Eczema is one condition that is often completely treatable and reversible through naturopathic medicine. It is an inflammatory skin condition characterized by itchy red patches on the skin that also forms tiny fluid filled blisters when acute. Eczema is a skin condition characterized with an immune system imbalance similar to related conditions such as allergies, hayfever or other seasonal allergies and asthma.
As a naturopath, the goal is to treat the root of the problem, meaning that we have to understand how eczema develops in order to cure it. Conventional medicine takes a different approach in using steroid creams to suppress the rash and itching, which never addresses the root cause.
Understanding the immune system involvement:
One branch of the immune system, known as T-helper cells is divided into two types: Th1 and Th2. Th1 cells fight bacteria, viruses, fungi and tumors, whereas Th2 cells protect the body from allergens, chemicals and parasites. Allergies, eczema and asthma are characterized by Th2 dominance, where this branch of the immune system is over-reacting. This is partly genetic as we see tendency for allergic states run in families, but also can be aggravated by the following factors:
- dietary food intolerances
- dysbiosis (imbalance of good and bad bacteria in the gastrointestinal tract)
- frequent antibiotic use (related to dysbiosis)
- environmental chemicals and pollutants
- psychological stress
- vaccinations (which stimulate Th2 immune response and inhibit Th1)
Immune conditions at different ages:
In many cases, allergic conditions appear predictably at different ages and these are all related to each other:
- Eczema and food allergy often occur in babies and early childhood
- Asthma and ‘perennial rhinitis’ or chronic nasal congestions throughout the year typically occur in school-age children
- Seasonal allergies typically begin in teenage years
Remember: these are all related to the same immune system imbalance (Th2 dominance).
Testing and assessment:
1) As a naturopath, the first place that I start in finding the root cause of eczema is with a food intolerance test. In the majority of cases, at least one main food intolerance will be found. An intolerance is different from an allergy in that it is never life-threatening, but does cause an immune reaction of a different (IgG) branch of the immune system. Common food intolerances related to eczema are one or more of the following:
- Dairy products
- Eggs
- Wheat or gluten
- Citrus
- Tomatoes
- Soy
In some cases there are other food intolerances too (other fruits, nuts, meats), but they are less common.
2) In a smaller percentage of cases, a gastrointestinal stool analysis is also required to test for overgrowth of bacteria, parasites or yeast that also cause affect the immune system balance.
Treatment:
Once test results are in, steps to treat eczema are typically as follows:
- Eliminate all intolerant foods as shown on the test. If multiple foods show up, they may all not be long-term.
- Treat dysbiosis or yeast / bacterial overgrowth in the intestinal tract if indicated by testing.
- Use supplements to heal the intestinal lining and improve gastrointestinal immune system function. For example probiotics (acidophilus) and l-glutamine.
- Remove topical irritants: soaps, scented creams, strong detergents as they are common irritants in people with eczema.
- Modulate or balance the immune system to reduce Th2 dominance.
- Certain herbs and supplements can help to dampen the Th2 branch of the immune system and bring up the Th1 branch: for example astragalus and plant sterols.
- Fish oils and sometimes other fatty acid supplements to reduce inflammation and also reduce Th2 dominance.
I hope that this brief article is useful in explaining a naturopathic approach to treating eczema. This is a highly treatable and reversible condition.
If you would like assistance in treating your eczema, or your child’s eczema please inquire at the clinic.
Shawna Darou, ND