Improving Eczema Symptoms at Night and Winter: Diet and Fitness Tips

Q: Improving Eczema Symptoms at Night and Winter: Diet and Fitness Tips

Hello： For a detailed introduction to atopic dermatitis, you can refer to https：//www.google.com.tw/amp/s/www.medpartner.club/atopic-dermatitis-care-cure/. <br>The recurrence of atopic dermatitis is generally not related to exercise; it is still recommended to maintain a regular

If atopic dermatitis flares up during nighttime sleep or when the skin becomes dry in winter, how can it be improved? Additionally, what is the relationship between dermatitis and exercise? Are there any foods to avoid?

Hello Dr.
Lee,
I am from Kaohsiung and I am experiencing insomnia.
I apologize for the intrusion, but I would like to ask you about atopic dermatitis.
Does it typically flare up during the night while sleeping or in winter when the skin becomes dry? How can I improve this condition? Additionally, is there a connection between skin inflammation and individuals who engage in bodybuilding?
Are there specific foods that should be avoided for those with dermatitis? I regularly visit a dermatologist who has prescribed Betamethasone and Miconazole topical medications, which I apply twice daily, but I still experience flare-ups.
How can I improve this situation? The dermatologist mentioned avoiding spicy foods, alcohol, and seafood, but did not specify which foods to avoid.
Can I eat sweets? Is it okay to drink strong tea? Which fruits are safe to eat, and which should be avoided?
I hope Dr.
Lee can help answer these questions.

Thank you,
Mr.
Chen from Kaohsiung

Mr. Chen, 30~39 year old female. Ask Date: 2020/01/12

Dr. Li Yufen reply Dermatology

Hello: For a detailed introduction to atopic dermatitis, you can refer to https://www.google.com.tw/amp/s/www.medpartner.club/atopic-dermatitis-care-cure/.
The recurrence of atopic dermatitis is generally not related to exercise; it is still recommended to maintain a regular routine and engage in moderate physical activity! Regarding food allergies, individual responses can vary significantly.
If skin symptoms worsen noticeably after consuming certain foods, it is advisable to avoid those foods.
If skin symptoms do not improve or worsen, it is recommended to consult a dermatologist for diagnosis and treatment at http://www.derma.org.tw/user_finddoctor.php.
If the lesions continue to recur, you may also consider visiting a major hospital for allergy testing through blood work.
Thank you!

Reply Date: 2020/01/12

More Info

Dear Chen,
Thank you for reaching out with your concerns regarding eczema, especially as it relates to nighttime flare-ups and the challenges posed by winter. Eczema, or atopic dermatitis, can indeed be exacerbated by various factors, including diet, environmental conditions, and lifestyle choices. Let's delve into some strategies that may help alleviate your symptoms.

Understanding Eczema and Its Triggers
Eczema is characterized by dry, itchy, and inflamed skin. It can be particularly troublesome at night when the skin tends to lose moisture, and the body's natural circadian rhythms can influence inflammation. Winter exacerbates these symptoms due to lower humidity levels and cold air, which can dry out the skin further.

Dietary Considerations
1. Identifying Trigger Foods: As you mentioned, certain foods can trigger eczema flare-ups. Common culprits include:
- Dairy Products: Milk and cheese can sometimes exacerbate symptoms.

- Eggs: Some individuals with eczema find that eggs worsen their condition.

- Nuts: Particularly tree nuts and peanuts.

- Wheat: Gluten sensitivity can also play a role in skin health.

- Soy Products: These can be problematic for some people.

It’s essential to keep a food diary to identify any specific foods that may trigger your eczema.
2. Avoiding Inflammatory Foods: Foods that promote inflammation can worsen eczema symptoms. These include:
- Spicy Foods: As you noted, spicy foods can trigger flare-ups.

- Alcohol: It can dehydrate the skin and trigger inflammation.

- Seafood: Some people with eczema report worsening symptoms after consuming shellfish or fish.

3. Sweet Treats and Caffeine: While sweets can be tempting, high sugar intake may lead to increased inflammation. Similarly, excessive caffeine from strong teas can dehydrate the body, potentially worsening skin conditions. Moderation is key.

4. Fruits and Vegetables: Generally, fruits and vegetables are beneficial due to their vitamins, minerals, and antioxidants. However, some individuals may react to specific fruits, particularly citrus fruits. It’s best to monitor your reactions to different types.

Lifestyle and Fitness Tips
1. Hydration: Staying well-hydrated is crucial, especially in winter. Drink plenty of water throughout the day to help maintain skin moisture.

2. Moisturizing Routine: Apply a thick moisturizer immediately after bathing to lock in moisture. Look for products that are fragrance-free and formulated for sensitive skin.

3. Exercise: Regular physical activity can improve overall health and may help reduce stress, which is a known trigger for eczema flare-ups. However, be cautious with gym environments; sweat can irritate the skin, so showering promptly after workouts and moisturizing afterward is essential.

4. Sleep Hygiene: Since you mentioned sleep disturbances, establishing a calming bedtime routine can help. Consider using a humidifier in your bedroom to maintain moisture in the air, which can be beneficial for your skin.

Medical Management
Since you are already under the care of a dermatologist and using topical medications like Betamethasone and Miconazole, it’s crucial to continue following their guidance. If you find that your symptoms persist despite these treatments, consider discussing the possibility of other therapeutic options, such as phototherapy or systemic medications, with your dermatologist.

Conclusion
Managing eczema, particularly during challenging seasons like winter, requires a multifaceted approach that includes dietary adjustments, lifestyle changes, and consistent medical care. By identifying and avoiding trigger foods, maintaining a proper skincare routine, and ensuring adequate hydration, you can work towards minimizing your symptoms.
If you have further questions or need personalized advice, I recommend consulting with a registered dietitian who specializes in dermatological conditions. They can provide tailored dietary recommendations based on your specific needs.

Wishing you all the best in your journey towards healthier skin!
Sincerely,
Doctor Q&A Teams
[Your Credentials]

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