Managing Excessive Foot Skin Shedding in Seniors: Tips and Solutions - Dermatology

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Foot skin issues?


Hello Doctor: I have a question on behalf of my grandfather (68 years old).
He experiences excessive shedding of skin from his feet every day, leaving a lot of skin flakes on the bed.
He does not rub his feet, yet the skin continues to fall off naturally.
Every day, we have to sweep the bed to clean up the skin flakes, which is quite excessive.
We have tried applying lotion and exfoliating, and although his feet feel smooth right after exfoliation and moisturizing, the skin starts to shed again after 3-4 days.
This situation is making the hygiene of his sleeping environment quite poor.
If needed, actual pictures can be found at these two links: https://i.imgur.com/bxbezDJ.jpg and https://i.imgur.com/wqydZQy.jpg.
My grandfather finds it troublesome and is unwilling to see a dermatologist, so I am seeking online consultation for him.
I would like to know how we can improve this condition or if you have any suggestions.
Thank you for your time, and I hope we can resolve this long-standing issue.

Mi Mi, 20~29 year old female. Ask Date: 2022/06/20

Dr. Li Yufen reply Dermatology


Hello: The two online photos only show the peeling skin on the feet, and do not provide information about the condition of the skin itself, making it difficult to determine the possible causes.
If it is a peeling type of athlete's foot, treatment with antifungal ointment is necessary for improvement.
If the skin condition does not improve or worsens, it is advisable to consult a dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2022/06/20

More Info


Managing excessive foot skin shedding, especially in seniors, can be a challenging issue that requires a multifaceted approach. Your grandfather's condition, characterized by significant skin shedding from his feet, may be attributed to several factors, including age-related skin changes, underlying medical conditions, or environmental influences. Here’s a comprehensive overview of potential causes and solutions.


Possible Causes
1. Aging Skin: As people age, their skin naturally becomes thinner and loses moisture. This can lead to increased dryness and flaking. The skin's ability to regenerate slows down, which may contribute to the excessive shedding observed.

2. Dermatological Conditions: Conditions such as eczema, psoriasis, or athlete's foot can cause excessive skin shedding. These conditions often require specific treatments to manage symptoms effectively.

3. Fungal Infections: Fungal infections, particularly tinea pedis (athlete's foot), can lead to peeling skin. This is often accompanied by itching, redness, and sometimes a foul odor.

4. Environmental Factors: Dry air, particularly in winter months, can exacerbate skin dryness. Additionally, prolonged exposure to moisture (like wearing damp socks) can lead to skin issues.

5. Systemic Conditions: Certain systemic conditions, such as diabetes or thyroid disorders, can affect skin health and lead to increased shedding.


Recommended Solutions
1. Moisturizing: While you mentioned that moisturizing has been tried, it's crucial to use a high-quality, thick moisturizer specifically designed for dry skin. Look for products containing urea, lactic acid, or glycerin, which can help retain moisture. Applying moisturizer immediately after bathing can help lock in moisture.

2. Gentle Exfoliation: While you’ve attempted to exfoliate, it’s important to do so gently. Over-exfoliating can irritate the skin and lead to more shedding. Consider using a pumice stone or a foot file on damp skin, followed by a rich moisturizer.

3. Foot Soaks: Regular foot soaks in warm water with Epsom salts can help soothe the skin and reduce shedding. After soaking, ensure to dry the feet thoroughly and apply moisturizer.

4. Fungal Treatment: If there’s any suspicion of a fungal infection, over-the-counter antifungal creams may be beneficial. Look for products containing clotrimazole or terbinafine.

5. Hydration and Diet: Encourage your grandfather to stay hydrated and maintain a balanced diet rich in vitamins and minerals, particularly omega-3 fatty acids, which can improve skin health.

6. Footwear Choices: Ensure that your grandfather is wearing breathable footwear and moisture-wicking socks. This can help reduce moisture buildup and prevent skin issues.

7. Consultation with a Specialist: While your grandfather may be reluctant to see a dermatologist, it’s essential to consider a professional evaluation, especially if the shedding persists or worsens. A dermatologist can provide a definitive diagnosis and tailored treatment plan.

8. Regular Foot Care Routine: Establishing a consistent foot care routine can help manage the condition. This includes regular washing, drying, moisturizing, and monitoring for any changes in the skin.


Conclusion
Excessive skin shedding from the feet can be a nuisance, particularly for seniors. By implementing a comprehensive foot care routine that includes moisturizing, gentle exfoliation, and possibly antifungal treatments, you may be able to alleviate some of the symptoms. However, if the condition persists, seeking professional medical advice is crucial to rule out any underlying issues. Regular foot care not only improves hygiene but also enhances overall foot health, contributing to your grandfather's comfort and well-being.

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