Manage Stress For An Eczema Free Easter

Don’t let the Easter Bunny bring you eczema for Easter!!

The topic of stress is tossed around so much these days that it seems we’ve become desensitized and brush it off. But the fact remains that stress is indeed one of the most notorious triggers for eczema and autoimmunity.

And, the holidays are often stressful times for most of us. On the surface, Easter seems pretty easy and benign, right??

Well, not really.

Granted, it isn’t the long, drawn-out process that Christmas has become now that the “holidays” start the day after Halloween (not to mention cost in money, time, and sanity). But, it definitely shares a few key components of the other major holidays that might cause an eczema flare.

Stress Related Triggers

Travel. Preparing for travel and the act itself are bigger stressors than you may think. It burdens your mind with all of the things you need to do before you leave, even if it’s only for a day or two. Packing and prep are hard enough, but add kids and pets and the stress is magnified (parents of kids and fur babies know what I’m talking about!!).  Then there’s coming home to laundry, no food, and maybe even work since technology can be a ball-and-chain that way.

Family.  It depends on your family dynamics and for many this isn’t so bad, but the larger the gathering, the bigger opportunity for issues to arise. Often family members feel free to let their opinions fly, disregard others’ feelings, or like to “stir the pot.” Every family has one (or more!).  In my family we give out the Blueberry Muffin Award at the end of events for the person that causes the biggest problem. (I’ve only received it once- about 20 years ago when I was in college).

It can also be difficult if you make healthier (“different”) lifestyle choices, and this is very real possibility if you have eczema. For years I’ve been teased about my diet and lifestyle choices. I’ve learned to ignore them because I’m WAY healthier than the people teasing me. Usually when people give you a hard time it’s because they’re feeling insecure or inadequate about themselves. Psychologically, it makes them feel better to go after you because you’re doing something they can’t or won’t do. That doesn’t make it okay, but you can take the high road.

Gawkers. Perhaps one of the most difficult things to deal with when you have eczema is people staring. As if you’re not self-conscious enough!?!?! If it’s family or close friends, these are usually the same people who have some smart-ass comment too. Being in a public setting with strangers can be rough too because that’s like an open invitation to stare because of the mob mentality.

Don’t Let Stress Get You Down

Having a strategy going into the holidays is key to not succumbing to the stress monster and ending up with an eczema flare. Take some time to think of possible stressors you’ll encounter and figure out how you’ll handle them before they even happen. Here are some helpful tips :

  1. Planning will help you take some of the stress out of travel. Make a list of what you need to bring and getting things ready during the week prior to your trip helps avoid chaos right before you leave. Gas your car up a day or two earlier if you’re driving (this usually saves time and money). Get healthy food ready for your journey and make sure it’s easily accessible. Even if your only traveling down the street, preparing food the day before will help things go smoothly.
  2. Bring food if you have special dietary needs and there won’t be options for you to enjoy the occasion. Ask ahead what will be served and let them know your situation. Often people are accommodating and understanding, especially if you’ve been down the eczema road for a while. If they aren’t helpful, control your own destiny and bring your own food. Upsetting your host’s feelings is not your problem when you’re skin is on fire (or could flare back up).
  3. Don’t let the emotional bullies and energy vampires ruin your holiday! If people tease you for your choices, make snarky comments, or stare too long, you’ve got options on handling this. 1- Laugh it off and know that they lash out at others from their own place of hurting or insecurity. 2- Ask them when they got their medical or health care education when they give you unsolicited advice (since their comments are almost always rooted in opinion). 3- Bring an awesome dish that follows your dietary needs or restrictions, but don’t tell anyone it’s any different until they taste it and love it. Prove to them that their misconceptions on diet are exactly that. There are soooo many gluten, dairy, soy, corn, histamine, or _______ (insert any food here) free recipes that rock, so show them!
  4. Attitude is everything when dealing with stress. If you go into the event with a positive attitude, chances are things will go well. This is where self fulfilling prophecy comes into play.
  5. Breathing can also help get you through rough times. On many occasions I have chosen to take a few deep breaths and move on instead of engaging someone that’s trying to make me feel bad. I try to remember that it’s a them issue and not a me issue. They are just projecting onto me. It still sucks and can hurt, but I consciously know it’s not me and that’s huge.
  6. This point may be controversial, but when we’re talking stress and health it’s completely valid- skip the holiday events if you think they’ll be too much for you. If you’re in the middle of a horrible eczema flare or have had lots of stressors in your life recently, this may be the best option for you. If you know going to Easter brunch or dinner will be a battle and will put you in a worse place then politely decline. Tell everyone you’ll see them at the next event. You don’t owe anyone an explanation even though family often feels entitled to one. If you do say something tell them the truth and be authentic because that will serve you better.

Make the holidays enjoyable and as stress free as possible to avoid the Easter Bunny leaving eczema in your basket! If you have any tips or suggestions for stress free holidays, please share in the comments below.

Is Your Favorite Morning Beverage Causing Eczema

(Spoiler: There’s a healing swap-out suggestion with an Eczema Healing Tea recipe included)

Does Caffeine Cause Eczema

Who doesn’t love their morning cup of caffeine? Coffee and tea consumption have become a significant part of American society. The cafe culture is a multi-billion dollar industry. This isn’t anything new…many civilizations for centuries have worshiped them too. But do these beloved brews contribute to eczema?

This is a question I’ve had to tackle for years in my practice with patients and for myself. Like any issues related to food or root causes of eczema- it’s a matter of individuality and how it’s affecting the inflammatory process in your body.

Personally, I love both tea and coffee for different reasons- I’ve been a lifelong tea drinker (thanks Grandma), but in my early 30’s I discovered coffee. I’d always loved the smell, but didn’t care for the taste. But as I began changing my diet to be cleaner and gravitated to Paleo/Primal, my taste buds changed.

Suddenly, I really liked coffee. I enjoyed the slight bitterness, dark chocolate, and fruity notes, much like a good wine. I hear this from patients too- they report liking bitter things such as coffee and really dark chocolate as they lose the taste for sugar.

I can drink it black, but I really love a warm cup of joe with grassfed butter and coconut oil in the morning. That’s heavenly for me!

So when the question of caffeine consumption and elimination arises, the reaction is similar for most of my patients- complete horror (even for a short duration). I’m often met with comments like: “there’s no way I can do that!” Or else, “you want me to do what!! And, for how long???”

I get it. The thought of giving up my tasty, warm beverages (especially considering that I live in Minnesota) gave me slight panic too.

Caffeine is America’s number one drug of choice. Some of us like it for the taste, mental boost, or the purely for the energy surge. But sadly, your favorite pick-me-up can be counterproductive if you have a condition like eczema that has roots in inflammation.

I don’t ask patients to drop the mug to torture them (although some may strongly disagree). I do it because I understand the many ways caffeine alters the immune and inflammatory response.

How do Coffee and Tea Cause Eczema

At first thought it may seem crazy to consider coffee and tea as causes of eczema, but they can alter the inflammatory response in ways that play a role in the process of developing eczema. Once you have eczema, they can contribute to the vicious cycle of exposures (foods, infections, toxins, etc.) that perpetuate the condition until they’re removed.

Here are the most significant ways that coffee and tea promote eczema:

1. It spikes adrenal hormones just as stress does. I generally suggest stopping if someone has HPA axis dysfunction (also know as adrenal fatigue) because of caffeine’s effects on the inflammatory process. Caffeine sends a signal to the brain which sends a signal to the adrenal glands to pump out cortisol and adrenaline (epinephrine), effectively putting your body in constant fight-or-flight mode. Not good if you have eczema and need your cortisol for its anti-inflammatory effects.

2. Elevated cortisol contributes to Leaky Gut. The chemicals secreted during the stress response are linked to intestinal permeability (leaky gut), inflammation, overgrowth in bad bacteria, and decreased microbial diversity that can alter immune function. These are significant root causes of eczema that need to be addressed to completely heal it.

3. You can react to the mycotoxins found in coffee. Mycotoxins are toxins produced by fungi and the 2 commonly found in coffee are ochratoxin A and aflatoxin B1. These compounds are known to be immunosuppressive, carcinogenic, and brain damaging among other health problems. Chronic, low level exposure can build up in your system causing an immune response that can promote inflammation.

Swap Your Caffeine with a Warm Drink That Will Help Heal Eczema

I hate to tell patients that they must avoid something forever. In some cases this is necessary, like a Celiac sufferer avoiding gluten, but generally, most people can handle some caffeinated beverages once they’ve healed their eczema and gut.

But until that joyous day when you can imbibe again, here’s an alternative that’s equally as tasty and will help heal your eczema and gut.

Eczema Healing Tea

I enjoy this drink because it’s reminiscent of my favorite morning coffee, but it also incorporates the spiciness of ginger and turmeric that I love. It’s also warming and soothing on cold days. Prep is quick and easy too- usually 5 minutes from start to finish.

Ingredients

  • 1-2 inches peeled, fresh turmeric
  • 2 inches peeled, fresh ginger
  • 1 garlic clove peeled- don’t worry, the other flavors mask the garlic 😉
  • 2 tablespoons coconut oil
  • 1 tablespoon raw honey
  • 1 serving collagen powder
  • 8-12 ounces hot water

Tip: If you want to have a speedy process, peel and portion out the turmeric, ginger, and garlic for several days. I keep mine in a mini mason jar or glass container in the refrigerator. If you prep too much it can start to dry out, so placing a small damp towel or cloth on top can help prevent that.

Instructions

1. Get your water heating up before you start prepping so that you can pull if off and let it cool if necessary before you pour it into the mixture. I like to use a kettle to warm mine up.
2. Remove the skin from you turmeric, ginger and garlic. You can use a knife or spoon (scraping down the sides) to get rid of the skin. Note: spoon scraping gives a slightly better yield but is more time consuming than using a knife. Place them in the blender.
3. Add in the coconut oil and honey.
4. Pour the water over the mixture. Warning: don’t blend it up if it’s too hot and steaming because the pressure could build up and burn you when the lid is removed.
5. Add the collagen in last (truthfully, it probably doesn’t matter when it’s added, but I try to keep the collagen from clumping or sticking to the sides of the blender cup or carafe).
6. Blend up until all ingredients are fully incorporated. It should take 15-30 seconds for most high speed blenders.
7. Pour into a mug and enjoy!

The beauty of this recipe is that it can be adjusted to taste and needs. Don’t like turmeric- don’t add it. Have a sensitivity to collagen powder? Leave it out. Got Candida or a fungal issue? You may want to adjust or eliminate the raw honey. You can customize this as you wish.

I actually make variations on this recipe often. I’m a ginger lover so I’ll add a huge 3-4 inch piece in sometimes. I’ll bump up the collagen if I feel more stressed. I don’t always have raw turmeric on hand, so I make it without it. If I’m feeling congested or sick from a cold, I’ll decrease the water by 2-4 ounces and add in the juice of one lemon and/or raw apple cider vinegar (ACV). Be careful using this variation if you’re in an eczema flare as the histamines in lemon and ACV can make symptoms worse.

Eczema Healing Tea is a Healing Bomb and Inflammation Buster

The elixir is packed with several anti-inflammatory, immune boosting, antimicrobial, and skin supporting ingredients. Coffee and tea definitely can’t claim that. Here’s a breakdown of the benefits:

1. Turmeric is a member of the ginger family which is why they share similar characteristics. However, the curcuminoids are what give turmeric it’s superior inflammation fighting power. The journal Oncogene published a study that found turmeric to be one of the most potent anti-inflammatories in the world, even beating out NSAIDs. It can also help heal the lining of the intestines which is critical for resolving eczema.

2. Ginger, like turmeric, supports immune and anti-inflammatory pathways in the body. Ginger is a great antimicrobial too, acting against a wide range of bacteria and fungi like Candida. It’s widely supports the gut too- relieving nausea, bloating, constipation, and acid reflux which are symptoms that often accompany eczema root causes like dysbiosis, GI infections, and food sensitivities.

3. Coconut oil is considered to be the “motherlode” of healing foods. One of best features is the broad antimicrobial activity of lauric acid- helpful for addressing bacterial, fungal, and viral infection, but also maintaining daily health. The antioxidants in coconut oil are well documented to combat inflammation. It also has pain relieving (analgesic) capabilities. The same properties that make it amazing for internal use also apply to the skin. Externally it can be used as a cleanser, moisturizer, and as an ingredient in a healing salve or ointment.

4. Garlic in its raw form is a close second to coconut oil in it’s ability to protect against the “bad bugs,” having potent antibacterial, antiviral, and antifungal properties. The sulfur containing compound allicin is effective against the opportunistic staphylococcus (staph) bacteria which is thought to play a role in eczema for many individuals. Personal note- when I did stool testing on myself during the peak of my symptoms I had a slight overgrowth of staph that had to be treated.

5. Raw honey is an antioxidant powerhouse. It contains several classes of polyphenols and flavonoids that support the immune system. In addition, it contains 22 amino acids, many of the B complex vitamins, and 27 minerals including magnesium, potassium, iron, zinc, selenium, calcium, and phosphorous.

6. Collagen is the most abundant protein in the body and a critical building block of the skin. Using supplemental collagen powder has been shown to improve skin quality by increasing the barrier function meaning better elasticity, moisture, and texture. Good news if your skin is damaged from eczema! Another reason collagen is great is that it heals leaky gut, which is a primary root cause in eczema. It’s benefits are similar to what’s seen on the skin externally- it “seals and heals” the intestinal barrier breakdown that’s the hallmark of leaky gut.

Doesn’t all this goodness make you want to brew up a batch right now?? You may not ever want to go back to coffee or tea! Maybe….. 🙂

Leave a comment below about your caffeine swaps!

Eczema: The Autoimmune Disease Everyone Seems To Be Overlooking

The No Cause, No Cure Paradigm for Eczema is Wrong

I’ve always been a questioner. This is why I believe eczema can be healed and reversed (and new science backs this). When I was a little kid, I asked lots of questions because I wanted to know how and why things worked. Conversations I’d frequently have with my parents would go something like this:

Me: “Why does my tummy hurt?””

Parent: “Probably because you just swallowed your gum.”

Me: “Why would gum make my tummy hurt?”

Parent: “When you swallow your gum it can stick to your insides.”

Me: “Why would it stick to my insides?”

Parent (frustrated): “Oh, I don’t know, it just does!”

At this point I usually stopped the dialogue because I was clearly annoying my parents and I was frustrated that I didn’t get the answers I desired. Even as little kid I couldn’t understand why gum wouldn’t be digested like the rest of my food?? It also didn’t make sense to me that it would stick to my insides. There is always a reason why (even if not everyone know the answer).

Those same feelings of frustration and disbelief came to the surface for me when I was told I had Eczema. I was instantly transported back to my childhood when I heard the words “there is no known cause or cure.” It was so infuriating and disheartening.

No cause. No cure. Yet, you’re still miserable, with a very real rash that makes you crazy because you want to keep scratching it incessantly and your doctor hasn’t provided you with any help at all. This is exactly how I felt.

The majority of conventional medicine still clings to the old idea that eczema, also known as atopic dermatitis, is purely a topical rash that makes your skin red and itchy, causes lesions, and is related to allergies.

And if you’ve ever had an eczema breakout you know that this isn’t just something to brush off, or something you should have to live with-  it’s a problem that affects the way you look and feel too.

I’ve never accepted the no cause, no cure paradigm- there’s always a reason why something is happening. Your body just doesn’t start to malfunction- it’s way too smart for that. There are complex physiological processes that occur over time that culminate in conditions like eczema. We’ll get into the details of that later.

Those of us in the functional medicine community, as well as many researchers, are redefining what eczema actually is. In December 2014, this groundbreaking study published in The Journal of Allergy and Clinical Immunology confirmed what many of us suspected all along- that eczema is indeed an autoimmune condition. The study showed that by blocking 2 key proteins involved in the body’s ability to fight off bacteria and viruses, the eczema was reversed. In the process of eczema, these proteins mistakenly target the body’s own tissues, causing an autoimmune reaction which can result in the body attacking the skin. That sounds like a cause to me!

But before we get into the details of how eczema develops as as autoimmune (AI) condition, let’s review what eczema is and briefly discuss the types.

What is Eczema?

As an inquisitive and frustrated kid, I’d reach for the encyclopedia when I got one of those “it just is” answers from an adult. Encyclopedias helped, but were still limited in information on many topics.

Now we have an overabundance of information coming at us 24/7 thanks to the internet, but it’s hard to digest and make sense of it all. So, let’s break eczema down.

Eczema is more commonly referred to as Atopic Dermatitis (AD) clinically. That term is very telling since atopy or atopic is Greek for “being out of place” and dermatitis is “inflammation of the skin”. What’s interesting is that in my graduate training (which was conventional medical clinical pathology) we learned that atopy refers to an allergic reaction or hypersensitivity occurring in a part of the body NOT in contact with the allergen. Based on this definition you’d think that conventional medicine would’ve realized the cause of eczema isn’t occurring on the skin level, but that hasn’t been the case.

Eczema or Atopic Dermatitis (AD) is defined by the Mayo Clinic as “a condition that makes your skin red and itchy. AD is long lasting (chronic) and tends to flare periodically and then subside.” It’s the most common type of eczema and research suggests that a family history of atopic conditions such as eczema, allergies, asthma, and hay fever is a predisposing factor in developing it. The data compiled from my research analyzing over 7,000 patients shows that 1 in 5 people with a family history of eczema have eczema. 20% is significant.

Eczema: The Autoimmune Disease Everyone Seems To Be Overlooking

Typical symptoms include:

  • Itching, which may be mild to severe, especially at night
  • Raw, sensitive, swollen skin from scratching
  • Small, raised bumps, which may leak fluid and crust over when scratched
  • Weeping wounds
  • Thickened, cracked, dry, scaly skin
  • Red to brownish-gray patches, especially on the hands, feet, ankles, wrists, neck, upper chest, eyelids, inside the bend of the elbows and knees

Eczema symptoms and appearance differs from person to person. A mild form might look like red, irritated, and slightly speckled skin, to more severe forms where the skin is significantly inflamed, with lesions that are bloody and weeping. Discolorations often occur during the outbreaks and as the skin heals.

7 Types of Eczema (Yes, …there’s actually more than one)

There are many different types of eczema according to various sources. You could go a little crazy researching them all on Dr. Google, so we’ll cover the most common ones here.

Most varieties of eczema are named for where they occur or because they look slightly different than your typical atopic dermatitis. Regardless of where it located or how it looks, it’s still eczema.

  • Contact Dermatitis occurs when an irritant or allergen contacts the skin causing redness, burning, swelling and sometimes blisters. It can be caused by things such as frequent hand washing, solvents, chemicals, foods, metals, animals, pollen, and plants like poison ivy. For the record, I don’t believe contact dermatitis should be classified with these other forms of eczema as the cause is external contact and can happen to anyone regardless of health conditions and family history. It doesn’t appear to be AI in nature.
  • Dishydrotic Eczema occurs on the palm side of fingers, palms of hands, bottom of toes, and soles of feet. It presents as red spots, bumps, or blisters. Scaly patches, flaking, and deep cracks can form from damage to the skin. This type is 2 times more common in women. I can vouch for that since this one type that I had in a very classic presentation which makes it easier to distinguish from some of the other types.
  • Hand Eczema is different from dishydrotic in that it occurs on the back of your hand and fingers, as well as the webbing between fingers. It visually looks more like typical atopic dermatitis.
  • Neurodermatitis, also called Lichen Simplex Chronicus, which is similar to AD in that there’s significant itching but differs in that the surrounding skin is healthy. It occurs in isolated patches that look thick, discolored, dry, scaly or flaky and can be mistaken for psoriasis. There can be underlying dysfunction of the nerves in this area.
  • Nummular Eczema, also known as Discoid Eczema is characterized by coin or circular shaped lesions that can be raised. Inflammatory reactions occurring in the body and dry skin are thought to play roles in developing this type of eczema. It can look like ringworm which is a fungal infection so it’s worth ruling that out.   
  • Seborrheic Dermatitis, Scalp Eczema, or Cradle Cap typically occurs in areas where there are high concentrations of oil producing sweat glands including the scalp, face, neck, upper back, shoulders, and chest. Individuals with immune system dysfunction are at increased risk for seborrheic dermatitis. It can have an oily or greasy appearance, unlike the other types of eczema, with white to yellow flakes.
  • Stasis Eczema/Dermatitis, also called venous stasis dermatitis, is a special type of eczema that occurs in areas where there’s decreased venous blood flow resulting in pressure build up causing fluid leakage from veins. Red, swollen, flaky, itchy skin occurs initially and if not taken care of can progress to ulceration, infection, and/or permanent thickening or scarring of the skin.

What Causes Eczema

If you type in ‘causes of eczema’ in Google, you’ll get a variety of answers like:

  • No true known cause
  • Dry or irritable skin
  • Genetic variant that affects the skin’s barrier function
  • Stress
  • Immune system dysfunction
  • Hormone Fluctuations
  • Bacterial or viral infections or imbalances
  • Environmental conditions such as cold, dry weather or humid, hot weather
  • Allergens

Unfortunately, while many of the above are absolutely true, most conventional doctors still treat it like it’s a condition that only occurs on the surface and don’t address most of that list. They’re likely to suggest topical treatments and possibly tell you to avoid a couple of foods, allergens, and hot or cold weather. They neglect the impact of the true root causes beneath the surface.

The worst fact of all is that some doctors are still of the old school thinking that there is no cause or cure for eczema.

Thankfully, research is evolving and know we know otherwise.

Given that eczema is now considered an autoimmune condition, we know the conditions need to be ‘just right’ for one to manifest.

These are the 3 key factors that come together to initiate autoimmunity:

  1. A genetic predisposition/family history
  2. Intestinal permeability (leaky gut)
  3. Environmental triggers such as stress, infection, gut or skin dysbiosis (imbalance between the good and bad bugs), food sensitivities or allergies, trauma, hormone imbalances, toxins, and nutrient imbalances.

With autoimmunity, the immune system mistakenly targets a body tissue and tries to attack it like it’s a foreign invader. If you have eczema, this means that the autoimmune process is attacking your skin. And to get rid of eczema, you need to address each of your root causes, which are covered in numbers 2 and 3 above.

For me, the perfect storm for eczema flares was high stress levels, hormone imbalances, GI infections and dysbiosis, leaky gut, and food sensitivities. Histamine containing foods, exercise, and hot showers made it even worse. This scenario is very similar for most of my clients as well.

A New Paradigm for Eczema

Just like when I was a kid, I wasn’t satisfied with the explanation of what causes eczema, so I developed my own process to explain the cycle of how it occurs.

Stage 1: Flare Up

You know when a flare up is coming because your body send you little signals in the form of tingle, slight itchiness or a burning sensation. On the inside the panic begins to set in and you’re thinking, “Oh no, not again!” These are the subtle hints that you’re body is unhappy and it’s trying to tell you. The flames have been stoked and a fire is beginning to burn inside.

From a physiological standpoint, your immune system is activated from one or more triggers like foods, chemicals, toxins, or microorganisms (bacteria, fungi, parasites, viruses) and has begun attacking your body tissues. Having a genetic predisposition toward eczema or autoimmunity, and a leaky gut make this the perfect storm.

At this point, trying to stop or slow the flare is a good idea as it will help begin to reverse the inflammatory process. Start with your diet as many significant triggers for eczema are food related. At a minimum go gluten and dairy free, but likely you’ll find other foods that need to be avoided while you heal.

Getting stress under control right now is key as it’s often what pushes you over the edge into a flare. It’s hard to eliminate it, but try to manage stressors by maintaining boundaries, saying no, or asking for help. If you can completely eliminate a stressor (like avoiding a toxic person or situation) even better! Also, finding an outlet like journaling, deep breathing, meditation, or walks in nature can profoundly reduce the stress response.

Stage 2: Outbreak

Your flare up transitions to a full blown outbreak when the tingle, burn or minor itch escalates to constant itching causing red, inflamed skin with welts, wounds, and/or blisters. At this point it can appear to be treatment resistant since all of the root causes likely haven’t been addressed.

The outbreak occurs when the inflammatory process mediated by the immune system goes unchecked. The inflammatory chemicals have kicked up and are peaking resulting in your extreme discomfort and many symptoms. During this phase eczema can interfere with life, making social gatherings, work, sleep, and sanity difficult due to the incessant itching. There’s a full blown inflammatory fire raging inside.

Getting to the bottom of all of your triggers and root causes is essential now so you can heal.  Addressing diet and stress may do the trick for some, but others may require deeper digging or testing which is easiest with assistance of a trained professional. Even though I do this for a living, I call upon my friends and colleagues to make sure I’m not missing anything. We can all use some help now and then!

If you haven’t begun dialing in your diet- there isn’t a better time. You need to focus on taming the fire burning within. Anti-inflammatory supplements and foods are super important now. This blog article I wrote provides a recipe, as well as 6 healing foods and supplements to help put out the flames.

Topically, some people may benefit simply from coconut oil, but I personally didn’t and many of my patients echo that sentiment. The same can be said of shea butter. However, by combining these an easy and wonderful healing salve can be made.

Eczema Healing Salve Recipe

  • ½ cup unrefined, organic coconut oil
  • ½ cup unrefined, organic shea butter
  • 10 drops calendula essential oil
  • 10 drops yarrow essential oil
  • 10 drops rosemary essential oil
  • 5-10 drops frankincense essential oil

Mix these together in a bowl by hand or with a mixer. It will be hard and clumpy at first, but eventually will soften and everything will come together. Note: you can play with the essential oils as some people respond better to certain ones than others. If you can’t some of these, that’s fine too. These all have healing, calming or anti-inflammatory properties.

The most important thing to remember in the outbreak phase is the root causes. If you don’t identify and address them all, your eczema is likely to return at some point.

Stage 3: Healing

Relief is in sight!  This is when you start to feel better and symptoms are less severe, but still present. You may or may not be itchy. Your skin still shows signs of irritation, but no open wounds and blisters. It may also appear thick, leathery, scaly, dark, or ashy now. The fire within is now just smoldering embers.

Your immune system is now ramping down and under control, but in physiological time things go slow which is why there are still visible signs (think of how long it takes to completely heal a cut or broken bone).

Steering clear of dietary triggers or any other triggers you’ve identified through self investigation or testing is still a must to maintain healing. Continue use of natural topicals to protect the skin and help rebuild integrity. Nutrients like vitamins A,C, D, and E, biotin, zinc, selenium, and collagen support healing and skin structure.

Stage 4: Clear Skin

Hooray!! When you’re suffering through an eczema flare you often don’t think this day will come, but it is possible to completely reverse eczema and have clear skin again. You’re skin is fully healed and looks great again. No more hiding in long sleeves or gloves!

Think of this stage as maintenance or dormancy. You immune system is finally calmed down and balanced so the attack on skin is over. The fire is out completely!

Maintaining a healthy diet, stress levels, and getting adequate sleep will help keep you here in your happy place.

Common Treatments for Eczema

Again, if you look eczema treatments up in Google, you’ll get a list that looks like this:

  • Over-the-counter medications such cortisone cream, Benadryl cream, or antihistamines (Benadryl, Claritin, and Allegra)
  • Prescription medications topical corticosteroids, oral steroids, and oral antihistamines.  
  • Moisturizers that contain petroleum jelly, mineral oil, or synthetic emollients like lanolin or glycerin
  • Special baths with bleach, salt (sea salt or table salt), baking soda, epsoms salts, oatmeal, or apple cider vinegar.  
  • UV Light/Phototherapy
  • Wet Dressings
  • Stress Reduction

While the medications may be helpful at first for managing symptoms, they don’t address the root causes and the eczema returns. Long term, the topical creams can damage the integrity of the skin and the topical steroids and oral medications shut off the body’s natural inflammatory response which is counterproductive to healing the body.

The moisturizers typically suggested sometimes work and other times cause more irritation due to the ingredients. Unfortunately, if they do work it’s only addressing issues at the skin level and not what’s beneath the surface.

Special baths can definitely be helpful in managing symptoms, but some need to be use with caution. I am personally not a fan of the bleach baths, ever. Sea salt, table salt and apple cider vinegar can be great, however should be tested first since they could irritate open wounds. Oatmeal baths are also very soothing as long as you know you don’t have Celiac or it’s skin variant called Dermatitis Herpetiformis. If you do, you should probably avoid oatmeal completely as it’s often contaminated with gluten.

Phototherapy from the sun is my preferred use. While using phototherapy lamps that emit UV light definitely have benefit, there are a few more risks associated with them due to broader spectrum of the light rays, such a burning, blistering, accelerated aging/breakdown of the skin, and skin cancer. More recently narrow band UVB therapy, which uses a smaller spectrum and thus less radiation, is a better option for artificial light therapy.

Wet dressings can be very helpful in healing eczema when used with natural moisturizers. However, topical corticosteroids are often used and I believe they’re a bad long term strategy for the reasons given above.

My Methodology for Healing Eczema

While some of the commonly used treatments listed above can be helpful at soothing or even resolving some symptoms, they’re all missing the most important factor: addressing the ROOT CAUSES.

Even if you’re in remission and asymptomatic, you’re still at risk for a flare up because you haven’t addressed the important factors lingering beneath the surface. You’re trigger might be work, family, or financial stress, a stomach virus or infection, passing of a loved one or pet, a divorce or separation, moving to a new town or job, or even injuring yourself exercising.

My major trigger was always work related stress (or not addressing it) as it is for so many that suffer from eczema.

The good news is that I healed my eczema and we, together, can heal yours too.

My process starts with a detailed history, from birth until now, that identifies all of the contributing factors to your eczema and what potential root causes need to be investigated.

Next we order the appropriate tests to identify your specific and individual underlying causes.

From there, I design a comprehensive program based on your results and history that addresses all of your root causes in a systematic way. We don’t throw the kitchen sink at you all at once and hope it works. Instead, the plan is outlined in a step-by-step manner that makes it easy for you to follow and allows your body to heal.

If you’re tired of living in the eczema cycle of remissions and flare ups, or have an active, raging outbreak that itches so bad and looks so horrible it’s affecting every aspect of your life and you don’t think it will ever end, I invite you to work with me and my team to heal your eczema for good.

We’ll work together to put the pieces of your health puzzle in place. We’ll guide you at every step with a plan of action to get your body healing and skin happy again.

If you’d like 1-on-1 support troubleshooting which root causes are contributing to your Eczema, and get a specific plan to reverse it, the first step is to book a 1-hour “Eczema Root Cause Troubleshooting Session”.

 

 

 

Three of the Most Underappreciated Keys to Health

Yesterday my sister had a baby boy… Congrats! It got me thinking about the fresh start we have when we enter this world. The human body is truly astounding. We are inherently born with amazing capabilities that allow us to grow and thrive in spite of the constant insults we hurl at it in the forms of stress, poor eating and sleep habits, lack of movement, not enough time with nature, insufficient meaningful human contact, and the increasing abundance of toxins and pollution in our environment (inside as well as outside).

Unfortunately, the rate at which we are abusing our bodies is catching up with us. There are more chronic diseases now than ever before, and sadly that rate is increasing. We are producing generations now that have a lower life expectancy than we have and our grandparents had. This is not acceptable.

This is by no means is this a news flash, but is worth being said over and over again until people take heart and the message sinks in. LIFESTYLE MATTERS. I’ll say it again, LIFESTYLE MATTERS. Perhaps more than anything else.  No supplement, diet, or workout alone will do this.

Being healthy doesn’t involve drinking warm lemon water every morning or doing a 2 week detox or even running 3 times per week. While those can be healthy actions, what really matters is HOW you choose to live your daily life- the habits that become part of the fabric of what makes you, YOU. This is what will bring out the best you because it will improve your epigenetics, or how your genes are expressed. Wouldn’t you rather have genes “bathed” in clean air, water, and nutrients in a body not ravaged by stress or illness? Yes, please!

Actually doing this does take time and effort. Nothing worthwhile is ever easy and health exists on a continuum. The key is shifting the balance in favor of health, so that when an unforeseen stressor or illness arises, you have the capacity to rebound quickly and return to your healthy place.

By now everyone knows they should consume clean food and water, and get proper sleep and adequate daily movement, but I know countless unhealthy people that do all of that on a daily basis. These are definitely important pieces of the puzzle, but to experience true health you need some other fundamental components: true stress reduction and mitigation, a clean environment, and connections with nature and people.

Real Stress Reduction. Stress is a common buzz word, so much so that I believe it has lost its impact and we’ve become desensitized to it. The majority of patients and people I encounter believe to some extent they are managing it well, which is almost never the case. The truth is that real, measurable stress reduction is hard. Stress is inevitable, but how you deal with it is essential. The first step involves honest introspection to identify your stressors, be it relationships, work, finances, losses, past traumas, etc., and finding ways that work for you specifically to overcome them. This could be counseling, talking to a confidant, joining a support group, enlisting a coach, or self-education. For others, physical activity plays a big role in their management of stress.

The second step is having a daily ritual that involves taking “timeouts” to unplug and do some deep breathing, meditation, or even sitting in silence to clear your head. Helpful tip: if you can’t get away from people, go to the bathroom… it always works because no one questions you.

Clean Environment (in and outside your body). This is a broad topic that is often overlooked, but it can have a significant impact on your health since the indoor environment is often more polluted than outdoors. Thankfully you can fairly easily clean up your home and work environment. Here are some helpful strategies:

– Clean air ducts and replace filters regularly

– Ensure proper ventilation in dwellings

– Invest in house plants or air purification systems that clean the air

– Do proper mitigation if you have mold, radon, lead paint or pipes, etc.

– Use natural options for personal care products and household cleaners

– Don’t get your clothes dry-cleaned

– Reduce exposure to EMF (electromagnetic frequencies) by reducing cell phone use, unplugging all unnecessary appliances and electronics when not in use (especially in the bedroom while sleeping at night), limit Wi-Fi use and turn off when not using it, avoid using a microwave, and choose incandescent bulbs over compact fluorescent ones.

Connection with nature and people. Exposure to sunlight, as well as seeing and hearing the sights and sounds of nature are part of what makes us human. Most people are calmed by the sounds of a rushing river or crashing waves, invigorated when the cool breeze hits their face, or moved at the majesty of mountains or a beautiful forest. There are biological reasons for this. Our ancestors had a strong connection to the natural world and used it as means to survive. It guided them to set up dwellings near water and green space as resources were more abundant there. This environment likely also allowed them to recover from the stresses of living life at this time as well.

Our rapid evolution in the last several millennia has dramatically reduced our contact with nature and we are suffering the consequences. Technology has replaced our relationship with nature… and with other humans.

Connection with other humans is another factor that has ensured our survival throughout time. We are communal animals by nature. We now share more face time with our computers, tv’s, cell phones, and tablet devices than other humans which is hurting us. Studies show that a sense of community and having solid relationships with others is important to health and longevity.  Make an effort to build and maintain your relationships with others and respect people while they are with you by not having your phone in your face. Also, be kind to your fellow humans as well… there isn’t enough of that anymore.

Again, take time to unplug daily. Get outside- even in the winter months. Grab your family or friends and take a walk through the woods and leave your phone at home. Have a “no devices present” rule at meals. There are countless ways to take back your connections.

Here’s to living a cleaner and less technologically driven life while being more present and connected to what really matters!

 

 

 

 

 

 

Boost Adrenal and Mood Health with Light

Winter has arrived in most parts of the country which means less exposure to one of the components essential to life- sunlight. Before there was electricity and countless devices to awaken us (or prevent us from sleeping), humans relied on the sun to regulate body rhythms. Our brains are hard wired to know the time of year based on exposure to morning light. Total sunlight exposure is a key factor in regulation of many hormones including cortisol, serotonin, and melatonin. Too much or too little can throw the entire system out of balance.

Sunlight stimulates the production of cortisol and serotonin, while dimness and darkness promote melatonin production. As with all hormone function, cortisol, serotonin, and melatonin work in concert with each other to regulate circadian rhythms. Exposure to early morning light triggers cortisol and serotonin to increase. Cortisol wakes you up and gets you moving, while serotonin helps you regain consciousness. Cortisol decreases throughout the morning and early afternoon, then jumps up a little again in mid afternoon before declining again in preparation for sleep. Serotonin remains elevated after cortisol’s initial dip earlier in the day and declines in the afternoon as exposure to light decreases. At this point the brain begins to convert serotonin into melatonin in preparation for rest and sleep.

It seems easy enough to expose yourself to light and darkness at the right time, but modern technology and habits, coupled with the seasonal changes can wreak havoc on your mood, sleep, and immune function. If you suffer from adrenal fatigue, lack of energy, sleep problems, or seasonal mood changes, then getting proper exposure to light and darkness is key in rebalancing the hormone symphony.

Here are 5 steps to achieve this:

1. Let your body awaken to sunlight rather than an alarm. Even when your eyes are shut, light penetrates the eyelid and stimulates the brain beginning the awakening process. If you can’t do this because it’s winter or your room just doesn’t get much light, consider getting a sunrise alarm clock. These use light to gradually wake you up and many models include sound too.

2. Expose yourself to sunlight within 30 minutes of waking. After waking up, try to get outside for 20-30 minutes to reinforce the cortisol awakening response (CAR). It’s thought that the CAR occurs to get you prepared for the stresses of the day and it’s superimposed on the sleep-wake cycle hormone patterns.

3. If you can’t get outside, consider getting a light therapy lamp. These are portable devices allowing you to bring it in bathroom as you get ready for work or eat breakfast. Be sure to get a model that emits 10,000 lux (equivalent to full daylight) that’s on a stand so the light is coming into your eyes from above as the sun would be.

4. Avoid electronics in the evening and at night. The blue light emitted from phones, tablets, computer, televisions, and other electronics interferes with the natural hormone rhythms. It suppresses melatonin production and can increase cortisol which both prevent you from sleeping. If you must use your gadgets, there are a couple of options to filter the blue light. You can use apps like Twilight or Flux which acts as filters on the screen of your devices or you can pick up a pair of glasses with orange or amber lens for less than $10.

5. Keep the lights in your home dim at night. Try keeping most of your lights off or if you have dimmer switches, use those to keep the light at a lower level to support melatonin production.