Childhood eczema, also known as atopic dermatitis, is a common skin condition affecting children worldwide. Childhood eczema is characterized by itchy, inflamed skin and can significantly impact a child's quality of life. While several factors contribute to the development of eczema in children, new research highlights the critical role of gut health in the manifestation and treatment of the condition. In this comprehensive guide, we address the complicated relationship between gut health and childhood eczema and provide detailed insights and practical strategies to relieve symptoms and promote long-term skin health in children.
Understanding the connection between gut and skin
The human gut is home to trillions of microorganisms called the gut microbiota. These microbes play a critical role in maintaining gut health, modulating immune responses, and influencing systemic processes throughout the body. Disturbances in the balance of the gut microbiota, known as dysbiosis, have been linked to various inflammatory diseases, including eczema in children.
Research suggests a bidirectional relationship between the gut and skin, called the gut-skin axis. An imbalance in the gut flora can lead to increased gut permeability, allowing toxins and inflammatory molecules to enter the bloodstream and trigger immune reactions that ultimately manifest as skin inflammation and worsen the symptoms of eczema in children.
In addition, factors such as diet, antibiotic use, stress and genetics can affect the composition of the gut microbiota, which may further exacerbate childhood eczema in susceptible individuals. By understanding the complicated interplay between gut health and skin conditions such as eczema in children, parents can implement targeted strategies to address the underlying gut imbalance and effectively relieve symptoms.
Carrying out an elimination diet
One of the most important strategies for improving gut health and treating eczema in children is to follow an elimination diet. This diet involves temporarily eliminating potential trigger foods known to worsen eczema symptoms in children and then systematically reintroducing them to identify specific sensitivities or allergies.
Common trigger foods involved in childhood eczema flare-ups include dairy products, gluten-containing grains, eggs, soy, nuts, and certain histamine-rich fruits and vegetables. By eliminating these foods from the child's diet for a period of time, usually two to four weeks, parents can monitor changes in the severity of the child's eczema and assess possible dietary triggers.
During the elimination phase, it is important to maintain a balanced diet of nutrient-dense foods to ensure adequate nutrition for growing children. Emphasizing whole foods such as lean proteins, fruits, vegetables, healthy fats, and gluten-free grains can help compensate for nutrient deficiencies and promote overall health and well-being.
After the elimination phase, foods are gradually reintroduced, with children's eczema symptoms carefully monitored for signs of worsening. This process allows parents to identify specific trigger foods and adjust their child's diet accordingly to minimize the risk of future flare-ups and promote long-term management of symptoms.
Include gut healing foods
In addition to avoiding trigger foods, incorporating gut-healing foods into the child's diet can promote a healthy microbiome and support digestive function. These foods are rich in probiotics, prebiotics, and anti-inflammatory nutrients that help restore gut balance and regulate immune responses, reducing the severity of childhood eczema and the frequency of flare-ups.
Probiotic-rich foods such as yogurt, kefir, fermented vegetables (e.g. sauerkraut, kimchi) and kombucha introduce beneficial bacteria to the gut that increase microbial diversity and boost immune function. Regularly including these foods in the child's diet can help maintain a robust gut microbiota and reduce susceptibility to eczema and other inflammatory diseases in children.
Prebiotic foods, which contain indigestible fiber that serves as food for beneficial gut bacteria, are also important for gut health. Examples include bananas, onions, garlic, leeks, asparagus, and chicory root. By nourishing beneficial microbes in the gut, prebiotic-rich foods support a thriving gut ecosystem and contribute to overall immune system balance and skin health.
In addition, foods rich in omega-3- fatty acids, such as fatty fish (salmon, mackerel, sardines), flax seeds, chia seeds, and walnuts, possess powerful anti-inflammatory properties that may help reduce the symptoms of eczema in children. Incorporating these omega-3--rich foods into the child's diet can reduce inflammation, promote skin healing, and reduce the severity of eczema flare-ups in children.
Support of digestive function
Optimizing digestive function is critical to maintaining gut health and reducing the risk of eczema flare-ups in children. Several dietary and lifestyle factors can affect digestive health, including meal timing, chewing habits, hydration, and fiber intake.
Encouraging children to eat meals slowly, chew food thoroughly, and avoid distractions during mealtimes can promote proper digestion and nutrient absorption. In addition, maintaining regular meal times and avoiding excessive snacking can help regulate digestive function and prevent digestive discomfort.
Adequate hydration is essential to maintain optimal digestive function and promote regular bowel movements. Encourage your child to drink plenty of water throughout the day and limit consumption of sugary drinks, as these can disrupt the intestinal flora and contribute to inflammation.
Additionally, including fiber-rich foods such as fruits, vegetables, whole grains, legumes and nuts in your child's diet can support healthy digestion and bowel movements. Fiber adds bulk to stools, promotes bowel regularity and serves as a prebiotic substrate for beneficial gut bacteria that promote a thriving ecosystem in the gut.
Seek professional help
While dietary changes and lifestyle measures can play an important role in improving gut health and treating eczema in children, it is important to seek advice from healthcare professionals, particularly those with knowledge of pediatric dermatology and nutrition. Registered dietitians, pediatricians, allergists and dermatologists can make individualized recommendations, monitor the child's progress and ensure nutritional needs are met in the effective treatment of eczema in children.
Healthcare professionals can conduct comprehensive assessments to identify triggers and factors that contribute to the development of eczema in children, such as food allergies, sensitivities, nutrient deficiencies, and gut dysbiosis. They can also offer evidence-based strategies for implementing elimination diets, optimizing nutrient intake, and addressing gut health issues through targeted interventions.
In some cases, healthcare providers may recommend additional diagnostic tests, such as allergy testing, stool analysis, or microbial profiling, to further assess gut health and guide treatment decisions. Working with a multidisciplinary team of healthcare professionals ensures comprehensive care and gives parents the ability to make informed decisions about their child's health and well-being.
Connection between skin health, gut health and eczema
Addressing gut health is a promising approach to improve childhood eczema symptoms and promote long-term skin health in children. By understanding the intricate interplay between the gut and skin, parents can implement targeted strategies to restore gut balance, identify dietary triggers, and effectively relieve eczema flare-ups in children.
From implementing elimination diets and incorporating gut-healing foods to supporting digestive function and seeking professional help, there are several steps parents can take to optimize gut health and relieve eczema symptoms in their children. By taking a holistic approach that addresses gut imbalance and dietary triggers, parents can empower their children to better manage childhood eczema and have healthier, happier skin. Using natural, toxin-free creams, like our Natural Eczema Bundle, can effectively restore skin health and barrier function during flare-ups. These topical eczema treatment creams with Manuka oil moisturize and support inflammation relief, leading to a quick recovery and returning skin to its natural well-being.
As with any condition, it is important to work closely with healthcare professionals to develop individualized treatment plans and monitor progress over time. With patience, persistence, and comprehensive care, parents can make a significant difference in their child's eczema condition and improve their overall quality of life.
Sources
- Andrew Shreiner, John Kao, & Vincent Young, The Gut Microbiome in Health and in Disease. Current opinion in gastroenterology 31.1 (2015): 69-75. Available here
- F Bath-Hextall, Fm Delamere, HC Williams, Dietary exclusions for Established Atopic Eczema, Pub Med. Available here
- E Isolauri, T Arvola, YSutas, E Moilanen, S Salminen, Probiotics in the Management of Atopic Eczema, Pub Med Available here
- BMC Complement Med Ther, 2024 Jan 29;24 (1):61. doi: 10.1186/s12906-024-04358-9, Mānuka oil based ECMT-154 versus vehicle control for the topical treatment of eczema: study protocol for a randomized controlled trial in community pharmacies in Aotearoa New Zealand, Available here
- Abuabara K, Yu AM, Okhovat JP, Allen IE, Langan SM. The prevalence of atopic dermatitis beyond childhood: A systematic review and meta-analysis of longitudinal studies. Allergy. 2018;73(3):696–704. Available here.