The human body is pretty incredible. As we learn more about how different parts interact, it becomes even more amazing. There is growing interest in how our gut and skin communicate with each other.
The “gut-skin axis” refers to all the connections between our skin and digestive system. The skin and digestive tract both interact with our inner and outer environments. This means they’re in constant communication with the world around us and the world inside of us.
Much of this communication is done through our body’s microbiome. Our microbiome includes trillions of bacteria, fungi, and other living things. They live in and on our body, mainly in our gut and on our skin.
These microbes play an important role in our health. An imbalance in either the skin or gut microbes often affects the other. Alterations in the microbiome are seen in a variety of health conditions. These include mental health conditions, irritable bowel syndrome (IBS), diabetes, and skin conditions.
Eczema is an inflammatory skin condition. People with eczema have some distinct differences in their microbiomes. We are still finding out how our microbes can be modified to support better health. The hope is that this information can help to find better treatments for eczema.
Treatment for eczema is no longer just about targeting your skin. It’s possible that changing your gut microbiome may improve your skin, too.
The makeup of the microbiome starts from birth. There are a
- birth method (vaginal or cesarean birth)
- how you were fed as an infant (breastmilk or formula)
- your age
- your genetic makeup
- where you live in the world
- use of certain medications, including antibiotics
There’s no one single healthy microbiome. One healthy person will not have the same microbiome as another healthy person.
In babies and children, eczema can be an early sign of allergy risk. Eczema and allergies are both triggered by an abnormal immune response.
The immune system usually only responds to a true threat such as a virus or harmful bacteria. It will send out an army of inflammatory proteins to fight off an invader. With allergies or eczema, the immune system gets triggered by something that shouldn’t trigger it.
Babies with eczema are
Children with eczema have
Sometimes children grow out of eczema. In adults, especially older adults, several
There are theories that changing the gut microbiome could improve eczema. Everyone’s microbiome is slightly different. It’s impossible to know what the “perfect” microbiome would look like to prevent or manage eczema.
There is also the ongoing question of what comes first. Does something cause a shift in the microbiome, leading to disease? Or does the disease cause a change in the microbiome?
Common treatments for eczema include topical creams or narrow band ultraviolet treatment. These are found to
You may have heard about
Skin microbiome transplants may be the next thing.
Probiotic supplements can be helpful for people with digestive symptoms. With skin and gut microbes so connected, could oral probiotics also support skin health? There are theories that changing gut bacteria with probiotics may improve skin, too. So far, there are no results to support this idea.
At this point, there’s no specific probiotic supplement to improve eczema. With further research, it’s possible that could change.
There may be some promise with
People with eczema have more Staphylococcus aureus (S. aureus) bacteria on their skin. This bacteria is associated with
There are several species of helpful bacteria that live on the skin. Many act as barriers to prevent harmful invaders from entering the body. Some bacteria actually have antimicrobial properties to block pathogens. The population of S. aureus makes it harder for beneficial bacteria to live on affected areas of the skin.
There are things that you can do to support gut health. At this point, it’s not known exactly what the “best” gut microbiome is for eczema. People with eczema and other inflammatory conditions tend to have less diverse microbiomes.
Certain lifestyle choices can support greater diversity within your microbiome:
- Eating a high-fiber diet. A high-fiber diet is associated with greater diversity in your gut microbiome. Fiber sources feed healthy bacteria in your gut. You can get fiber in your diet from whole grains, nuts, seeds, beans, vegetables, and fruits.
- Incorporating fermented foods. Fermented foods are created using
microbes. They are great sources of probiotics and can improve your gut health. Fermented foods include yogurt, kefir, tempeh, kimchi, and sauerkraut.
- Limiting alcohol intake. Alcohol intake is shown to change the gut microbiome. This can lead to gut
dysbiosis. It’s best to reduce alcohol intake if you can.
- Managing stress. If you often feel stressed, you know that stress can really affect how you feel.
Researchsuggests it may also change our microbiome. It’s not realistic to completely get rid of your stress, but finding ways to better cope may help.
We have trillions of bacteria, fungi, and other living things that live in and on our body. This makes up our microbiome. Most of these microorganisms live on our skin and in our gut. These microorganisms are in constant communication. This is known as the gut-skin axis.
Everyone’s microbiome is a little different and there isn’t one perfect microbiome. There are distinct changes seen with certain conditions. People with eczema have different bacteria colonies compared to people without eczema.
There is hope that changing these colonies may play a part in treating eczema. Many current treatments reduce inflammatory bacteria and support the growth of helpful bacteria. There are things you can do to support a healthy and diverse gut microbiome. This may improve skin health, too.