Which soap is the best for Eczema?

Introduction

Atopic dermatitis commonly known as eczema is a chronic skin condition caused by a defect in your skin barrier along with inflammation of your skin. Because of the defective skin barrier, your skin is more sensitive to various allergens and irritants like pollen, chemicals and pet dander. 1 in 10 people will experience eczema at some point in their life. Therefore it is a problem faced by most of you. If you are having eczema, you should think twice before using any product on your skin. Surely, experience has taught you that the wrong soap, body wash, hand wash or a facial cleanser can intensify your eczema. As your skin has a defective barrier, it has to face many hardships to protect itself from the environment. On top of it, using a wrong product can further inflame and dry your skin.

Signs and symptoms varies by individual, so is your skin sensitivity. It is important for you to be aware of how your skin reacts to these allergens and irritants in order to control current outbreaks of eczema as well as future flares.

What should you look for when choosing an eczema soap?

You have to first look for the eczema soap’s active ingredient because it is the element that makes the biggest healing difference on your skin. These active ingredients may be medical elements or natural soothing elements like Aloe Vera or green tea. Don’t go for the name brand only which is a big mistake that most of us do. It is vital that one should go with the best soap for Eczema in terms of ingredients used weather it is hand soap or body soap.

Take a close look at the ingredients in the product.

Eczema skin is more sensitive and irritable than normal skin. Therefore, it is crucial for you to be aware of the things that can set off an outbreak in your eczematous skin. Some possible irritants of skin include; dyes, fragrances, parabens, solvents and preservatives. Choose a product free of such irritants. For those of you with eczema, it is of utmost importance to choose a cleanser that is best for you. Choose a gentle one free from common irritants, allergens and fragrances. Don’t pick harsh soaps or ones with allergens as they can worsen your eczema or lead to an allergic reaction on top of your eczema.

Here are some soaps and body washes which are found to be effective on eczematous skin. These are some of the best soaps for Eczema.

Cetaphil Deep cleansing Bar

cetaphil deep cleansing bar

“It will cleanse and moisturize your skin simultaneously”

Cetaphil Gentle Cleansing Bar is the way to go because it is safe for daily cleansing as well as it is budget friendly. This gentle, soothing non irritating formula leaves your skin moisturized after each use. This is a mild, non-alkaline soap bar that is specifically designed for dry and sensitive skin. It is an excellent choice for full body cleansing as it cleans and moisturizes your skin simultaneously. This soap has a neutral PH formula which is great for sensitive skin. It doesn’t contain any harsh ingredients. Therefore, it allows your skin to heal without stripping off the natural oils in your skin while protecting the skin barrier. Cetaphil Deep cleansing bar is safe for both adults and children.

This is available at Amazon for 8 USD.

 

Basis sensitive skin soap

Basis sensitive skin soap

“This will let you take care of your basic skin sensitivities without spending much money” – It is the best soap for your budget.

Basis sensitive skin soap for Eczema is full of natural, soothing ingredients like Aloe Vera and chamomile tea. It contains minimal dyes, fragrances and other harsh chemicals and will take care of your skin sensitivities. This soap leaves your skin feeling calm, replenished and clean and is dermatologist recommended. Usually specialized soaps are expensive. This soap will suit your budget and is a great addition to your daily routine.

You can buy it from Amazon for 19 USD and Walgreens for 3 USD.

 

Dove Pure and sensitive Beauty bar

Dove Pure and sensitive Beauty bar

It will allow you to cleanse your skin gently. It provides you with a rich creamy lather. It is a nourishing body cleanser which puts essential nutrients back in to your skin. It is suitable for mild eczema and sensitive skin as it gently removes the dirt and make up without drying out your skin. This is rated as one of the best soaps for Eczema as well.

Dove also has a series of soothing body washes suitable for eczema.

 

Some of you may prefer to use a body wash instead of using a soap bar.

Free and clear liquid cleanser

Free and clear liquid cleanser

“Simple with no irritating additives”

This is a simple hand soap without any irritating additives that can lead to flares of eczema. It contains effective cleansing ingredients while being gentle on your skin. This liquid cleanser is oil free, paraben free, sulfate free, Gluten free and free from fragrances. This formula leaves your hands soft while cleansing and calming your skin. It is dermatologist recommended.

 

CeraVe Soothing Body wash

CeraVe Soothing Body wash

“CeraVe Soothing body wash is designed by dermatologists to restore your skin to its natural healthy state”

This unique formula is designed by dermatologists and it is recommended by the National Eczema Foundation. CeraVe body wash is fragrance free with no parabens or sulfates and it is safe for both adults and children. It is rich in omega oils, three essential ceramides and hyaluronic acid. It cleanses and calms your skin while restoring it to its natural, healthy state. You will feel safe using this on your skin while avoiding irritants and allergens. This comes under top category of best body wash for eczema.

You can buy this product from CVS or from Amazon for 18 USD

 

CLn Body wash

CLn Body wash

CLn Body wash is designed to reduce redness, dryness and flakiness in your skin”

This is a cleanser which is safe for daily use, is designed to reduce dryness, redness and flakiness of your skin. It is preserved with sodium hypochlorite for a strong yet calming sensation for eczematous skin. CLn body wash has no parabens, fragrances or steroids which makes it safe for use in both adults and children.

This product is available at Amazon for 20 USD.

 

Olay Ultra moisture Shea butter body wash

Olay Ultra moisture Shea butter body wash

It has a unique lock in moisture technology which ensures keeping your skin moisturized after you shower. It is formulated with Olay’s Vitamin B3 complex. Olay Ultra moisture body wash will hydrate and plump the surface skin cells while locking in natural moisture. It will leave your skin soft and smooth.

 

SkinFix Eczema soothing wash

SkinFix Eczema soothing wash

It contains soothing oatmeal, Aloe Vera and Vitamin E. This product is recommended by the dermatologists and known to be eczema soothing body wash. It is free of parabens, fragrance, soy, nut ingredients, sulfates and phthalates.

 

What soap should you choose to cleanse your face?

Some of you with eczema, may experience dry skin on your face too. Although you can use the same eczema soap and body wash to cleanse your face, it is best to go for a milder version because the skin on your face is more sensitive.

Neutrogena Ultra gentle Hydrating Cleanser

Neutrogena Ultra gentle Hydrating Cleanser

“Neutrogena Ultra gentle Hydrating Cleanser does not contain any fragrances, allergens or parabens”

If you are looking for the best face soap for eczema for your face and post makeup cleansing this product is strong enough to remove your makeup residue yet soft enough for your sensitive skin. This is a mild creamy cleanser which helps to remove make up, dirt and other blemishes from your face. Neutrogena Ultra gentle hydrating cleanser is rich with a skin nourishing poly-glycerin formula which soothes your eczema. There are no added harsh chemicals and irritants which can damage your sensitive skin. It is paranben free, fragrance free and allergen free. Therefore, it can be used on the most sensitive skin. It is recommended by the National Eczema Association.

You can buy this product from Amazon for 9 USD and Ulta for 11 USD.

 

Are there special products for babies with Eczema?

Eczema is commonly seen in babies and we all know that their skin is so sensitive. Therefore, a baby with eczema needs a very mild cleanser for soothing effect.

CeraVe Baby

CeraVe Baby

“CeraVe Baby has clean and calm ingredients that are safe enough to use on your baby”

This product will leave your baby’s skin feeling soft and well moisturized. It is rich with vitamins and 3 essential ceramides for restoring the protective barrier making your baby’s skin healthy. CeraVe’s Baby wash and Shampoo is safe enough to use in babies and is a tear- free formula. It has no parabens, fragrances or sulfates and is recommended by the National Eczema Foundation to be used in babies. This is recommended as the best soap for eczema baby.

This product is available in Walgreens for 10 USD and in Amazon.

 

Are there any special products for Vegans?

If you are a vegan you may want a soap which suits your life style.

Splendor Pure Coconut oil soap

Splendor Pure Coconut oil soap

“It is a creamy soap that moisturizes and calms dry skin and is best for vegans”

Splendor pure coconut oil soap is rich in coconut oil, aloe Vera, colloidal oats, organic calendula and organic chamomile. Coconut oil is proven as an anti-inflammatory agent and is recommended for both consumption and topical use. It is excellent for dry eczematous skin. Because this product contains all natural ingredients, it is free from chemical irritants and allergens.

You can buy this from Amazon for 14 dollars.

 

Shea Moisture African Black soap

Shea Moisture African Black soap

“Shea Moisture African Black soap simultaneously moisturizes, soothes your skin while being anti-bacterial and therapeutic”

This product can be used for both eczema and psoriasis therapy. This natural therapy soap is rich with Shea butter, lemon balm, Aloe Vera and Gotukola. It lets in moisture and heals inflammation and dryness caused by eczema. This formula is designed to keep harmful bacteria out of your skin’s protective barrier therefore it is anti-bacterial and therapeutic. The soap is ideal to soothe and moisturize your skin in a natural way.

This product is available on Amazon for 15 USD and Walgreens for 5 USD.

Your skin needs moisture to stay healthy, smooth and supple, but as we age retaining moisture becomes difficult. Moisture is lost from our skin readily during winter because of central heating.

Daily routines like bathing and towel drying can remove moisture from your skin. Modifying your bathing routine will preserve your skin’s moisture to a certain extent.

  • Use luke warm water to your bath or shower. Hot water can dry out your skin. Limit your time of bathing to 15 minutes or less because too much bathing can strip your skin’s oily lipid layer.
  • Avoid rubbing with wash cloth when cleansing your body.
  • Use one of the soaps or body washes that are suitable for eczema to cleanse your skin.
  • When toweling dry, just blot or pat dry without rubbing your skin.
  • Apply a suitable moisturizer to your skin while the skin is still damp.

Even after you find the best soap for your eczema, still you may have to face many challenges;

  • Product may change – the manufacturer may periodically change their products. Once the ingredients change, it may not be the same for you.
  • Your skin may change – The condition of your skin can change with time and with each time you get a flare. Therefore, the effectiveness of your soap may also change.
  • What is best for someone else may not work for you.

You can discuss with your doctor or a dermatologist to find the most suitable eczema soap for you.

Conclusion

The soaps and other products you use play a major role in managing your eczema as well as avoiding future flares. The soap you use must keep your skin clean and healthy while protecting the skin barrier. It should be minimally irritating while helping to soothe symptoms of eczema.

 

 

References:

https://www.aaaai.org/conditions-and-treatments/library/allergy-library/skin-care-tips-atopic-dermatits

https://www.google.com/search?q=eczema+soaps&tbm=isch&ved=2ahUKEwjI4a_RzenvAhX3k0sFHRx7A_YQ2-cCegQIABAA&oq=eczema+soaps&gs_lcp=CgNpbWcQAzICCAAyBggAEAgQHjIECAAQGDIGCAAQChAYMgQIABAYMgQIABAYOgQIABBDULYPWLohYKMnaABwAHgAgAHRAYgBuQiSAQUwLjQuMpgBAKABAaoBC2d3cy13aXotaW1nwAEB&sclient=img&ei=QlJsYMi4EfenrtoPnPaNsA8&bih=657&biw=1366

 

 

 

 

Got itchy skin? It might be Eczema

Introduction

Does your skin itch and become inflamed from time to time? Does it itch so bad that you feel like scratching it until your skin is damaged? This might be eczema.
Eczema is also called atopic dermatitis, which is commonly seen in children, but it can occur in adults too. Eczema can be controlled well if you seek medical attention. Unfortunately it is not curable, as it recurs from time to time even after complete remission.

What is Eczema?

Eczema derives from the Greek word “boil”. It accounts for a large proportion of skin disease in the developed as well as the developing world. It is estimated that Eczema affects about 16.5 million adults and more than 9.6 million children in USA. Up to 40% of the population may suffer from eczema during their life time and at any given time, about 10% of the population may have some form of eczema. It can have a vast impact on the quality of life of an individual who suffers from eczema, if it is not properly controlled.
Eczema is a chronic skin condition which may have several flares and remissions. In most eczema patients there are periods when the skin condition is worse, which is called a flare or exacerbation. It is followed by periods of skin improvements or entire clear up which is known as remission.
Eczema usually begins between of 2 -3 months of age. It commonly starts during childhood and continues in to adulthood. Some individuals may go in to total remission during their teenage years. Although eczema usually starts in childhood, adults may get it for the first time which is known as adult onset eczema.
The good news is that Eczema is not contagious and you cannot spread it to someone by touch. It is not associated with poor hygiene.

What are the common signs and symptoms of Eczema?

There are some symptoms which are common to all types of eczema.
• Dry scaly skin
• Redness and inflammation
• Itching – This can be intense. Usually it is more severe at night
Eczema is also referred to as ‘The itch that rashes’, because you may start your rash initially with itching. Your rash may develop or worsen with itching.

The other symptoms are;
• Chronic and persistent or repeatedly occurring symptoms
• The location of the rash is characteristic which is typical of eczema – commonly hands, wrists, inside elbows and knees, feet, ankles, upper chest and eye lids
• Dry and sensitive skin
• Associated oozing and crusting especially in wet eczema
• Swelling of lesions due to edema and inflammation
• Habitual scratching making the skin lesions thick and leathery
• Dark and discolored patches on skin

Why does your Eczema itch?

Itching is a symptom that almost all patients with eczema experience. It is usually ongoing day and night. Itching is the worst symptom according to most individuals. It can be so intense and may never go away.
Eczema flares can be frequently triggered by the ‘Itch –scratch cycle’. As itching leads to scratching, it can result in release of inflammatory mediators that develop the eczema and make your skin further dry. Eczema flares and dry skin may lead to more itching and the cycle continues.

Itching may occur due to many reasons, such as;
• Defective skin barrier in eczema
• External triggers
• Human nature – how you feel the itch and how well you can control the urge to scratch
• Sweating and perspiration induce itching and aggravate your eczema
Itching is a complex symptom in eczema and it is related to both physical and psychological causes. Many patients with eczema claim that it is impossible to resist the urge to scratch, when told to do so.

Does Eczema run in families?

Eczema can run in families. It is an atopic condition which may associate with other atopic conditions like Hay fever (Allergic rhinitis), allergic conjunctivitis or bronchial asthma. Genetic inheritance of allergic conditions is known as atopy. Atopy is linked with increased immune response to common allergens like inhaled allergens or certain foods.
Usually you may find a family history of one or more of these conditions suffered by a family member or a close relative.

What are the causes of Eczema?

The exact cause of eczema is unknown. Following factors may play a role;
• Your genes
• Immune system dysfunction
• If you have dry skin
• Factors that make your skin dry and sensitive to infection and irritants
Eczema occurs when the natural barrier of your skin is weakened. When this happens your skin is unable to protect you against various allergens and irritants. Eczema may be caused by a combination of factors.
There are certain factors which can trigger your eczema, such as;
• Irritants -wool, soap, detergents
• Allergens –Inhaled allergens like pollen, dust mites and ingested allergens like certain foods
• Heat and sweating
• Emotional stress

Can you manage your eczema?

You can try these remedies at home to control eczema and to prevent getting flares.
• Avoid scratching – Scratching worsens your eczema. Cover the itchy areas if you find it difficult to avoid scratching. Covering your rash with a bandage will not only prevent scratching, but will protect your skin too.
Trim the nails of children with eczema, to reduce the skin damage by scratching. Get them to wear gloves or anti-scratch mittens to prevent unintentional scratching especially at night.

• Use a mild, fragrance free soap when washing your skin. Pat dry with a soft towel. Do not wipe hard or rub your skin. Avoid strong soaps and detergents as they can worsen your eczema.

• Warm baths – Sprinkle your bath water with colloidal oat meal or baking soda. Soak your body for 15 minutes and pat dry.

• Moisturize your skin well and keep it hydrated – Use a good emollient regularly to moisturize your skin. Choose one which is alcohol and paraben free with minimal fragrance. Look for ingredients such as aqueous cream, Dimethicone, glycerol, Argon oil, Shea butter, cocoa butter and Lanolin oil when selecting a moisturizer. Choose an emollient that is suitable for your skin type.

• Apply your moisturizer after a bath when the skin is still damp. Damp skin absorbs and locks in the moisture well.

• Identify and avoid the triggers that is known to worsen your eczema.
Ex: Certain food items, Pollen, dust, excessive sweating and heat, strong soaps and detergents.
Identify them early and avoid. Avoid wool and tight, scratchy or rough clothing. Wear cooling clothes with smooth texture to minimize your skin irritation. When you are going out in hot weather or during your work outs, wear appropriate clothing to prevent excessive sweating.

• Manage your stress – practice relaxation techniques, yoga and meditation. Try to get quality sleep. Poor sleep can worsen your stress and make you less functional during day time

• Eat a balanced, healthy diet and void food triggers.

Are there any over the counter (OTC) products which you can use for Eczema?

OTC creams such as Hydrocortisone can be applied topically, which is a mild steroid.
Antihistamines like Cetirizine (Zyrtec),Loratadine (Alavert, Claritin),Fexofenadine (Allegra),Diphenhydramine (Benadryl) or Chlorpheniramine which are available over the counter can be used to reduce your itching. Make sure that the dose and the frequency of administration is correct when using any OTC medication.
Above home remedies and self- care measures can control your rash, relieve your itching and prevent new out breaks of eczema to a certain extent.

When should you seek help?

If your itching or rash doesn’t go away on its own or with home remedies you use or if it interferes with your day to day life or disturbs your sleep, it is time to see your doctor or a dermatologist. Look for any signs of infection such as red streaks or pus or even fever associated with your eczema.
Until you meet a dermatologist maintain a diary, so that it may be helpful to your doctor to identify what triggers your eczema. You can include;

1. Your diet – anything different you consumed
2. The skin products, make up and soaps you use
3. If you come in to contact with chemicals, detergents and other irritants
4. Activities you do – walk or jog outside where there is pollen or dust, swimming in chlorinated pools
5. Your bathing or showering patterns
6. Whether you are under stress

This diary will also help you to notice any connections between your eczema flare up and your activities, so that you can avoid such activities.
How will your doctor treat your eczema?
After taking the history and examination of your skin, your doctor will diagnose eczema clinically. Lab tests are usually not needed for diagnosis. Sometimes your doctor may perform a patch test to exclude skin conditions such as contact dermatitis.
Your doctor may have to try numerous treatments for months or even years until your eczema gets controlled. However, even after successful control you may get a sudden flare. Your doctor will advise you on how to identify and avoid triggers of eczema in order to prevent a flare.
You already know that regular moisturizing control your eczema. However, moisturizing per se is not adequate for effective control.

Your doctor will suggest some of the following treatments to control your eczema:

Best suitable emollient to moisturize your skin – If your skin is very dry, your doctor will prescribe an ointment. Ointments are very effective in keeping moisture of your skin. As ointments contain the most oil, they are greasy. A cream or a lotion will be adequate for less dry skin. Moisturizing should be done twice a day. A cream is more suitable to apply during day time. Since ointments are greasier you may apply them at night. Creams can sting more than ointments.
These prescribed creams or ointments not only treat your eczema, but also control your itching. They will improve your rash by repairing the damaged skin.

Some of the prescribed creams and ointments are;

Corticosteroid creams or ointments – After moisturizing your skin, apply a thin layer on the eczematous lesions. Your doctor will direct you regarding the frequency of application. It may be once or twice a day. Corticosteroids control inflammation therefore, redness of your skin and swelling will reduce.
Example:

     Hydrocortisone – for lesions in your face, neck and other sensitive regions
     Betamethasone – more potent steroid
     Mometasone – effective corticosteroid with less side effects
     Clobetasol – used for eczema on hands and feet, thick lesions

Moisturize first before applying the medicated creams, as it will help better penetration of your skin. Once the initial lesions are controlled, you can use topical corticosteroids less frequently, to prevent a flare. Do not overuse corticosteroids as they can lead tothinning of your skin.

Calcineurin inhibitors
Example:

    Tacrolimus (protopic),
    Pimecrolimus (Elidel)

Calcineurin inhibitors act by affecting your immune response. They are useful to treat eczema in sensitive areas and for lesions which do not respond to other treatments. After moisturizing your skin, apply as directed by your doctor. Avoid strong sun light when using calcineurin inhibitors. It is safe to use them in anyone above the age of 2 years.

For severe eczema your doctor may prescribe oral medications to fight inflammation and to control your symptoms.

• Oral corticosteroids – If your eczema is severe, your doctor will prescribe oral corticosteroids.
Ex: a course of oral prednisolone
Although they are effective, they cannot be used for long periods because of the potential side effects like osteoporosis and high blood pressure that can be serious.

• Medications to fight infection – If your eczema is associated with a bacterial infection an antibiotic cream will be added. If your infection is severe with pus discharge and fever, a short course of oral antibiotics will be prescribed.

• Antihistamines – Ex: Cetirizine (Zyrtec), Fexofenadine (Allegra), diphenhydramine
Antihistaminesare prescribed to control itching. Anti-itch medications may cause drowsiness. Therefore, use them before you go to bed.

• Dupilumab (Dupixent) – This is a new option for treating severe Eczema.
Dupilumabis an injectable biologic (monoclonal antibody) that is recently approved by the FDA. It is used in people with severe eczema who do not respond well to other medications. Dupilumab is an expensive drug. It is safe when used as directed. More studies are needed to identify the benefits of this medication.

Following therapies can be combined with the medications;

• Wet wraps – The affected region is wrapped with emollients, corticosteroids and wet bandages. This is shown to be effective in those with severe eczema. Since wet wrapping can be too intensive to do at home for patients with wide spread eczema, they are done at hospital setting. This requires good nursing care and expertise. However, if you are competent enough, you may do wet wrapping at home once you learn the proper technique.

• Light therapy – Phototherapy with artificial Ultra violet Alight (UVA) or narrow band ultra violet B light (NB- UVB) can be used alone or in combination with other treatments. You may try exposing your skin to natural sun light as light therapy but in controlled amounts.
Light therapy is beneficial in patients who do not respond to topical treatments or for those who get frequent flares.

• Dietary modifications – Certain dietary changes will be suggested by your doctor if your history suggests food triggers. Foods like cow’s milk, eggs, soy can trigger symptoms or lead to flares. If your doctor suspects a food allergy, you may be referred to a dietician to modify your diet.

• Behavior modification and other relaxation techniques –to keep your stress under control and to help those with habitual scratching.

• Counselling – Talk to your therapist or a counsellor for emotional support if you suffer from persistent eczema.

Eczema may be stressful especially for adolescents and young adults. It can disturb your sleep and disrupt your day to day routines. Long standing eczema may even lead to depression in some patients. Family members of patients with eczema can also face various emotional, social and financial difficulties. Never fight eczema alone. You can seek emotional support from support groups, counsellors, family and friends.

Take home message….
Eczema can be persistent. You may need various medications along with self- care measures for a long time to get it under control. Even after successful treatment, eczema can recur.

References:
https://www.mayoclinic.org/diseases-conditions/atopic-dermatitis-eczema/symptoms-causes/syc-20353273
https://www.mayoclinic.org/diseases-conditions/atopic-dermatitis-eczema/diagnosis-treatment/drc-20353279
https://www.nhs.uk/conditions/atopic-eczema/
https://nationaleczema.org/eczema/

All you want to know about Anti-Inflammatory Diet for Eczema

Have you tried most of the moisturizers and topical creams for treating your eczema? And still, the symptoms are not in control? Then this blog is something you want to look forward to.

Now, we have a better understanding of what causes this chronic skin condition in the first place. That makes Eczema a complicated condition to treat and manage.

While eczema can be persistent, causing extreme discomfort, it doesn’t have to prevent eczema sufferers from living a happy life. It is always possible to improve the eczema symptoms by trying treatment methods and adapting your diet can play a critical role in doing so.

Our diet is an important medium to support and strengthen our skin. While eczema is a chronic skin condition that doesn’t have any quick fixes, our eating habits can have a positive impact on it.

Finding Food triggers

Identifying food triggers requires dedication and a lot of patience, but it’s worth it, to get that rash that itches under control. While Identifying the right diet is very crucial in eczema it is equally important to track the food that causes triggers. One of the verified ways of doing so is to try the elimination diet method. Wherein you need to maintain a diary and note down the foods you’ve eaten and how your body feels and look for patterns. Start by eliminating just one food for 3 weeks that you suspect. Similarly, Introduce one by done and note the changes.

 

 You can also log your food and track the food trigger just by clicking an image of the food using this eczema app.

 

 

 

The relation between Diet and Eczema

Eczema flares can be triggered by various factors in the environment. Frequent triggers include allergens, chemical irritants, high stress, sweating, obesity, dry skin, extreme temperatures, and dry climates (especially in the winter). Though with little evidence, food is one of them, many people start to feel their eczema symptoms worsens after consuming certain types of food. And Some people have even reported a reduction in their eczema symptoms by including certain foods into their diet.

The way that diet has its impact on eczema can be looked at in this perspective, eczema in a simple word is termed as skin inflammation or inflammatory skin disease. Hence, an Anti-inflammatory diet comes into consideration. Another factor which is something related to inflammatory response and closely associated with the itch, any guesses?? Histamine it is! Yes, the amount of histamine released and its tolerance in the body is something that is closely related to eczema symptoms. One of the best ways to know that your eczema symptoms are related to histamine is your Doctor will ask you to take an anti-histamine tablet when your condition is worse. If your condition improves that’s proof of a link. In such cases, a low histamine diet will really be helpful in controlling eczema exacerbation.

Hence, it is incredibly important to understand the difference between inflammatory and anti-inflammatory foods. Learning to eat more anti-inflammatory foods and eliminating inflammatory foods is key to managing eczema flare-ups when it comes to diet for eczema.

 

What is an Anti-Inflammatory diet?

The anti-inflammatory diet is an eating plan adapted to prevent or curb chronic inflammation in the body. Chronic Inflammation is a troublemaker, not only in eczema but a gamut of other health problems as well.

This Diet is completely based on whole plant foods. It includes vegetables, fresh fruits, legumes, intact whole grains, nuts, seeds, and non – processed foods. And the processed foods are thrown out of the picture or highly restricted.

The anti-inflammatory diet is all about filling your plate with foods that have been shown to fight inflammation and equally focusing on cutting out foods that have been shown to stimulate it.

Read more about foods to avoid in eczema as we have detailed with a list of top 10 common foods that exacerbate the eczema symptoms.

How an Anti-Inflammatory diet works

Inflammation is nothing but our body’s immune response to toxins and other foreign particles. As a natural part of metabolism, a lot of free radicals are released. In general, the inflammation subsides on its own. But in chronic cases, this inflammation remains for a longer period of time causing not only pain but also triggering chronic diseases, such as heart disease, diabetes, worsening eczema symptoms, etc

The antioxidants in anti-inflammatory diet work by reducing levels of free radicals which can lead to inflammation when they’re not held in check.

Similarly, if you are preparing to fight against histamine you want to consume more quercetin-rich foods. This compound is known to help stabilize mast cells to lower histamine levels and inflammation in addition to supporting gut health.

Anti-Inflammatory food that helps eczema

1) Vegetables

Anti-iflammatory vegetables

 

Vegetables are rich in flavonoids and carotenoids with both antioxidant and anti-inflammatory activity. Also, vitamin K in green leafy vegetables helps in reducing inflammation. It is advised to go for a rainbow that is to include vegetables of different colors at least 7 to 8 variety. You can eat them both raw and cooked, and choose organic whenever possible.

Choices

  • Dark leafy greens (spinach, collard greens, kale, Swiss chard)
  • Cruciferous vegetables (broccoli, cabbage, Brussels sprouts, kale, and cauliflower)
  • Carrots
  • Beets
  • Onions
  • Peas
  • Squashes
  • Raw and washed green salads

2) Fruits

Anti Inflammatory fruits

 

Like vegetables fruits are also rich in carotenoids and flavonoids, moreover, the pigment that gives colors to the fruits helps in fighting inflammation. Again, try to include different colors of fruits to the diet and go for fresh seasonal fruits which are low in their glycemic load have as a whole fruit or chopped into pieces

Choices

  • Berries (Raspberries, blueberries, strawberries, blackberries)
  • Peaches
  • Nectarines
  • Oranges
  • Pink grapefruit
  • Red grapes
  • Plums
  • Pomegranates
  • Cherries
  • Apples
  • Pears

3) Whole Grains

Whole grains Anti inflammatory food-min-compressed

 

Whole grains are high in fiber which also helps in reducing inflammation. Moreover, they digest slowly, reducing the frequency of spikes in blood sugar that promote inflammation. Remember the grains that are intact or in a few large pieces fall under the whole grain category and not whole-wheat bread or other products made from flour.

Choices

  • Oatmeal
  • Brown rice
  • Wild rice,
  • Buckwheat groats,
  • Barley,
  • Quinoa,
  • Steel-cut oats

4) Beans / Legumes

Beans and Legumes Anti Inflammatory food for eczema

 

Beans are glycemic food power-packed with folic acid, magnesium, potassium, and soluble fiber. They are loaded with antioxidants and anti-inflammatory substances. A whole cooked can be added to your meal or the pureed form like hummus will elevate the taste of the dish.

Choices

  • Chickpeas
  • Black-eyed peas
  • Anasazi,
  • Adzuki
  • Lentils

5) Herbs / Spices

Spices and herbs Anti Inflammatory food for eczema

 

Herbs and spices are known for their anti-oxidant and anti-inflammatory properties and are used to heal inflammation for ages. Generally, herbs and spices are used to season foods and add taste to it. Turmeric and ginger are powerful natural anti-inflammatory agents. Compounds such as curcumin found in turmeric is a strong antioxidant and powerful anti-inflammatory agent. Adding it to your daily meal will be beneficial

Choices

  • Turmeric
  • Ginger
  • Garlic (dried and fresh)
  • Chili peppers
  • Basil
  • Cinnamon
  • Rosemary
  • Thyme

6) Vitamins

Vitamins essential to cure Eczema-min-compressed

 

You should maintain a proper balance of vitamins in their diet. Below Vitamins and minerals are particularly relevant for eczema:

Choices

  • Vitamin C – found in brightly colored fruit, veg, and rosehip.
  • Vitamin E – found in sunflower seeds, almonds, pine nuts, avocado, and dried apricots.
  • Vitamin D – is absorbed from sunlight when it is sunny out there. You can also supplement vitamin D throughout the winter months.
  • Vitamin K2 – Dark Green Leafy Vegetables
  • Zinc – Dark Chocolate (Less sweet)

7) Probiotics

 

Probiotic Food for eczema treatment

Probiotics are nothing but live microbes (usually bacteria) that can improve your health. They are good bacteria usually found in the lining of the digestive tract (gut). The understanding is that when you populate your gut with good bacteria through probiotic supplementation, you may be able to prevent or treat the symptoms of eczema.

Choices

  • Fortified yogurt
  • Soft cheeses (e.g. Gouda)
  • Kefir
  • Kombucha
  • Miso soup
  • Naturally fermented pickles
  • Tempeh
  • Unpasteurized sauerkraut
  • Over the Counter Probiotic Supplement (After consulting)

8) Quercetin Rich Food

 

Quercetin Anti Inflammatory property eczema

Quercetin is a flavonoid that is found in plants. Flavonoids have many health benefits but with regards to eczema, they work by reducing histamine release and boosting the skin’s ability to fight infection. That makes quercetin a powerful antioxidant with antihistamine properties that fight inflammation, helping to prevent eczema flare-ups.

Quercetin is found in onions, kale, broccoli, apples, tomatoes, green tea, and berries.

Choices

  • Leafy vegetables
  • Asparagus
  • Tomatoes
  • Red onions
  • Apples
  • Peppers
  • Broccoli
  • Black and green tea
  • Berries
  • Nectarines

9) Omega 3 Fatty Acid

 

Omega 3 fatty acid for eczema treatment and cure

Omega-3 fatty acids are required for skin health. They are known for their roles in reducing inflammation due to their strong anti-inflammatory property. Selected fishes are the number one source for omega-3 fats but if you do not eat fish you can go for distilled fish oil supplements or other plant sources mentioned below.

Choices

Non-veg source

  • Salmon
  • Tuna
  • Herring
  • Black cod
  • Mackerel
  • Sardines
  • Anchovies

Veg source

  • Flaxseed
  • Walnuts
  • Chia seeds
  • Navy beans,
  • Brussels sprouts
  • Avocado
  • Omega-3-fortified foods (including eggs and milk)

10) Healthy fats

 

Healthy Fats helpful in eczema cure

Extra-virgin coconut oil, extra-virgin olive oil, walnuts, avocados, hemp seeds, flaxseed, flax oil. Healthy fats are those rich in either monounsaturated or omega-3 fats and thought to have the antioxidant activity absorbing the free radicals resulting in inflammation.

Choices

  • Extra-virgin coconut oil
  • Extra-virgin olive oil
  • Walnuts
  • Avocados, Avocado oil
  • Hemp seeds
  • Flaxseed, flax oil
  • Hazelnut oils in salads
  • Dark roasted sesame oil as a flavoring for soups and stir-fries

Tips on Following an Anti-Inflammatory Diet

  1. Eat five to nine servings of antioxidant-rich fruits and vegetables each day.
  2. Drink lots of water to replenish your body’s moisture.
  3. Identify Allergens from your Diet
  4. Eat Oily fish, nuts seeds 3 times a week.
  5. Limit your intake of foods high in omega-6 fatty acids such as vegetable oil, beef, pork and saturated fats
  6. Try seasoning your herbs and spices that act as an anti-inflammatory agent, instead of salt to add flavor.
  7. Go for the rainbow in fruits and vegetables i.e variety of bright color fruits and vegetables
  8. Take a vitamin D supplement daily, especially in winter months. · Go for healthier protein sources, such as lean poultry, fish, soy, beans, and lentils instead of red meat
  9. Swap out margarine and vegetable oils for the healthier fats found in olive oil, nuts, and seeds.
  10. Opt for fiber-rich whole grains like oats, quinoa, brown rice, bread, and pasta that list a whole grain as the first ingredient and avoid refined grains or flour.
  11. Maintenance of healthy body weight by routine exercise, if overweight or obese weight reduction will definitely help.
  12. Don’t let stress over tale you manage your stress by meditation techniques like yoga, mindfulness, etc.

Final Thoughts

Each Individual is different, so is the skin of each person, therefore the same food can act differently in two individuals. A food acting as the key anti-inflammatory agent reducing eczema symptoms in one person can be the inflammation striker in another person. It is always best to customize the diet for each person’s unique needs.

Remember any change takes its own time, being patient is the key while looking for impact through any program. It is well said that no battle is ever won or lost on a single meal, so consistency is the key to maintaining your Anti-inflammatory diet. What’s most important is the overall pattern of how you eat. Not only eating what’s right will help but you also pay equal focus on avoiding what’s wrong.

The anti-inflammatory diet is all about filling your meals with foods that have been shown the power to fight inflammation and equally focusing on cutting out foods that have been known to contribute to it.

Choose from a variety of, antioxidant-rich foods. It can help curb inflammation in combination with care routine like moisturizing, exercise, a good night’s sleep. Looking for your best combination of the above two may improve inflammation markers and possibly reduce your risk of developing eczema symptoms.

References

-Chung, Bo Young et al. “Treatment of Atopic Dermatitis with a Low-histamine Diet.” Annals of dermatology vol. 23 Suppl 1 ,Suppl 1 (2011): S91-5. doi:10.5021/ad.2011.23.S1.S91

-Fabisiak, Adam et al. “Targeting Histamine Receptors in Irritable Bowel Syndrome: A Critical Appraisal.” Journal of neurogastroenterology and motilityvol. 23,3 (2017): 341-348. doi:10.5056/jnm16203

-Ricker MA, Haas WC. Anti-Inflammatory Diet in Clinical Practice: A Review. Nutr Clin Pract. 2017;32(3):318-325. doi:10.1177/08845336177

Eczema Support Groups and Associations across Globe

Reach the support group in your Location

 

Atopic Dermatitis also commonly known as Eczema is a skin condition characterized by itchy, red and inflamed skin. Eczema affects babies and kids more than adults. Atopic dermatitis is chronic skin condition and tends to flare periodically due to triggers. There are some common triggers that flare Eczema but it seems that individuals are susceptible to different triggers.  Environmental and weather triggers affect large populations at the same time and that is why Eczema is more prevalent in some parts of the globe than others and flares more during certain seasons.  Parts of the world with a cold climate have a higher incidence of Eczema prevalence.


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Eczema is not fatal but can severely affect the quality of living for sufferers. Also, there is no known complete cure for Eczema. Since Eczema is not considered a fatal disease it receives lesser attention from government-run agencies leaving sufferers to fend from themselves. As a result, there are a number of Eczema support groups and associations. These groups and associations are mostly non-profitable and aim to support Eczema sufferers with information and knowledge about living with Eczema and the various available treatments.

In this article, we have tried to list organizations that are available Globally and those from different countries where one can find support and advice for effectively managing their eczema.

1) Global Parents for Eczema Research

Eczema Parents

 

 

Created for and by parents of children with moderate to severe eczema, Global Parents for Eczema Research is an international group of parents and caregivers of children with moderate to severe eczema. It is focused on improving outcomes and quality of life for children with the condition. It is a virtual organization with members representing five different continents and 17 countries. If you are an eczema parent you can join their Facebook group to start a conversation.

2) International Topical Steroid Awareness Network

Topical Steroid Withdrawal Syndrome Group

Founded in 2012 the International Topical Steroid Awareness Network, ITSAN, aims to raise awareness about a condition called Topical Steroid Withdrawal Syndrome (TSW syndrome), also known as Topical Steroid Addiction or Red Skin Syndrome. Topical Steroid Withdrawal Syndrome is a debilitating condition that can arise from the use of topical steroid creams to treat a skin problem. It is a critical condition for the junk of people especially those suffering from a chronic skin condition like Eczema.

The experienced Board members of ITSAN have either suffered from Topical Steroid Withdrawal Syndrome themselves or have known or cared for a loved one who has. Hence they are in a sound position to help and support the sufferers to take any effective action to recover as quickly as possible form TSW syndrome. The group fosters physician and patient education to support affected individuals.

If you or any loved one suffering from Topical withdrawal syndrome you can get in touch with them for support.

3) International Council of Eczema

International Council of Eczema

Headquartered at Chicago, USA International Eczema Council is a Non-Governmental International body that brings together Dermatology Experts on Atopic Dermatitis.  The IEC works towards the goal of promoting good caring practices for Eczema Patients, carry out advanced research, and disseminate evidence-based information on AD to healthcare professionals. 
 
It also collaborates with physicians, scientists, and stakeholder organizations across the globe to achieve the set goals, its councilors are spread worldwide in order to help patients in their respective regions.

 

4) National Eczema Association 

Eczema US
 

Based out of the USA The National Eczema Association (NEA) is a non-profit organization with a stated mission to improve the health and quality of life for individuals with eczema through research, support and education.  NEA claims to provide eczema sufferers the information they need to best manage their condition, while fast-tracking research towards better treatments and a cure. NEA is one of the comprehensive organizations doing an all-round work right from research, providing information, support and helping out eczema sufferers at the grass-root level. NEA claims to be dedicated to improving the lives of people suffering from Eczema 

5) Eczema Outreach Support 
Eczema UK

Eczema Outreach Support exists to help families deal with the practical and emotional aspects of having a child with eczema.  We understand the impact the condition can have on the whole family, and we understand how isolating it can feel. Our vision is to see families with eczema flourish in a society where they can lead healthy and fulfilled lives. We offer a wide range of support, activities, and resources to help parents/carers and the child with eczema feel more able to cope with the ups and downs of the condition. 

6) National Eczema Society 

Eczema UK

Formed in 1975, the National Eczema Society is a charity organization registered in England, Wales and Scotland, dedicated to improving the quality of life of people with eczema and their caregivers. The National Eczema Society aims to provide practical advice for treating eczema and to raise awareness about the condition. The organization works with children and adults who suffer from eczema by providing helpline and information services.  

7) Eczema Association Australasia

Eczema Australia

EAA is a non-profit organization dedicated to eczema sufferers in Australia and was founded in January 1994.  EAA aims to reach every Australian who lives with this disease. The Eczema Association of Australasia Inc supports and educates Eczema sufferers and caregivers, along with the wider community, in all aspects of Eczema and its impact. With a helpline number displayed on their website, they are just a call away for every Australian suffering with eczema. 

8) Eczema Support Australia 
Eczema Australia
Another group in Australia for Eczema Sufferers, Eczema Support Australia Ltd is a new and developing support network established and managed by volunteers.  Originally named Hands to Hold, Eczema Support Australia Ltd is registered as a Public Benevolent Institution and is an Australian registered charity and endorsed as a deductible gift recipient (DGR).  

Hands to Hold was inspired by a family with twin boys who have severe allergies and eczema.  Thanks to the initiative and drive of a friend, this family finally received wonderful community support, which has made all the difference.  All families and individuals dealing with these chronic conditions deserve our community support. 

9) Global Allergy & Asthma Patient Platform

Eczema Austria

The Global Allergy and Asthma Patient Platform, Austria abbreviated as GAAPP is a network linking organization established in 2009 with a common purpose to empower the patient and support the patient voice so that decision-makers in both the public and private sectors, in government and industry will be mindful of patient needs, desires, and their rights.  

The main interest of GAAPP is to support and improvement of the quality of life of people around the globe who have allergies and asthma. With a goal to help patients and their families through their journey with asthma and allergies work in concert with healthcare professionals, researchers and scientists, industry, and governments to further the aspirations of people with asthma and allergies. While based in Vienna, Austria, our Board is representative of all regions of the world with large and small groups.

10) The Eczema Society of Canada 

Eczema Canada

The Eczema Society of Canada is a registered Canadian charity dedicated to improving the lives of Canadians living with eczemaWorking in the field of education, support, awareness, advocacy, and research in Eczema. With the mission of improving the lives of Canadians living with eczema, they offer patient and healthcare provider education, support volunteers across the country, and fund research efforts through a competitive research grant program.

11)  The Association of Psoriatic and Atopic Eczema 

Eczema Czech Republic

The support group in the Czech Republic is common for both Psoriasis and Atopic Dermatitis called SPAE. The Association of Psoriatic and Atopic Eczema (SPAE) is a voluntary, non-profit civic association. Primarily working with the Czech Academy of Dermatovenerology SPAE with an aim to promote an improved form of treatment for non-infectious skin disease, thereby improving the social-economic condition of the people suffering from this.

SPAE is open to all citizens affected by psoriasis, atopic eczema, and vitiligo. It openly invites professionals who can contribute to this cause. 

12) French Association of Eczema 

  Eczema France

The French Association of Eczema is committed to patients and families suffering from Eczema since 2011. It includes patients with atopic dermatitis, chronic hand eczema, contact dermatitis, and other forms of eczema with an aim to help them improve their daily lives, through psychological support, information, education, or research.

The main goal of the association is to bring information to patients and their families in order to break their isolation. Their website in the local French-language goes a long way toward achieving this goal. 

13) Fondation Eczéma

Eczema France

The Fondation Eczéma is a Corporate Foundation of Pierre Fabre Laboratories. The Foundation works to provide patients, families, and healthcare professionals with information on the different types of eczema, treatments, and ways to reduce the burden of eczema.

The founding members associate a close collaboration with scientists, doctors, patients, and their entourage by placing at their service this corporate foundation, exclusively devoted to atopic dermatitis.

14) German Allergy and Asthma Association (DAAB)

Eczema Germany

The German Allergy and Asthma Association (DAAB) was founded way back in 1897 as the first patient association in Germany serving the children and adults suffering from allergies, nutritional problems, respiratory or skin diseases for 120 years. 
 
The Association has a team of consultants from the field of nutrition, biology, chemistry, asthma, eczema and anaphylaxis trainer working for people who have allergies, asthma, atopic dermatitis or intolerance. 
 
For people suffering from Eczema DAAB provides counseling and shows them ways to get through the difficult phases and to extend the phases with good, calm skin trying to make their everyday life easier 

15) Israeli Association for Atopic Dermatitis 

Eczema Israel

The Israeli Atopic Dermatitis Association serves as a unifying platform for Eczema patients and their families with an aim to provide every patient with the most up-to-date medical knowledge and enabling them to build the most appropriate treatment plan. 

The association works with the health communities in Israel and around the world, to raise awareness about the right treatment of skin disease. Improving the quality of life for Eczema patients so that they lead a normal life is a stated goal of this association.  

16) Eczema Society Kenya (ESK)

Eczema Society Kenya is a Facebook group founded in 2015. The group’s motto is creating awareness on Eczema, its management, and creating a platform for people affected to share ideas thus making lives bearable for the eczema sufferers in Kenya. With a lot of activities and events, the group brings together people to disburse the valuable information related to eczema. People can join their Facebook group and become a member to avail and share valuable information.

17) Malaysia Eczema Support Community 

Malaysia Eczema Support Community MESC is a Facebook-based platform. The members of this group provide evidence-based information and support eczema sufferers by answering their queries. They also do the vital job of raising awareness about the needs of Eczema sufferers.

MESC is backed by dermatologists, immunologist/allergist, and medical and health professionals. The group is open to the public and anyone who is interested in getting Eczema advice can join the group. 

18) Malta Eczema Society 

Eczema Malta

The Malta Eczema Society was set up in 2001 to help those with eczema and their families. The group was established after feeling the need for it in the country like other nations where eczema is prevalent.
The society aims to help by providing support, information and practical advice via public talks and other activities and to increase awareness about eczema and the problems it may cause. 

19) Eczema Association of New Zealand 

Eczema New zealand

Established as an individual body in 2015 The Eczema Association of New Zealand (EANZ) is part of an independent not-for-profit Australasian wide organization.  

The Eczema Association of New Zealand Inc supports and educates Eczema sufferers and caregivers, along with the wider community, in all aspects of Eczema and its impact. It offers a membership where an individual can avail of different facilities. 

20) The Psoriasis and Eczema Association (Norway)

Eczema Norway

Founded in 1962 Psoriasis and Eczema Association is a nationwide interest organization in Norway for people with psoriasis, atopic eczema, other skin diseases, and psoriatic arthritis. The Organisation has approximately 5000 members which are further divided into 19 counties and 45 local teams.

The Organisation works towards its key objective of disbursing knowledge and educating the crowd about the conditions and treatment method for skin diseases especially eczema and psoriasis. This apart their objective drives towards ensuring that every effected individual should avail of proper treatment and also works on new researches in the field.

One can be a part of the team to help the cause of eczema or can become a member of this group to get support related to the mentioned skin diseases.

21)EczémaQuébec

Eczema Quebec Canada

Eczéma Québec  is a network of doctors, nurses, allied health care professionals, trainees and patients under The McGill University Center for Excellence for Atopic Dermatitis (COE AD) that includes:
• Jewish General Hospital
• St. Mary’s Hospital
• McGill University Health Center

22) Dermatology Society of Singapore

Eczema Singapore

Founded under the umbrella of Singapore Medical Association way back in 1960 The Dermatological Society of Singapore got established as an independent society in 1972.  
The Society conducts various activities to achieve its objectives of advancing the knowledge and practice of dermatology, promoting research in dermatology, promoting regional and international co-operation in dermatologyacquiring and publishing literature and scientific works, it also organizes conferences, seminars, conventions as one of the major role of the society is providing continuous medical education for medical practitioners in the field of dermatology. 

23) Atopika

Atopika is an Institute in the Republic of Slovenia located in central Europe dedicated to Educating, Counselling, and Support for Patients with Atopic Dermatitis. The institute was founded by Tina Butcher to share her knowledge and personal experience with parents of children, adolescents, and adult patients with atopic dermatitis. 

The founder also Counsels (in person and through social networks) and educates people based on the latest scientific knowledge, with the aim of alleviating disease symptoms and improving the quality of life of the patient and her family.

The Institute also works in raising public awareness of the disease and on prevention of discrimination and stigmatization of Eczema sufferer

24) aha! Swiss Allergy Centre
Eczema Switzerland

aha! Swiss Allergy Centre is an ISO-certified non-profit foundation, that is active throughout Switzerland which is recognized by ZEWO. The Centre excels in the field of allergy and focuses on the reactions of the airways, digestive system and skin to environmental irritants.

The Centre offers a range of services right from advising individuals and training courses through to prevention projects and campaigns for the population at large. These offerings are made possible by our widespread network and close cooperation with leading experts and professional bodies in the relevant spheres.

aha! Swiss Allergy Centre supports the people affected by allergy across the country which is more than 3 million people by providing them valuable information. This information is intended to help people get back to their normal and happy life.

25) The European umbrella organization for psoriasis movements

European Psoriasis Association

Founded in November 1988 The European umbrella organization for psoriasis movements (EUROPSO) is a federation of psoriasis patients’ associations based in the geographic region of Europe.  

As an umbrella organization and as a Member of IFPA they work closely with the worldwide psoriasis movements – the International Federation of Psoriasis Associations (IFPA), the United States-based National Psoriasis Foundation (NPF) and to the Nordic Psoriasis alliance (NORDPSO).

They work towards raising awareness of the psycho-social, medical and financial needs of psoriasis patients, and influence political and administrative policy and decision-makers.

So that concludes the list wherein we tried to give maximum information about the different supports groups and associations that help in improving the lives of people with eczema and their caregivers.

Managing Eczema Flares

Table of Content

Introduction

Flare is a term commonly associated with Eczema. What is a Flare? A ‘flare’ or ‘flare-up’ is a term used in both medical and non-medical literature to refer to an exacerbation of a disease. Once someone has a flareup they start searching for a remedy to cure the flares. But perhaps it is more important to know what caused the flareup in the first place because as the adage goes “Prevention is better than cure.” Usually, Eczema flares are caused by some triggers.  There is a list of commonly known triggers. Avoiding these common triggers can prevent a flare-up and the associated symptoms.  Once you know what triggers flare your eczema, the best thing to do is to avoid those flares.

What Causes a Flare?

“What caused my Eczema to flare”, this is a question that bothers Eczema sufferers the most. It is very important for each individual to determine what causes their Eczema to flare or in other words what are the triggers that affect them the most. Usually, triggers are something that you encounter such as a certain type of clothing or something in the weather such as pollen or something that you have consumed.  Triggers are not the same for every individual. Different triggers may cause a flare in different people. Some of the most common triggers are intense sweating, scratchy woolen clothes, pet dander, hot or cold weather, harsh soaps, and cleansers.

It’s very hard to say accurately what is the exact cause of eczema for an individual. Probably the genes play a vital role. If your parents are prone to Eczema flares, you may be, too. Another reason could be a weak immune system that fails to defend the body from attacks of external factors ultimately causing a flare. This is common for both Atopic Dermatitis and Contact Dermatitis wherein the former is more thought of chronic condition and the later though not chronic as Atopic Dermatitis but occurs only when your skin touches an irritant. Nevertheless, both types get flares from Eczema triggers.

Eczema Flares are common in babies and kids too. Eczema Flares are more troublesome at younger ages because babies have very sensitive skin and it is hard to prevent children from scratching themselves. Quite often children grow out of Eczema as they grow up. It is very well known that Eczema cannot be cured. However, Eczema can be managed by reducing the number and severity of Eczema flare-ups.

How to effectively manage Eczema Flare-ups?

As mentioned earlier it is very important to try to reduce Eczema flareups by knowing and avoiding your triggers.

Prevention Measures to avoid Eczema Flares

Avoid Irritants: There are certain products that cause Eczema flares when they touch your skin. These could be cleansers, perfumes, laundry detergents, soaps or food items. To know what product actually causes your Eczema to flare, you will have to track the products and do elimination trials which means that eliminate a product from your daily routine or diet for some time and see if that helps your Eczema. It is safer to switch to odorless and colorless soaps, cleansers, or laundry detergent.

Indoor Pollutants: Often tiny particles in the environment can cause your eczema to flare. Some of these are Dust, Cigarette Smoke, Pet Dander, Mould, etc. It is always good to maintain hygiene at home and work. Dust regularly, avoid pets if you are allergic to them, quit smoking or hanging out with those who do.

Clothing: One of the common triggers and perhaps the closest one that irritates your skin are your clothes. Avoid Scratchy woolen clothes, wear breathable fibers avoiding multiple layers or the heavy ones which make you sweat.

If your skin type is dry take extra efforts to keep it moist. Use body lotion soon after the bath, use moisturizer two or three times a day. Maintain a good humidity level in your bedroom while sleeping to keep the air moist. Drink plenty of water to keep your skin hydrated.

Winter: Dry air combined with indoor heating systems robs the moisture from skin making it dry and more prone to eczema flares. Use a thick moisturizer immediately after a shower to lock moisture in the skin, avoid hot baths and keep it short (use lukewarm water). Avoid rubbing your body with rough towels, pat dry instead. Use a humidifier to maintain the humidity level and curb dry heat pumped by the heating systems.

Treating Eczema Flares

Topical Steroids: Over the counter steroid creams are vital in reducing the red, itchy flares. If they don’t work you may need a stronger dose that can be availed with the help of a physician.

Moisturise: Keep your skin moisturized as much as you can. It softens your skin relieving pain and reducing the eczema flare especially if it is caused by dry skin. Have plenty of water and other liquids to keep your skin hydrated.

Take a Bath: A look warm bath may give you relief during flares. But remember, keep the bath short (not more than 10 mins). Apply moisturizer soon after your bath so as to seal the moisture of the skin and preventing it from drying.

Avoid Scratching: Scratching usually damages the skin, which can itself cause more flares to occur. Try to reduce scratching whenever possible. You could try gently rubbing your skin with your fingers instead. Keep your skin covered with light clothing to reduce damage from habitual scratching.

Wet Wraps:  Designed for Eczema special medicated bandages, clothing or wet wraps can be used to cover the areas of flared skin. These bandages can be used over emollients or with topical corticosteroids to prevent scratching allowing the skin underneath to heal locking the skin moisture.

Antihistamines: If you have severe itching you can have a dose of Antihistamine as recommended by the physician especially during bedtime. Consider the side effects before consuming.

Care Plan: Maintain and follow a care plan created by either you or as recommended by your physician. It is very critical to take necessary action at the recommended time to overcome and manage flares effectively.

For timely recognition of flares and informed treatment decisions during clinic visits, guidelines advocate tracking of the disease by
a) monitoring possible triggers (e.g. allergens),
b) recording disease severity including specific symptoms and signs
c) response to therapy
Atopic dermatitis. The New England journal of medicine 2005; 352: 2314-24.

Manually maintaining detailed records of the triggers that you are being exposed to can be time-consuming. Also, it is important to record the regimen you are following and how well you are adhering to it. Traditionally people have maintained a paper diary to keep these records. Recently Health-Tech Companies have come up with Eczema Managing apps available that allow you to maintain digital records, tracking your regimens and triggers.

Visit a physician:

If your Flares don’t respond to your care plan, do not hesitate to visit your General physician. The Physician may recommend other topical or oral and may also recommend a referral to a dermatologist who can take a few tests and prescribe recommended medications.

UV Rays Boon or Bane for Eczema

Sunlight and Eczema
One of the challenges faced by people suffering from Eczema is the uncertainty in the timings of flares. For most people, Eczema flares show up without any prior warnings. While there is no complete cure for Atopic Dermatitis, knowing the triggers that evoke your symptoms may help in reducing the frequency of flares. Most people have their flares in winters and dry climate. Some people find that their eczema improves with exposure to sunlight while others experience a worsening of their condition. When exposed to sunlight, overheating may lead to excess sweating which when dries up leaves behind its salt content giving rise to itch and scratch cycle resulting in eczema flares. The type of Eczema which worsens when exposed to sunlight is called as photosensitive eczema.
 

Tips to Tackle sun  

  • Use an Eczema Safe Sunscreen with suitable SPF, when in sun for an extended period. 
  • Leave a gap between applications of emollient and sunscreen to avoid diluting the sunscreen 
  • Don’t be in the sun if it is strong especially between 11:00 am to 3:00 PM  
  • Use Hats, Shades and breathable cloths which can protect you from the sun but not heavy which may cause you to sweat. 
  • UV rays as a treatment for Eczema

In some cases, it is found that sun exposure improves eczema symptoms but the challenge is that you should be careful and do it in control. Studies reveal that exposure to sunlight triggers the release of a compound in the skin that alleviates the inflammation thereby easing the symptoms of Atopic Dermatitis.  

UV radiations from the sun can have damaging side effects too, including burning, aging and raising the risk of skin cancer. The trick here is not to overdo it. Sun exposure leads to increased vitamin D production, which can be great for the health of the skin. 

Due to the benefits of UV on eczema, it is used as a therapy wherein artificial UV waves very similar to the one produced by the sun are used to heal eczema flares. Exposure to UV waves has several benefits to the skin such as alleviating inflammation, inducing vitamin D, reducing itch, increasing the capability of the skin to tolerate foreign particles, etc. This therapy for Eczema using UV waves is called as phototherapy or Ultraviolet therapy for Eczema. 

Treatment 

Generally, dermatologist prescribes you phototherapy and is recommended only when all other treatment like applying emollients, steroids and other medications remain ineffective. The duration of the treatment depends upon the severity of the eczema symptoms. One is advised to apply moisturizer all over the body before exposure to UV lights.  The sessions may be reduced depending upon the response that one shows to UV therapy and can be stopped ultimately with a reduced cycle of once or twice a week. 

Managing Eczema in Dry Weather

Dry skin

The skin is the largest organ and the outermost layer of the body. It acts as a barrier to entry for foreign particles and is made up of cells containing water. Depending on our actions and surrounding conditions, pores in our skin allow water to evaporate. Weather conditions affect our skin and are hardest to control. Extreme weather conditions whether extreme heat or extreme cold and extremely dry or extremely humid, have a direct impact on people suffering from Eczema. In this article, we shall discuss the implications of dry weather conditions for Eczema sufferers.  

One of the most visible symptoms of Atopic Dermatitis is dry and scaly skin. It is well known that this condition in eczema worsens when the skin dries up. Dry weather combined with low temperatures especially in winters further worsens this condition causing eczema to flare. In other words, dryness acts as a trigger to cause a flare. Even people without eczema have an urge to scratch on waking up in dry weather 

It is very important for people suffering from eczema to retain skin moisture. When the weather is extremely dry, the air in the environment steals the moisture from the skin, drying it out and triggering an eczema flare-up. Moreover, alternating between cold and dry climate, when outdoors and indoors, can aggravate eczema symptoms. Often people find their dermatitis symptoms on parts of the body that are exposed to the weather elements 

How to manage eczema in dry weather? 

The best course to manage Eczema in extreme weather conditions is to make changes to your lifestyle. The quicker you adapt to the weather, the lesser the effect on Eczema. Custom care regimens given by doctors for individuals should take into account the effect of weather that the individual is exposed to.  

Managing eczema in dry weather

Moisturizing strategy 

One of the most effective, easy and cheap treatments is to use moisturizers abundantly. Moisturize skin at least twice a day. Lock the moisture in the skin to help hydration by applying moisturizer right after a bath on wet skin. This will help repair the skin barrier. Change your moisturizer strategy, especially in dry winter, use thick moisturizer instead of lotions (e.g. Petroleum jelly) soon after the bath and give a good amount of time for absorption. Though it may be tedious and time-consuming it ian effective strategy. Cover your hands and face with moisturizer before dropping out in the cold petroleum jelly and emollient can be used to cover the lips. 

Bathing  

Hot water baths heat up your body resulting in skin moisture being lost due to evaporation. Also, sudden changes in temperature may irritate skin. Use lukewarm water for bathing and keep baths short. Avoid harsh soaps with fragrance dye and alcohol, which can further dry and irritate the skin, rather use moisturizing soap. Moisturize immediately after a shower so that you can retain and lock the moisture. 

Comfortable clothes 

Use natural and fabrics and always try to dress in layers so that you can respond to changes in temperature. Do not dress too warm so as to cause a sweat which worsens Eczema giving rise to scratch and itch cycle. Avoid harsh and scratchy clothes especially woolen clothes which people wear to seek protection from cold 

Humidifier 

Generally during dry and cold weather, people use heaters and the heating system pumps in lot of hot air into the room. This hot air irritates eczema affected skin increasing the chance to flare. Use Humidifier to maintain the humidity indoors.  50% relative humidity is considered ideal for keeping eczema affected skin moist. Keep your house environment comfortable maintaining the temperature and humidity level so as to get sound sleep. 

Consume Liquids  

Even though you don’t feel thirst keep drinking water as our body tends to lose water via various processes as it is made up of 70% of water. Consuming liquids not only protect your skin from dry weather but also beautifies, gives a glow and keeps your skin supple and healthy. 

How to prevent skin allergies when pollen content is high?

Eczema Flares and Pollen content in the air

Atopic Dermatitis is a chronic skin condition that cannot be cured and has to be managed. The severity of Eczema varies over time and worsens due to some reasons which are called triggers.  There are different types of triggers and everybody is not affected in the same way by a trigger. When a person suffers from a breakout of Eczema i.e. the severity of Eczema worsens, she is said to be having a flareup.  

There’s a strong association between allergies and Eczema especially with triggers in the airCommon indoor triggers in the air include dust mites, pet dander, etc. Recent studies have also revealed a relationship between the development of eczema flares and Pollen content of the air. Pollen content and associated allergies are often seasonal and are most acute during the transition of spring to summer. 

Environmental allergens like pollen not only produce immediate allergic reactions but also interrupt the permeability barrier of the skin. The lipids released from pollen exhibit chemical and functional similarities to leukotrienes and prostaglandins (pollen-associated lipid mediators). They induce an immune response which exacerbates eczema symptoms causing flares. 

Pollen allergens enter the skin through hair follicles and generally can stay there up to 1 week. Hence, allergens penetrating the hair follicles may remain active for an extended period of time causing skin irritations and flares. 

Handling Eczema in High pollen content  

  • As the adage goes, prevention is better than cure. To prevent flares caused by pollen.

It is very important to know pollen content at your location or the place where you are planning to travel/visit so that necessary precautions can be taken.  

  • Tools such as EczemaLess which leverage AI can guide you with the pollen content of at your location and can give you a correlation between your flares and triggers. 
  • Studies have found that pollen triggers flares and exacerbates the symptoms only on the skin which gets directly exposed to it. So covering your body/skin completely while going out will prevent the direct contact of pollen to skin thereby avoiding the trigger and subsequent flares to a large extent. 
  • Avoid morning walks or being outdoor in the morning during spring as the pollen contents are high in the morning. Similarly, avoid freshly cut grass to prevent direct exposure to pollen in spring. 
  • Take a shower immediately after being outdoors for a while so that you can rinse off the allergens before they exacerbate any allergic reactions giving rise to immune response. 
  • If you the local pollen content is high keep your doors and windows shut to avoid this airborne allergen from entering your house. Keep your outdoor equipment and tools outside the house if not then at least outside your bedrooms so that you are not bringing pollen along with you in your resting place. 
  • Use Anti-allergy filters in your air conditioner to limit the exposure to pollens indoors. Using Air condition also help to keep the temperature in check thereby reducing the chance of sweat and ultimately itching.  
  • Do not forget to follow your daily care routine of applying moisturizers, wet wraps, showers, etc along with the extra care measures to manage your eczema effectively during the pollen season.
  • Keep your home clean using the tips to keep your home allergy-free.
     

Study Referred: Birch pollen influence the severity of atopic eczema Clin Cosmet Investig Dermatol. 2015; 8: 539–548. 

Food Allergy and Eczema

Eczema is a chronic skin condition that cannot be cured and has to be managed. The main goal of Eczema management is to keep flareups to the minimum and improve quality of living.  There are several triggers for Eczema but one of the most important ones is food. Typically people think that skin allergies are caused by substances that come in contact with the skin. Even though Food may not come in contact with skin, some food items are considered major triggers for Eczema.

What are Food Allergies?

Our Body’s immune system works in a way by fighting out infections and other substances which could be harmful to our good health. Food allergy is a response from the body’s immune system that occurs soon after eating a certain food. It occurs when our immune system wrongly identifies some of the proteins in the food or a substance in a portion of food as a danger, thereby, triggering a protective response. When someone is allergic to a particular food, even a tiny amount of that allergy-causing food may result in triggering the signs and symptoms of the allergy such as digestive problems,  respiratory problem, swollen airways, inflammation of the skin resulting in Eczema, etc.

The body’s immune system keeps you healthy by fighting off infections and other dangers to good health. A food allergy reaction occurs when your immune system overreacts to a food or a substance in a food, identifying it as a danger and triggering a protective response.

The substances that cause allergies are called allergens. In this case, any food or its substance for which a person is allergic is an allergen.

What Causes Food Allergies?

Let’s take an example of a kid with a peanut allergy. When this kid eats a peanut-topped brownie his immune system mistakenly identifies peanut ingredient in the food as harmful and a threat to the body. In response, his immune system triggers cells to release an antibody known as IgE (immunoglobulin E) to neutralize the allergy-causing substance (allergen). Now next time when the same kid eats any substance that contains peanut or has peanut as an ingredient, IgE antibodies sense it and as a threat and signals the immune system to release a chemical called histamine, as well as other chemicals, into the bloodstream. These chemicals cause allergy symptoms.

Are Food Allergy and Food Intolerance same?

In a lot of situation people often get confused between Food Allergy and Food Intolerance leading them to incorrect treatments. Food intolerance has nothing to do with the immune system and has symptoms mostly related to bowel like bloating, gas, burping, loose stools, and others like headache, nervousness, etc. The main reason for food intolerance is because the person is unable to digest a particular substance like lactose (the phenomenon called as lactose intolerance). Food Intolerance is not as dangerous as food Allergy which may in some case be life-threatening.

Although it depends upon person to person for the kind of food allergy he has and a person can be allergic to any food, but it is found that almost 90 % of food allergy is caused by the food category Eggs, Milk, Peanuts, Tree Nuts, Fish, Shellfish, Wheat and Soy.

Common Food AllergensAllergies can be hereditary that means it they can be inherited from parents to their kids through genes. But it is not necessary that if one or both the parents have an allergy all their kids will have the same, it just increases the chances and many people develop an allergy even without their parents having it.

Food triggers in eczema

For sufferers of Eczema, a particular food item or multiple food items can act as triggers. Being one of the commonest triggers, food allergy often triggers a rash and a general itchy feeling, which can start the scratch-itch cycle of eczema. A sufferer of Eczema may experience a flare-up immediately after consuming the food they are allergic to. Food allergy-causing eczema is also closely related to intestinal hyperpermeability otherwise known as “Leaky Gut Syndrome”

Some of the common Food Triggers that cause eczema flares are mentioned below

Gluten and foods containing Gluten
Gluten is a protein that is commonly found in wheat, barley, rye, etc.  Gluten has been shown to contribute to eczema symptoms and act as a trigger for flare-ups.

Soy
Soy and its well-known forms like  tofu, soy milk, soy yogurt, soy ice cream, soy cheese, and soy flour can flare-up your Eczema as it is considered to be a common allergen for people suffering from Eczema

Sugar
Sugar and refined carbohydrates are pro-inflammatory by nature which is a contributing factor in eczema. Moreover, it is found that eczema is linked with the presence of bad gut bacteria and fungus such as Candida Albicans which thrive on sugar.

Dairy
Whether its food intolerance or food allergy the first food group that is advised to be eliminated from a sufferer’s diet are dairy products which are considered to be pro-inflammatory in the body. This is because some of the dairy products like cows milk contain large protein molecules that are difficult to digest or recognized as an allergen by the immune system

Egg
Eggs as such have no effect on eczema unless the patient has an allergy to eggs. An egg allergy can cause increased levels of histamine in the body, which leads to an outbreak of eczema.

Processed food

Processed food contains things like food dyes, additives, and preservatives which are pro-inflammatory and may cause eczema to flare. It is shockingly sad that 60% of American’s daily calories come from processed diet as per a study published in the journal BMJ Open conducted by the University of Sao Paulo.

These apart foodstuffs which are considered to be superfoods such as avocado and Brocolli are also found to worsen eczema symptoms this is due to the rich source of salicylates and other amines.

Treatment

Food can be a trigger for worsening eczema by causing flare-ups but is not the cause of eczema. This means that avoiding the food is not likely to cure eczema but will help to reduce the eczema flares. Since Eczema cannot be cured the goal is to get rid of Eczema symptoms i.e. flareups as much as possible and prevent them from happening.
Eczema treatment is multifaceted which requires multiple things to be taken care of and doesn’t depend on anyone action.

Elimination Diet

Elimination Diet Protocol

Often Dermatologists recommend an elimination diet to identify food triggers that cause eczema flares. The standard procedure is that some food items are eliminated from the sufferer’s diet and added back to the diet. For e.g., If flares seem to occur after consuming wheat, don’t consume wheat or any wheat products for a few days or weeks. Monitor your symptoms for improvement. If your eczema improves, slowly reintroduce wheat back into your diet. If symptoms return, wheat is likely an eczema trigger for you. Removing these foods from your diet could promote healthier skin.
If you think you might be allergic to a certain food, bring this up to your doctor. They can refer you to an allergist for further testing. Avoiding highly processed foods can reduce your potential for exposure, and is thought to be beneficial for overall health as well.

Keep record

A food journal or diary will be helpful to maintain the records of everything you eat as well as your symptoms over a period of time. And when you get a flare you can quickly refer your diary to narrow down a particular meal and the food you had in that meal.

It may be little hectic and too much paperwork to keep a record of your diet and symptoms with date and time but it’s the best way to identify the culprit food. Keeping record nowadays is very easy with help of an app like EczemaLess which not only helps you to keep a record of your diet, symptoms, and flareups but also your care plan, current therapy and its effect on eczema severity just at your fingertips.

Some Tips to follow

  • When consuming outside food Be sure to read food labels carefully and know what you’re eating and drinking.
  • While dining at restaurants be sure that your server or chef is aware that you can’t eat the food that causes you flares, and you need to be completely sure that the meal you order doesn’t contain that
  • Plan your meals and snacks before when you travel or go to an event carrying a cooler packed with allergen-free food.

Eliminating certain foods and avoiding food can only prevent the flares but to keep the symptoms in check carry out your routine eczema treatment of moisturizing, applying topical ointments, etc.

Always Remember eliminating a group of food or diet restrictions can lead to poor nutrition adults and malnutrition and growth delay in babies and children. Speak with your health care provider about maintaining a well-balanced diet and keep her informed and get her approval before making a certain change to your diet.