What Else Can I Do To Help Manage Eczema
There are many factors that may be involved in eczema onset and severity. Making minor dietary and lifestyle changes can assist in the management of eczema symptoms. Some positive changes you can make include:
- Consume a healthy well balanced diet that is rich in fresh fruit and vegetables, whole grains and essential fatty acids such as those from cold water fish, nuts and seeds.
- Replace inflammatory fats from foods such as meat products, poultry and dairy with the anti-inflammatory poly-unsaturated fats such as those from deep sea fish, avocado, olive oil, nuts and seeds.
- Identify and avoid any foods that you might be sensitive to, as they may trigger or exacerbate eczema symptoms.
- Aim to drink 1.5 2 litres of water daily to help support the detoxifying capacity of the body.
- Avoid exposure to toxins and chemicals that may aggravate eczema symptoms such as those found in many household cleaning products and skin care products. When possible, opt for bio-degradable cleaning fluids and skin care products based on natural ingredients such as vitamin E and olive oil.
What The Experts Say
âProbiotics are essential to the development of healthy gut microbiota â and that starts at birth. Supplemental probiotics are not necessary for breastfed babies as breastmilk contains both pre and probiotics. However, if you are looking to increase your babyâs probiotic intake and provide the 400 IU supplemental vitamin D recommended for breastfed babies, try Culturelle Baby Grow + Thrive Probiotics and Vitamin D drops.
If your baby is not breastfed, check your formula to see if it contains probiotics â if not, it may be beneficial to add one like Enfamil Infant Probiotics Dual Probiotics. As with any supplement, consult your pediatrician before adding a probiotic to your babyâs diet.âAnne Cook Carroll, MS, RDN
How To Eat To Improve Your Gut Health
ZOEs scientific co-founder Prof. Tim Spector recommends eating a small amount of probiotic-rich foods each day to help maintain your general gut health.
You should also eat plenty of plants containing fiber, called prebiotics, which feed your gut microbes and help them to thrive.
Examples of prebiotic foods include onions, bananas, asparagus, legumes like chickpeas and lentils, and whole grains.
These are broad guidelines everyone can follow, but at ZOE, we know that theres no one-size-fits-all approach to gut health and nutrition.
Our scientists identified 15 good gut bugs linked to markers of better health and 15 bad bugs that are indicators of worse health.
With the ZOE at-home test, you find out which of these good and bad bugs live in your gut. The test also analyzes your unique blood sugar and blood fat responses, which are all important aspects of your metabolic health.
The ZOE program gives you personalized nutrition advice to help you pick the best foods for your gut and your overall health.
Take our free quiz to find out what ZOE can do for you.
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Probiotic Supplements Arent Proven To Work For Eczema
Ive been asked a lot if I recommend taking probiotics for eczema. Ive even been approached by companies asking me to promote their probiotics for eczema!
As most of you know, my approach to eczema is known for the gut-skin connection, and while I would love to find you something that could work like a magic pill for your gut, the truth is that immune system health needs more than just healthy bacteria.
No matter what the Drug and Supplement Companies claim, relying on a supplement wont get you long-term results.
In regards to probiotics for eczema, for me there just isnt enough evidence that SOLEY taking a probiotic supplement works.
Consider this if youre looking into probiotics for eczema:
In a case study in Asia, probiotic supplementation were given in the first 6 months of life to infants. Researchers found that early life administration of a cows milk formula supplemented with probiotics showed no effect on prevention of eczema or allergen sensitisation.
Another study on probiotics preventing food allergies to eczema showed that prevention of eczema with probiotics seemed to work until age 2.
Also, in a randomized controlled trial, pregnant women and their infants-age 6 months, received daily either a probiotic or a placebo. However, the results of the study did not provide evidence that the probiotic either prevented eczema or reduced its severity. The incidence ofeczema in the probiotic group was found similar to that in the placebo group.
Safety First: Risks Of Taking Probiotics
Probiotics are generally super safe to take. That being said, there are some potential side effects to look out for. Most side effects like gas, heartburn, or the trots arent serious. But you should def talk with a healthcare provider before taking probiotics if you:
- have a compromised immune system
- have a bowel or digestive condition
- have a chronic illness
According to the National Center for Complementary and Integrative Health , those who have severe illnesses or compromised immune systems are more likely to experience side effects like:
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Can Probiotics Be Used Directly On The Skin
Theres quite a bit of research into how the skins immune system talks to bacteria such as Staphylococcus aureus the main bacterium that colonise skin in people with eczema, causing flares, infections and hospital stays. Scientists are testing whether other bacteria have a protective effect, fighting off Staph aureus. These other bacteria include Staph epidermidis and Proprionibacterium acnes, which like areas of the skin such as the face and back.
The skin is also home to fungi and viruses. Fungi prefer moist areas, such as sweaty feet and under the arms. Some fungal species are quite common, like Malassezia purpura, which can secondarily infect eczema, but they probably dont play such an important role.
In another area of research, colleagues in the United States identified bacteria in people who had eczema alongside unhealthy levels of Staph aureus. For each person, they isolated the strains of bacteria that would inhibit the growth of Staph aureus, colonised these strains in large numbers, and then put them into cream, which they applied to the persons skin. That seemed to help get rid of the Staph aureus. But because each batch of bacteria was returned to the original person it came from, this was a very personalized treatment approach that could not be scaled up to manufacturing level.
What The Science Says
Researchers are still trying to determine the link between probiotics and eczema.
A 2018 review of 39 randomized control trials found that currently available probiotic strains prob make little or no difference in improving eczema symptoms. But wait! A 2014 review of 25 studies found that probiotic supplements reduced eczema severity in both kids and adults. As a result, researchers said probiotics *could* be an eczema treatment option.
BTW, probiotics might reduce the risk of eczema if taken as a baby or in utero. According to a 2020 review, probiotic supplementation during pregnancy and infancy may help restore gut microbiota imbalances which have been linked to eczema.
A 2021 review of 21 studies also showed some promising results. Researchers concluded that taking probiotics while pregnant could reduce the risk of a baby being born with eczema.
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The Role Of Probiotics In Treating Atopic Eczema
SummaryThe prevalence of atopic disease has increased over the past few decades, particularly in Western societies. Recent research points to early immune dysregulation in the intestines of infants and the disruption of normal, healthy gut microflora establishment. Managing atopic eczema in children can be extremely frustrating for both the parent and child. Treatment options are often expensive and inconvenient. The growing interest in using probiotic treatment brings hope to many patients suffering from this disorder. Evidence supports the use of probiotics for the treatment of atopic eczema, as well as prenatally aiding in prevention of the disease. Pharmacists should keep in mind that probiotics are considered a food supplement and are not regulated by the FDA. Finding a respectable manufacturer is of utmost importance when considering probiotic formulations. Some Internet resources can provide guidance to unbiased testing of products currently on the market. Clinical evidence suggests that probiotic strains appear safe but should probably be avoided in patients who are immunocompromised. As with any product, pharmacists should consider proper dosages, storage, and the expiration date when recommending probiotic products to their patients. References
1. The Use of Complementary and Alternative Medicine in the United States. Available at: www.nccam.nih.gov/news/camsurvey_fs1.htm. Accessed June 20, 2006.
5. Probiotics. Available at: www.freece.com. Accessed May 26, 2006.
All Probiotics Are Not Equal
Probiotic trials do not always produce positive results. However, the major reason for these mixed results was clearly demonstrated in a 2008 study published in the Journal of Allergy and Clinical Immunology.
In this study, the researchers compared the effectiveness of 2 different probiotic strains to a placebo in the prevention of atopic eczema.
They divided the pregnant women recruited for this study into 3 groups. While one group was given a placebo, the other two groups were given either Lactobacillus rhamnosus HN001 or Bifidobacterium animalis subspecies lactis strain HN019.
The pregnant women followed these treatments from the 35th week of gestation to 6 months after delivery as long as they were breastfeeding. Their infants were also randomized to receive the 3 treatments until they turned 2.
The results of the study showed that L. rhamnosus but not B. animalis significantly reduced the risk of eczema.
This study shows that not all probiotics are effective in treating or preventing eczema. In fact, the most consistent probiotics are the strains of Lactobacillus.
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Which Probiotic Is Best For Eczema
One potential probiotic strain that might be beneficial for topically treating eczema is Roseomonas mucosa.
A small study found that lotions containing Roseomonas mucosa lessened the severity of eczema in individuals who used them. Roseomonas mucosa is a naturally occurring skin microbiome that may decrease skin irritation.
Strains of lactobacillus also prove to be useful for decreasing symptoms of eczema. According to research in Clinical, Cosmetic, and Investigational Dermatology, eczema improved significantly when treated with a lotion containing Lactobacillus johnsonii. This strain has anti-inflammatory properties that soothe inflammation.
BLIS Q24®, a micrococcus luteus strain, crowds out the bacteria strain associate with eczema – Staphylococcus aureus. As it works to restore and balance the skin microbiome, the skins immune system is regulated and this also helps to calm skin and sensitivity. H2: Skin Care for Eczema on the Face
With these skincare tips, you can manage and alleviate your symptoms when you have eczema flare-ups.
Hygiene Hypothesis Intestinal Microbiota And Immune Development
Reduced exposure to microbes early in life is suggested to be one of the main mechanisms to account for the increasing prevalence of allergic diseases over the past few decades. Commonly referred to as the hygiene hypothesis, this was originally described by Strachan and associated reduced microbial contact with increased incidence of hay fever. Today, reduced microbial exposures have been attributed to Western lifestyle factors such as diet, antibiotic use, vaccinations, reduced household size, and improved hygiene. Epidemiological studies have shown that children raised on farms during early life have a reduced risk of developing allergic disease such as eczema or asthma , while prenatal farm exposure modulates atopic sensitization later in life .
The human intestinal microbiota represents the most significant microbial exposure for the developing infant. As many as 1015 microbes consisting of 1,000 different strains are said to colonize gastrointestinal tract . Under normal conditions, these bacteria have beneficial roles to the host such as digestion, immune development, and the control of intestinal epithelial cell growth and differentiation . Commensal bacteria are also important in the fermentation of undigestible dietary fibers, a process which produces large quantities of short-chain fatty acids in addition to the release of essential vitamins .
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Why Consider Probiotics In Eczema Patients
Eczema gives rise to dry skin with red, itchy rash with or without oozing. Scratching can make the lesions bleed and your skin can become thick and crusty. Eczema can greatly affect your quality of life. Research has found that patients with eczema have different bacteria in their gut when compared to people who do not have eczema. Sometimes there is associated inflammation in their guts. Research suggests that if this mix of gut bacteria is changed or inflammation of the gut is reduced, eczema symptoms can be reduced too.
Evidence shows that bacteria colonies living on the skins of eczema patients are also different from those who dont have it. As with the gut, the skins micro biome is not as diverse in people with eczema. This can leave it vulnerable for the bad bacteria to grow and proliferate. Staphylococcus is an example for a bad bacteria which proliferates on skin especially in people with eczema. Staphylococcus is a bacteria that is linked with flare- ups of eczema. It can trigger inflammatory response on their skin. Those who have eczema tend to have larger populations of this bacteria on their skin.
The aim of topical probiotic therapy is to build a healthier and more diverse skin micro biome in people with eczema. This is done by introducing the right strains of good bacteria on to the skin of eczema patients. This multitude of good bacteria will help to keep the harmful bad bacteria strains in check.
Side Effects And Safety
Supplements haven’t been tested for safety and, due to the fact that dietary supplements are largely unregulated, the content of some products may differ from what is specified on the product label. Contamination of probiotic supplements with bacteria, fungi, or other substances is also possible.
Pregnant or breastfeeding women should consult a healthcare provider before taking probiotics. Do not give probiotics to a baby or child without consulting your pediatrician first.
If you have a compromised immune system , you should avoid probiotic supplements due to an increased risk of adverse effects. Probiotic supplements may interact with certain medications, such as immunosuppressants.
In addition, if you’re considering using probiotic supplements in combination with other medications, it’s important to seek medical advice prior to taking the supplements.
Keep in mind that self-treating a condition and avoiding or delaying standard care may have serious consequences.
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How To Use Probiotics To Treat Eczema
A 2021 study noted that the most commonly studied probiotics for atopic dermatitis are Lactobacilli and Bifidobacteria.
- Lactobacilli. This strain may have an anti-inflammatory effect on the bod. In theory, this could help soothe the inflammation associated with eczema. But theres no solid science to back this up.
- Bifidobacteria. According to a 2016 study, this strain might help regulate the immune system response. Since eczema is associated with an overreactive immune system, there could be something there. But again, we need more proof.
PSA: While we still dont know if probiotics can curb eczema, theres no evidence to suggest probiotics can make eczema any worse. That said, you should still talk with a dermatologist or registered dietician before picking a probiotic.
In addition to probiotic supplements, you can also add probiotic-rich foods to your daily diet. Some tasty options include:
Why Are Probiotics Effective In Treating Eczema
Actually, eczema is an auto-immune disorder. Improper immune response leads to inflamed, dry and cracked skin. Maintaining proper immunity helps to control the triggers that lead to eczema flare ups. One of the important factors that play a vital role in maintaining well-functioning immune system is our gut. Because most of the immunity based lymph nodes are present in the gut.
Probiotics are the best solution for the same. The bacterial cells present in it flourish the gut with good bacteria and control the growth of bad bacteria. This helps in improving the gut health and reduce the inflammation.
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Can Foods That Boost Gut Health Help With Eczema
Fermented foods like yogurt, kimchi, miso, sauerkraut, and aged cheeses like cheddar and parmesan are naturally rich in probiotics that are good for your gut health.
Eating significant amounts of fermented foods appears to be linked to a lower risk of having eczema as an adult.
One study with almost 10,000 participants from Korea found that adults who ate a diet high in fermented foods were significantly less likely to have eczema.
However, its worth noting that this meant eating fermented foods an average of at least three times a day over the course of a month.
Supporting these results, a study in Japan showed that the babies of mothers who had eaten natto every day during their pregnancy were less likely to have developed eczema than those whose mothers ate it only two to three times per week.
How To Use Probiotics For Treating Eczema
If you decide to add probiotics to your regimen, talk with your doctor. There are many different types of bacteria. Lactobacillus and Bifidobacterium are the most common supplements and have unique benefits. Your doctor can help you decide which type or combination is best for you and where to find it.
Lactobacillus bacteria are typically found in yogurt and other fermented foods. These bacteria are said to help ease diarrhea and may be beneficial for people who are lactose intolerant.
Bifidobacterium bacteria are also found in yogurt and some other dairy products. Theyre thought to help with irritable bowel conditions.
Other probiotic-rich foods that you can add to your diet are:
Probiotic-rich foods and supplements are generally safe to consume. Your first choice should be naturally, through foods.
However, if you have any of the following conditions, you should consult your doctor before using supplements:
- compromised immune system
- bowel conditions
- other chronic illness
Women who are pregnant should exercise caution when using probiotic supplements. Infants and young children shouldnt take probiotic supplements.
There usually arent any side effects associated with consuming probiotic-rich foods or drinks.
When taking a probiotic supplement for the first time, or switching to a new probiotic supplement, you may experience an upset stomach or other gastrointestinal issues while your body adjusts.
This includes:
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