What can I do for eczema?

do for eczema

Are you wondering ‘What can I do for eczema?’ How many creams and lotions have you had to use just for it to come back with vengeance? There is so much more to this condition than meets the eye and a lot that can be done to help. Read on!

Why does eczema happen?

Atopic dermatitis/eczema (AD) is multifactorial involving alterations in cell mediated immune responses, barrier dysfunction, IgE mediated hypersensitivity and environmental factors.

Alterations in barrier function along with immune dysregulation are thought to be first step in the development of atopic dermatitis with each of them work cyclically with one another to maintain the eczema presentation (2). 

Impaired barrier function with a high rate of transepidermal water loss places a person at risk of developing eczema (1). Defects in the skin barrier proteins such as keratins, intracellular proteins and transgluataminases facilitate a dysregulated immune response to external environmental antigens and drive an inflammatory skin response (1). 

Why does it itch?

We know the itch of eczema too well and it is caused by the release of histamine in the body. Histamine is released by a subset of sensory neurons which cause itch and allergic inflammation, which is why many people with eczema see a worsening of symptoms when eating high histamine foods (1). 

The importance of lipids (fats) cannot be ignored in patients with eczema. Ceramides, long chain fatty acids and cholesterol contribute to the lipid matrix that makes up the skin. In patients who experience eczema we see a decreased level of long chain ceramides and long chain fatty acids which are reduced by inflammatory Th2 cytokines (1). Th2 cytokines are associated with an increased inflammatory response in eczema as this cytokine reacts to environmental allergens (1). 

The relationship to your skin microbiome

The microbiome of the skin is particularly important in eczema with patients having decreased bacterial diversity with increased opportunistic Staphylococcus and Corynebacterium bacteria. High levels of opportunistic bacteria can increase proinflammatory cellular reactions (1).  

Patients with eczema also have significantly lower numbers of intestinal Bifidobacterium and higher numbers of Staphylococcus (1,2). Overgrowth of opportunistic bacteria such as Escherichia coli and Clostridium difficile, increases intestinal permeability causing a cascade effect on immunity and skin barrier function (1, 2).  There’s a lot you can do for eczema on a skin microbiome level.

How can eczema be treated?

Studies have shown that frequent application of appropriate moisturisers (ceramide dominant or lipid mixtures) can reduce skin inflammation, enhance skin hydration, decrease bacterial colonisation and improve skin barrier function, decreasing the need for topical corticosteroids (1,3). Creams that contain the following have measurable effects on skin barrier function and inflammatory mediators: ceramides, hyaluronic acid, dimethicone, licorice extract (glycyrrhetinic acid), and palmitoylethanolamide (3). 

  • Appropriate probiotics have proved beneficial in the prevention and treatment of eczema through modulating the gut bacteria and immune response (3). 
  • Wearing appropriate clothing textiles such as cotton and silk has been shown to reduce the number of eczema breakouts and aid in cream absorption (3). 
  • Therapeutic bathing in natural mineral rich water and gentle sun exposure has been shown to promote skin healing and improvement in eczema appearance (3). 
  • Natural oils applied directly to the skin have been shown to improve skin hydration, exert anti-inflammatory, antioxidant and antimicrobial effects reducing chronic and acute skin inflammation (3). 
  • In depth dietary analysis is necessary to identify food sensitivities/allergies that may be contributing to sustained eczema presentation or acute eczema flares. Hypersensitivity to certain foods is seen in 85% of eczema patients. (3)

Eczema/AD are complex conditions that require in depth analysis and targeted treatment to get results. There’s a lot that your naturopath can do for eczema, including prescribing you an appropriate plan to help to get your eczema under control, which may include targeted lotions and assisting you with an overall assessment of your lifestyle and the factors that contribute to the expression of eczema/AD with you.

Written by Lucy Moores, Naturopath and Nutritionist at The Melbourne Apothecary. 

If you’re looking for help with your eczema, book in a free 10 minute chat with our Naturopath and Nutritionist Lucy by navigating to heading ‘Naturopathy – Melbourne Apothecary’

 

References

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399565/
  2. https://pubmed.ncbi.nlm.nih.gov/29063428/
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4518179/ 

Self Care for Autumn Changes

Autumn Changes with Reina Hanaoka from Fertile Ground Health Group

How to look after yourself in Autumn

According to Eastern medicine, Autumn is the driest season. What can you do to support yourself during this transitional time and the impacts that this shift has on your system?

You might notice that your skin can start to feel dry and itchy, your mind unsettled and distracted, and some discomfort in your joints and muscles. This can occur because as Summer bends slowly into the cold and windy days of Winter, the dryness in our bodies can mirror the inherent dryness of the Autumn weather shaping the environment around us (like the leaves browning and falling crisp to the ground).

Our lungs and large intestines are more vulnerable in Autumn, which can lead to constipation and/or bloating. Asthma and/or a dry cough are also common in this season.  It is important to look after yourself now so that your body can get ready for the cold Winter season without any trouble.

How to prevent dryness in the body.

Keep warm and moist

Swap out your shower for a warm bath with Epsom salts. This can provide both warmth and moisture at the same time to your body. Adding some oil into the bath in addition to the Epsom salts helps to keep your skin moist even after the bath. You can add warming essential oils like Cinnamon or Ginger to your bath to really bring the warmth to your body. 

Eat warm food

To support good digestion, avoid any cold foods from Summer (eg. Salad, cold drinks, smoothies etc.) Eating cooked, warm vegetables with warming spices can help to reduce any bloating and constipation that you might be experiencing.

Get an oil massage

As previously mentioned, oil is amazing for adding moisture to the body and massage helps to bring heat and warmth by increasing your circulation. Not only do oil massages relax your body and mind, they also help to prevent some of the conditions associated with the Autumn season. 

When you get an oil massage, on top of great outcome of the body releasing tension, the skin also absorbs all the benefits from oil itself. As a result, the skin is moisturised, movement in your joints and digestive system are soothed and busy minds start to calm down. You can add simple self-oil massage as a small routine at home with warming essential oils. Or if you don’t know how to do self massage, you can even just rub oil into your body to access the benefits.

Tips for self-oil massage at home
  1. Warm the oil before use (but not too hot!) and optionally – you can add essential oils
  2. Apply oil all over the body (don’t forget your head, ears and back of feet)
  3. Gently massage the body. Use circular movements (don’t worry about technique too much)
  4. Apply extra oil into the part of body you feel any discomfort (stomach, joints, skin or chest area)
  5. Keep oil on the skin 5-10 min
  6. Have a warm shower or bath

It’s a great idea to adjust your lifestyle to be in rhythm with the seasons and not against them. Understanding the seasons can give you an idea of what adjustments you can make to optimise your health. I believe that making these small, habitual changes to everyday life are the most beneficial way to achieve a healthier body and mind.

Written by Massage Therapist, Reina Hanaoka, who is also expanding her knowledge and and completing a course in Ayurvedic lifestyle consultancy. Book in a Massage with Reina to help you enhance your health this Autumn.