Children’s Hospital–style protocol combining bath oil, pool salt and (optional) household bleach at very dilute concentrations to support the skin barrier, reduce stinging, and (when bleach is used) reduce skin bacterial load in infection-prone eczema. The standard RCH dilution is 100 g (one-third cup) pool salt + 12 mL of 4% household bleach per 10 L of water, in lukewarm bath water (≤30°C), soaked for about 10 minutes, with pat dry and immediate moisturiser afterwards (no rinse). Bath oil is 1–2 capfuls per bath (not per 10 L). Measure your bath volume once with a 10 L bucket, then multiply ingredients for future baths. Eczema baths are an addition to your routine — they do not replace moisturiser or anti-inflammatory treatment. (1,2)
If your child’s eczema is dry, itchy, stinging in the bath, or prone to crusting and infected flares, an eczema bath can be a useful add-on to your usual routine. The Royal Children’s Hospital (RCH) Melbourne recipe combines bath oil + pool salt, and in some cases bleach — all at safe, very dilute concentrations when measured correctly. (1,2,3,4,5)
Companion reading: daily routine for childhood eczema · triggers · medications for childhood eczema · wet wraps · infected eczema in children · diet and allergy testing
Who eczema baths help most
Eczema baths can be helpful when a child has:
- Very dry, itchy eczema that flares frequently
- Eczema that stings with normal bath water
- Recurrent crusting, weeping or infected-looking flares (especially when bleach is included) (2,3,5)
- Flare-ups that are slow to settle even with a good routine and medication plan
If eczema is mild and stable, you usually do not need special bath additives.
Safety first (read this)
Used correctly, eczema baths are safe — but accuracy matters. (1,2,3)
Use only:
- Plain pool salt (not perfumed “bath salts”) (1)
- Bath oil designed for sensitive skin (avoid strong fragrance) (1)
- If using bleach — plain, unscented household bleach (not “splashless”, not scented, no added cleaners) (1,2,3)
Avoid:
- Mixing bleach with other chemicals
- Getting bath water in the eyes
- Immersing the head under water — wet face and hair carefully without submerging (1,2)
If your child has rapidly worsening redness, pain, fever, spreading infection or painful blisters — skip the bath and follow infected eczema in children — red flags.
The RCH eczema bath recipe
RCH recommends per 10 litres of water: (1)
- Bath oil: 1–2 capfuls per bath (NOT per 10 L)
- Pool salt: 100 g (one-third cup) per 10 L of water
- Bleach (optional): 12 mL of 4% household bleach per 10 L of water
Other key RCH instructions:
- Bath temperature no hotter than 30°C (lukewarm) (1)
- Do not rinse off after the bath (1)
- Use fresh towels (1)
- Wet the face and head each bath without immersing (1,2,3)
Step-by-step — how to do an eczema bath at home
Step 1 — Fill the bath (cool to lukewarm)
- Aim for lukewarm water (RCH: ≤30°C) (1)
- Fill to your usual level
Step 2 — Add the ingredients (mix well)
Add to the bath water and swish around:
- Bath oil — 1–2 capfuls per bath (1)
- Pool salt — 100 g (one-third cup) per 10 L of water (1)
- Optional bleach — 12 mL of 4% bleach per 10 L of water (only if advised, or for infection-prone eczema) (1,2,3,5)
Step 3 — Soak
Soak for about 10 minutes. (2,3)
Step 4 — Wash face and head safely
You can wet the face and head gently with bath water, but do not submerge the head. (1,2,3)
Step 5 — Get out, pat dry and “seal”
- Pat dry (do not rub) (1)
- Apply your plan straight away:
- Anti-inflammatory cream to active patches if prescribed, then
- Moisturiser over the body (soak + seal principles from daily eczema routine) (1,4)
Adults and bigger baths — avoiding the “15 bucket problem”
RCH uses a 10 L bucket to count how many buckets fill the bath. (1) That is great for accuracy — but if you are doing this as an adult, or your bath is large, you do not want to haul 15 buckets every time.
A practical approach:
- Measure once with a 10 L bucket and write it down
- Next time, fill the bath normally to the same level
- Multiply ingredients by the number of 10 L units
What is a typical bath volume? Many standard Australian household bathtubs hold roughly 150–200 litres when filled near the usual level.
Example — if your bath is 150 L, that is 15 × 10 L units, so you multiply:
- Pool salt: 100 g × 15 = 1500 g (1.5 kg)
- Bleach (if used): 12 mL × 15 = 180 mL
Bath oil remains 1–2 capfuls per bath (not per bucket), as per RCH. (1)
Tip: once you find your preferred bath waterline, mark it discreetly (e.g. a small dot on the inside edge), so you can repeat it reliably.
Where to buy bath oil and pool salt (Australia)
Pool salt:
- Bunnings (usually labelled “pool salt”)
- Pool supply shops
- Some supermarkets and hardware stores
Bath oil:
- Pharmacies (sensitive skin / eczema aisle)
- Supermarkets (sensitive skin section)
Choose a bland, fragrance-free or low-fragrance bath oil if possible — heavily perfumed products can irritate eczema-prone skin. (1,4)
How often should we do eczema baths?
This depends on severity and infection risk.
- For dry or irritable eczema (oil + salt only) — some families use it a few times per week during flare-prone periods (1,4)
- For infection-prone eczema (with bleach) — schedules vary, but often 1–3 times per week is used, with adjustment based on how the skin responds (2,3,5)
We will tailor frequency to your child’s age, eczema severity, infection history, and what is practical at home.
Rinse or not rinse?
The RCH eczema bath guidance advises do not rinse after bathing in salt/bleach/bath oil. (1) Some other services suggest a brief rinse. (3)
If you are following the RCH method, the key is:
- Pat dry
- Moisturise immediately afterwards (1,4)
When to stop and when to seek review
Stop and book a review if:
- Baths cause persistent stinging or worsening redness
- Eczema is not improving after 2–3 weeks of consistent use
- Your child keeps getting crusting or infected flares despite using the full plan
- You are unsure whether the eczema is infected
If your child’s eczema is hard to control, stings in the bath, or is frequently crusting or infected, book a consultation via the panel in the sidebar. Clinics at Ivanhoe and Diamond Creek.
Frequently asked questions
-
Is the bleach concentration safe?
Yes — when mixed correctly. The target dilution is very low, commonly described as similar to a chlorinated swimming pool (around 0.005% sodium hypochlorite). The recipe given here (12 mL of 4% household bleach per 10 L of water) is the Royal Children's Hospital Melbourne standard and has decades of clinical use. Accuracy in measuring matters — too strong is irritating, too weak does nothing. -
Can I do oil and salt without bleach?
Yes. Many children benefit from oil + salt alone, especially if the goal is hydration and reducing stinging in bath water rather than infection control. Bleach is the optional component, used mainly for infection-prone eczema (recurrent crusting, frequent infected flares, Staphylococcus aureus colonisation). Talk to your doctor about whether bleach should be part of your child's routine. -
What if we don't have a 10 L bucket?
A 10 L bucket is useful for one-time measurement of your bath volume. If you do not have one, you can estimate (many household bathtubs hold roughly 150–200 L when filled near the usual level), then adjust your ingredient quantities. But measuring once with an actual bucket is best for accuracy — mark your preferred waterline once and you can repeat reliably. -
Why pool salt and not table salt or Epsom salts?
Pool salt is plain sodium chloride without anti-caking agents, dyes, fragrance or other additives — and it is sold in large quantities at supermarkets, hardware stores and pool shops. Table salt is more expensive at the volumes needed for baths and may contain anti-caking agents. Epsom salts (magnesium sulfate) are a different molecule entirely and not part of the RCH recipe. -
How often should we do eczema baths?
It depends on severity and infection risk. For dry or irritable eczema (oil + salt only) — some families use it a few times per week during flare-prone periods. For infection-prone eczema (with bleach) — typically 1–3 times per week, adjusted based on how the skin responds. Your doctor will tailor frequency to your child's age, eczema severity, infection history and what is practical for your household. -
Should I rinse my child off after the bath?
The RCH method advises do NOT rinse — pat dry and moisturise immediately. Some other services suggest a brief rinse. The single most important step either way is moisturising within 3 minutes of getting out of the bath. If your child's skin feels stingy after a soak, a brief rinse is reasonable. -
Can I use eczema baths as the only treatment?
No. Eczema baths are an ADDITION to your usual routine — moisturiser, anti-inflammatory creams during flares, infection management when needed. The bath helps the barrier and (with bleach) reduces bacterial load, but it does not replace the rest of the eczema plan. Used as the only treatment, baths alone will not control significant or infected eczema. -
Do I need a referral?
No referral is required. You can book directly via the booking panel in the sidebar. Both clinics — Ivanhoe and Diamond Creek — see children with eczema. If you have a referral from your GP or paediatrician for our records we welcome it, but it is not required to book or to be seen.
References
- Royal Children's Hospital Melbourne — Formula for an eczema bath (PDF). Original RCH recipe (bath oil + pool salt + optional bleach).
- Royal Children's Hospital Melbourne Kids Health Info — Skin infections, bleach baths.
- Perth Children's Hospital — Eczema, diluted bleach baths (PDF).
- Strathie Page S, Weston S, Loh R. Atopic dermatitis in children. Australian Family Physician. 2016.
- Krynicka. The role of sodium hypochlorite in atopic dermatitis therapy — a narrative review. Int J Dermatol. 2022. (Bleach bath evidence base.)
Related
Related reading
- Daily Eczema Routine for Children — Soak + Seal, Bathing & Itch Control
- Medications for Childhood Eczema — Steroids, Elidel, Tacrolimus and STAQUIS
- Infected Eczema in Children — Impetigo, Eczema Herpeticum and Red Flags
- Wet Wrap Therapy for Childhood Eczema — A Step-by-Step Guide
- Eczema Triggers and Flare Control in Children
- Eczema, Diet and Allergy Testing in Children

By Dr Christopher Irwin, MBChB, FRACGP, MMed (Skin Cancer), FACAM, MSCCA
Last reviewed 2026-06-06 · Editorial policy