Itchy Skin: Allergies, Stress, and Mental Health Impact

The skin is very itchy?

In the past, during middle school and the first two years of high school, I did not experience skin itching while studying.
However, later on, I began to have skin itching.
I have a lean physique, and I understand that my lack of itching when I was younger was due to heightened parasympathetic nervous system activity.
Now that I am older, my sympathetic nervous system seems to be relatively overactive, leading to allergic skin itching.
Additionally, I have bipolar disorder, which has made me feel almost useless in my studies.
Although I attended good schools, I need to focus on studying to pass my licensing exams.
I have tried various Western medical treatments, which have advised me to avoid allergens (even though my allergy levels are already quite low) and to take antihistamines.
I have expressed my reluctance to use corticosteroids.
Would traditional Chinese medicine be more beneficial for me? Or is it possible that my body is simply no longer suited for studying, even though I performed well academically in the past, I still struggle to achieve success?

Niming, 30~39 year old female. Ask Date: 2020/03/08

Dr. Ye Qianyu reply Family Medicine

Hello! There are many reasons for skin itching, including cold, heat, emotions, and allergens (such as bacteria, viruses, fungi, dust mites, pet dander, cockroaches, etc.), all of which can trigger allergic reactions.
Based on your description, there are several potential causes for your skin itching that you may need to address one by one.
Since you are on the lean side, if you have dry skin, it can also lead to itching.
I recommend ensuring you drink enough water; if there are no contraindications, you can drink 2000cc of warm water daily.
Additionally, establish a regular exercise routine; you can start with 5-10 minutes of aerobic exercise each day and gradually increase it to 30 minutes based on your fitness level.
It is also advisable to find a trusted physician for regular follow-up visits, as this will help address your issues more effectively.
Considering herbal medicine for regulation is an option; I suggest consulting a licensed traditional Chinese medicine practitioner for a prescription rather than relying on unverified remedies.
Education is a lifelong endeavor, and I believe you can still achieve your goals, although your current mental and physical state may feel chaotic and disrupted.
I recommend organizing a structured daily routine, such as setting fixed study times and adhering to them daily, which will gradually help you get back on track.
Thank you for your inquiry, and I wish you a speedy recovery!

Reply Date: 2020/03/08

More Info

It sounds like you're experiencing a complex interplay of physical and psychological symptoms that are significantly impacting your quality of life. It’s important to understand that skin conditions, such as itching, can indeed be influenced by a variety of factors, including allergies, stress, and mental health issues.

Firstly, let’s address the connection between stress and skin conditions. Stress can exacerbate existing skin issues or even trigger new ones. When you are under stress, your body releases hormones like cortisol, which can lead to inflammation and other skin reactions. This is particularly relevant for conditions like eczema or atopic dermatitis, where stress can worsen the symptoms. In your case, the transition from a time when you felt less itchy to now experiencing significant itching could be related to increased stress levels or changes in your mental health status, such as the bipolar disorder you mentioned.

Moreover, your mention of having a history of good academic performance but now feeling like you are struggling could be contributing to your stress levels. The pressure to perform, especially when preparing for an important exam, can lead to anxiety, which may manifest physically as itching or other skin irritations. It’s not uncommon for individuals with mental health conditions to experience somatic symptoms, where psychological distress presents as physical symptoms.

Regarding your concerns about allergies, it’s worth noting that even if your allergy tests show low sensitivity, it doesn’t completely rule out the possibility of having a reaction to certain environmental factors. Sometimes, skin reactions can be due to irritants rather than allergens, or they may be related to other underlying conditions. If you have already tried antihistamines without relief, it may be beneficial to consult with a dermatologist or an allergist who can provide a more comprehensive evaluation and possibly recommend alternative treatments.

As for the use of corticosteroids, it’s understandable to be hesitant about them due to potential side effects. However, they can be very effective for managing inflammation and itching in certain skin conditions. Discussing your concerns with your healthcare provider can help you weigh the benefits and risks.
You also mentioned considering traditional Chinese medicine (TCM). Some individuals find relief through herbal remedies and acupuncture, which can help balance the body's systems and reduce stress. However, it’s crucial to consult with a qualified practitioner who can tailor the treatment to your specific needs and ensure it doesn’t interfere with any medications you may be taking.

In conclusion, it’s essential to address both the physical and psychological aspects of your symptoms. Engaging in stress-reduction techniques, such as mindfulness, yoga, or therapy, can be beneficial. Additionally, maintaining a healthy lifestyle, including a balanced diet and regular exercise, can support your overall well-being. If your symptoms persist or worsen, seeking a multidisciplinary approach involving dermatologists, mental health professionals, and possibly alternative medicine practitioners may provide a more holistic solution to your concerns. Remember, you are not alone in this, and there are resources and support available to help you navigate these challenges.

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