Understanding an eczema outbreak is really complex. And like a child learning language, you have to understand the alphabet and sounds first before you can talk. Same goes for eczema. To really understand an eczema outbreak, you have to first understand the difference between the way functional medicine and conventional medicine views it.
Why Functional Medicine?
Functional medicine (FM) is a “systems” way of thinking. And when we say “systems,” it’s not like conventional medicine that views the body as a group of isolated systems where you have a cardiologist for the heart, an endocrinologist for hormones, etc. In FM, we view the systems, or areas of the body, as operating as a whole response to the environment (kind of like the operating system of a computer).
It makes perfect sense because each area influences the others.
A good analogy to think about functional medicine versus conventional medicine is to think about a tree. Visualize the entire tree with its roots, trunk, branches, and leaves. Conventional medicine looks at one branch, whereas functional medicine views all of the branches, trunk, and roots. It’s going to look at the leaves and even further in-depth because we really want to understand what’s going on in the entire person.
When we do this, we take a really detailed history and look for root causes. It’s interesting that we look for root causes and use the tree analogy, because the goal is to find out what is foundationally disrupted in your body to figure out what’s causing the eczema flare
Regarding eczema, conventional medicine really tends to see it as something that doesn’t truly have a cause yet. When I was told that I had eczema the doctor said, “You’ve got eczema. There’s no known cure. See you later.” However, in functional medicine—and now even in the medical literature (check it out here)—they’re starting to talk about it as an autoimmune condition and starting to identify some causes of it. And that’s what we’re going to get into here a little bit later.
This is why taking a FM approach to looking at eczema really can help you get down to why things are happening.
The ATM Model
One of the foundational principles of understanding functional medicine is the concept of antecedents, triggers and mediators. We call it the ATM model. These are how a functional medicine practitioner frames an understanding of your entire life history and contributing factors to your condition. We’re looking at all of that to figure out how you got to where you are today.
Let’s start off with the antecedents. An easy way to think of those are those are the predisposing factors. Those are the things like genetics and family history, lifestyle, past illness, exposure (occupational or environmental exposures). Those are all the things that are going to essentially be the foundation for the cause of illness.
A key point regarding genetics and family history is that they aren’t life sentences. A lot of people think, “Oh, there’s cancer in my family. I’m going to get cancer.” That’s not necessarily the case. There’s a lot of things here that are modifiable that can prevent you from actually having that illness even though you might be very prone to having it. Great news!!
Triggers are what provoke the signs and symptoms of illness. Those are along the lines of infections, allergens, toxins, radiation, surgery, social conditions, and things of that nature. They’re going to combine with the antecedents to actually cause more signs and symptoms.
Last, the mediators perpetuate the illness. You can think about those on a biochemical or psychosocial level. Biochemically speaking, hormones, neurotransmitters, metabolites, free radicals, and inflammatory chemicals are what perpetuate what’s going on. Once you have that genetic factors, plus the triggers, these mediators keep that cycle going. In the case of eczema, it’s going to cause the flare to continue.
The psychosocial factors—stress, thoughts, beliefs, community- are extraordinarily important in this model, but also in eczema.
Genetics, family history, lifestyle, past illness, and environmental exposures are key antecedents for everyone. For example, if you have certain historical factors like a family history of autoimmunity or allergies, asthma, and eczema (the allergic triad) you’re much more likely to get eczema than the rest of the population.
The most common triggers I see in practice are infections, allergens, toxins, diet, and dysbiosis (an imbalance in the microorganisms in your body—not just in your gut, but all over your body). In eczema, skin dysbiosis can be an important piece of the puzzle too.
The primary mediators of eczema are (without getting too crazy science-y):
- Hormone imbalances (especially from stress and sex hormones). Cortisol, DHEA, estrogen, progesterone, and testosterone imbalances can perpatuate inflammation and make eczema flares worse.
- Depleted Nutrients. In practice it’s usually omega 3 fatty acids, vitamin D, antioxidants such as vitamin C and selenium, and minerals such as zinc and magnesium.
- Inflammatory chemicals. Histamine, cytokines, and free radicals are major contributors here.
- Impaired liver function. If you’re liver can’t function optimally, you can’t clear metabolic waste, toxins or hormones efficiently which are essential for a healthy gut and skin.
- Leaky gut. This occurs when many of the above factors cause increased intestinal permeability allowing things into the bloodstream (like bacteria, toxins, proteins, etc.) that shouldn’t be there. This causes inflammation and immune system activation driving the eczema cycle.
I find for most of my clients is that stress is often the most significant factor, either as a trigger or as something that’s perpetuating, or both.
To recap- if you’re having an eczema flare or a flare-up of any autoimmune condition- you’re looking at the antecedents + the triggers + the mediators= cause of flare. It’s a cyclical process that self-perpetuates until you identify the triggers and the root causes to stop this cycle. You must eliminate the infections, hormone and nutrient imbalances, allergens, foods, etc., to get this cycle to stop.
Then you actually need to take the proper steps to heal it (replacing nutrients, healing leaky gut, balancing hormones, improving liver function, etc.).
Real Life Eczema Example
I’m going to use myself as an example. I’m not necessarily proud of this, but we’re all human 😉
I was driving home from my sister’s this past Halloween. I had just thought to myself that I was so excited because I didn’t have any Halloween candy. But then I had brain lapse and I ate a piece.
About an hour later, it triggered a flare. And for me, the area where my eczema always, always, always starts is my left wrist and my left hand. They started itching like mad. I was scratching for four hours. And immediately, I went downstairs and took some anti-inflammatory nutrients because I knew I had to get at that flare before it became a full-blown outbreak.
And that’s something that we will discuss later on because it is possible to dampen the effect of a flare.
But for me, I had a major flare. Probably my last major flare was a year and a half ago. I hadn’t had anything go on since then until I was pregnant recently and had a few minor flares due to the hormones.
Let’s also review my ATM’s. My major antecedent is the allergic triad in myself and family members. As I mentioned above, the allergic triad is allergies, asthma and eczema. Most of that manifests in childhood, but not always. I only had allergies in childhood. Eczema started in my 30’s! If you have any of those, you’re going to be more prone to autoimmunity as an adult.
And, eczema often accompanies other autoimmune conditions, not just in and of itself.
So I have 2 of the allergic triad, and a family history of autoimmunity and inflammation conditions. There’s lots of cardiovascular disease and diabetes in my family. Historically, I was bottle fed and was around smokers growing up which are also key antecedents in developing eczema.
My main trigger was dysbiosis that developed during pregnancy. In the gut, when your hormones such as progesterone are high, it slows things down in pregnancy. It sets the stage for things like leaky gut and dysbiosis to occur. This was something that I had experienced quite a bit of during my pregnancy (even though I tried my hardest to prevent it since I know what I know!!).
Diet was also a key trigger (especially the candy). I kept a clean, organic diet for the most part. However, after the birth, my diet has not been quite as tight. I’m gluten-free and try to be in the realm of Paleo/Autoimmune Paleo. But sometimes I have corn or dairy or beans. And those things have crept into my diet more frequently now that I’ve had the baby.
The candy just happened to be the breaking point for me… that little bit put me over the edge!
My primary mediators are hormone and nutrient imbalances from pregnancy and breastfeeding, leaky gut, and STRESS.
I’m going to reiterate stress here… I’ve got a new baby. I’ve got a 5 year old. I’ve got work. I’ve got life. Everybody’s got stress. But I currently feel like I have a lot on my plate. That’s the main mediator perpetuating the cycle for me.
And for me, stress is probably the number one factor that contributes to my flares every single time. When my stress levels get high, I can get a flare super easily. And I know that’s true for many of the people we work with in the clinic as well.
Another less obvious mediator is lack of sleep. Lack of sleep is a major contributor to manifesting any autoimmune condition, especially something like eczema. We heal and regenerate when we sleep. If you’re not sleeping well, it’s not happening.
Lastly, there’s the issue of support and community, or a lack thereof. When you first have a baby, everyone comes and sees you for the first couple of weeks. And then it’s suddenly, it’s gone. This can leave you with a sense of feeling like you’re lacking community or lacking support. I won’t say that I feel that tremendously, but I feel it a little bit.
All of these things added up and resulted in my eczema flare.
If you’re looking for more support in healing your eczema and understanding your root causes, you can always book a free 15-minute consult with our clinic: http://drstephaniedavis.com/consultation/.
Do you know you’re root causes or ATM’s? Leave a comment below if you do!