Managing Eczema: Tips for Winter Skin Care and Dietary Considerations - Dermatology

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Atopic dermatitis


Every winter, my skin tends to become very dry, especially after bathing.
I use lotion, including brands like Sheer and Aveeno Eczema Therapy Moisturizing Lotion, and I also take probiotics, but there hasn't been much improvement.
I visited a dermatologist and used prescribed topical medications, but they don't seem to help much.
Are there any dietary considerations I should be aware of? Recently, I've developed dark patches all over my body due to scratching.
What can I do to improve this condition?

Xiao Huang, 20~29 year old female. Ask Date: 2013/02/19

Dr. Li Yufen reply Dermatology


Hello: Atopic dermatitis requires special attention to skin hydration during the winter.
It is advisable to use a moisturizer specifically designed for atopic dermatitis that has good moisturizing properties and anti-itch effects, which can be applied multiple times a day.
If itching persists, oral antihistamines may be considered, or applying ice packs to the affected areas can help.
It is important to avoid scratching to prevent worsening the itch or developing secondary bacterial infections.
Regarding diet, it is generally recommended to avoid irritating foods, or you may consider undergoing allergy testing to identify any food allergens.
Thank you!

Reply Date: 2013/02/19

More Info


Managing eczema, especially during the winter months, can be particularly challenging due to the combination of cold weather and low humidity, which can exacerbate skin dryness and irritation. Here are some comprehensive tips for winter skin care and dietary considerations that may help alleviate your symptoms.


Skin Care Tips for Eczema in Winter
1. Moisturization: It is crucial to maintain skin hydration. While you are already using lotions, consider switching to thicker creams or ointments, which provide a better barrier against moisture loss. Look for products that contain ingredients like ceramides, glycerin, urea, or hyaluronic acid, which help to lock in moisture. Applying moisturizer immediately after bathing can help trap moisture in the skin.

2. Bathing Habits: Adjust your bathing routine to prevent further drying of the skin. Use lukewarm water instead of hot water, as hot water can strip the skin of its natural oils. Limit bath time to 10-15 minutes and consider adding colloidal oatmeal or bath oils to the water to soothe the skin.

3. Gentle Cleansing: Use mild, fragrance-free cleansers that do not contain harsh detergents. Avoid products with alcohol, which can dry out the skin. After bathing, gently pat your skin dry with a towel instead of rubbing it.

4. Clothing Choices: Wear soft, breathable fabrics like cotton, and avoid wool or synthetic fibers that can irritate the skin. When using blankets or bedding, opt for hypoallergenic materials that are less likely to cause irritation.

5. Humidity Control: Use a humidifier in your home, especially in your bedroom, to add moisture to the air. This can help prevent your skin from drying out overnight.

6. Avoid Scratching: It can be difficult, but try to avoid scratching the affected areas, as this can lead to further irritation and potential infection. Keeping your nails short and wearing gloves at night may help reduce scratching.

7. Topical Treatments: If over-the-counter moisturizers and treatments are not effective, consult your dermatologist about prescription topical corticosteroids or calcineurin inhibitors, which can help reduce inflammation and itching.


Dietary Considerations
1. Identify Triggers: Certain foods may trigger or worsen eczema symptoms. Common culprits include dairy, eggs, nuts, soy, and gluten. Keeping a food diary can help you identify any potential food sensitivities or allergies.

2. Anti-Inflammatory Diet: Incorporate foods that have anti-inflammatory properties, such as fatty fish (rich in omega-3 fatty acids), fruits, vegetables, nuts, and seeds. Foods high in antioxidants, like berries and leafy greens, can also support skin health.

3. Hydration: Ensure you are drinking plenty of water throughout the day to stay hydrated, which can help maintain skin moisture levels.

4. Probiotics: Since you mentioned taking probiotics, continue to do so, as they may help improve gut health and potentially reduce eczema flare-ups. Foods rich in probiotics include yogurt, kefir, sauerkraut, and kimchi.

5. Consult a Professional: If dietary changes do not seem to help, consider consulting a registered dietitian or nutritionist who specializes in skin conditions for personalized advice.


Conclusion
Managing eczema during winter requires a multifaceted approach that includes proper skin care, dietary adjustments, and lifestyle changes. By implementing these strategies, you may find relief from dryness and irritation. If your symptoms persist or worsen, it is essential to follow up with your dermatologist for further evaluation and treatment options. Remember, consistency is key in managing eczema effectively, so stick to your routine and make adjustments as needed.

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