Nutrition in atopic dermatitis

The constant itching in Neuromdermitis (also called atopic dermatitis or endogenous eczema) is grueling, but sufferers can actively help themselves to achieve an improvement in symptoms without medication. Combined therapy for atopic dermatitis, which takes into account both mental aspects (ie, helping the patient to relax and relieve stress that promotes the disease), as well as a lifestyle change, can help. In addition to skin care, nutrition plays an important role in the development of atopic dermatitis as well as in therapy.

Prevention is better than cure

Especially parents who are themselves neurodermatitis or allergic or even parents who already have a child with allergies, should take preventive measures against eczema (endogenous eczema).

The mother can make the most important contribution to the prevention of a child at risk of developing anodermatitis by breastfeeding her baby. A newborn's intestinal mucosa is more permeable to allergens than an adult's, which makes it easy to experience allergies, especially in the first few months of life, when the infant is exposed to many "foreign" proteins. For this reason, mothers of children at risk of developing neurodermatitis should exclusively breast-feed for four to six months. There are indications that sometimes even mother's milk can pass on allergenic proteins to the baby.

For this reason, a low-allergen diet of the mother may help in lactation, to prevent atopic dermatitis or atopic dermatitis. Allergy-causing foods include cow's milk, fish, nuts and eggs. However, this should only be done in consultation with the doctor and taking into account the nutritional needs of the mother and child. If necessary, z. As iodine and calcium preparations are administered to prevent any deficiency symptoms arise.

Atopic dermatitis: prevention during lactation

In the event that the mother can not breastfeed, she should (if it is only for a short period of time) freeze pumped breast milk or, if she can not breastfeed for a long time, use hypoallergenic baby food (HA on the packaging). This is mostly made of cow's milk protein, which is broken down into its building blocks, the amino acids and thus less allergenic than infant formulas from conventional cow's milk or soy protein.

From the fourth to the sixth month, the introduction of complementary food can begin. Here is a simple rule: every week try a maximum of a new food, which is first given peeled and cooked. If it comes to symptoms of atopic dermatitis, the last "tried" food is again omitted until the symptoms subsided.

In the first year of life, foods with high allergy-inducing potential should also be omitted altogether (eg cow's milk, eggs, wheat, fish, soy products and nuts).

If the disease has already occurred

There is no special diet for atopic dermatitis. Only foods that have been shown to cause intolerance reactions to the particular neurodermatitis patient should be omitted. Rigid dietary requirements (eg, without animal protein) can lead to deficiency symptoms and can have irreversible consequences, especially in children.

Eczema: detecting causes

In order to find out which foods are not tolerated in connection with atopic dermatitis (endogenous eczema), the doctor can perform various tests. On the one hand there are skin tests, such as the prick test, in which a drop of allergen solution is applied to the skin of the forearm and pierced at this point with a needle. In the rub test, a fresh food is rubbed onto the skin of the forearm. On the other hand there are laboratory medical examinations in blood and urine, which can give indications of possible food allergies.

Unfortunately, none of these tests are 100% reliable, which is why patients usually have to try for themselves what they get and what they do not. Search diets can be performed in collaboration with a doctor and a dietician to find the food-causing conditions associated with atopic dermatitis.

Eczema: What else can help

In many patients, the administration of evening primrose or borage oil may improve the symptoms of atopic dermatitis. These oils contain gamma-linolenic acid, which can have a positive effect on the disease. In contrast, studies have not been able to clearly prove that the administration of fish oil in atopic dermatitis (atopic dermatitis) helps.

The diet for atopic dermatitis should be balanced with all foods that are tolerated. This means (if these foods do not cause allergies) to eat daily dairy products, many whole grains, vegetables and fruits, once or twice a week fish and no more than two to three times a week meat and sausages. Vegetable fats with polyunsaturated fatty acids should preferably be consumed (sunflower oil, olive oil).

Foods whose composition is not well known should be better avoided. If fruits and vegetables are not well tolerated, short dousing may increase the tolerability of atopic dermatitis.

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