Elimination Diets and Severe Eczema: Common Mistakes to Avoid
Rachel Zohn | Sept 28, 2017
Reviewed by Michael Lehrer, MD on Dec 10, 2017
Many people with moderate to severe eczema give elimination diets a try, hoping it will help ease their inflamed, irritated, and itchy skin. But elimination diets only work if you do them properly. Lily Nichols, a licensed dietitian who has worked with dozens of clients for skin-related issues, shares how to avoid the most common elimination diet mistakes and what you should consider before you begin.
What is an elimination diet?
An elimination diet requires that you remove particular foods or food groups from your diet to pinpoint exactly what may be triggering your eczema. For some, the removal of certain foods may result in better eczema control. This is a short-term eating plan which can take several weeks and sometimes longer, depending on the number of foods you are sensitive to and the severity of your symptoms.
Eczema and food sensitivities
Some of the most common foods that people are sensitive to and may trigger eczema include grains, sugars, dairy and oftentimes eggs. Corn and soy also cause reactivity. But each person is different. The goal with an elimination diet is to remove all those things that may be causing your symptoms to worsen and then slowly reintroduce them back into your diet to see which ones are problematic. In order for the plan to work, you have to be willing to commit for a period of time.
Testing your suspicions
If you have a strong suspicion that one particular food is causing your problems, try removing that food from you diet for two weeks. It may take four to seven days to see an improvement. After two weeks, you can decide whether you want to introduce that food back into your diet. If you do so and your eczema flares again, there’s a good chance that food is problematic for you.
Food sensitivity testing
If you are uncertain which foods you may be sensitive to, or if you have tried multiple elimination diets without success, you may want to consider getting food sensitivity testing done. The results of this lab work can help guide you in determining which foods are best to eliminate and which foods should be safe to eat without triggering a reaction.
Inclusion as much as exclusion
Another benefit to food sensitivity testing is knowing which foods you have been tested for that you didn’t react to. Knowing what foods to include is just as important as knowing what foods to remove from your diet. You may begin an elimination diet with a small list of foods to eat, but as the time goes by, you will add a variety of foods back into your diet.
Not sticking with it
One of the most common mistakes people make is not sticking to an elimination diet. A few days on your plan and then a day of eating something you shouldn’t will completely throw of your results. The only way to truly pinpoint problematic foods is by completely eliminating them for a period of time to see how you feel when they are out of your system. It may take four to seven days to feel better once you’ve stopped eating a food you are sensitive to.
Careful planning can equal success
The key to a successful elimination diet is having a carefully thought-through plan. At first you will need to be extra-careful when grocery shopping. Read all food labels and come up with meal and snack plans that only include the foods and ingredients you can eat. You may be doing a lot of cooking at home for a few weeks!
Considering the social side
Planning ahead also includes thinking through how you will socialize with friends and family. If you go to a party, you may need to think about bringing your own food. Do you want to let people know what you’re doing and why? Also, be prepared to skip social drinking (for now). Alcohol is usually included in eliminations diet to give your digestive tract a chance to fully recover from inflammation caused by food sensitivities.
Think about timing
An elimination diet can be a lot of work and it’s not a lot of fun to eat a restricted diet. Before you embark on this commitment, take a look at your calendar and think through when would be a good time to try it. For instance, the holiday season, with its emphasis on parties and meals, might not be the easiest time to resist temptation.
The ultimate goal is variety
You shouldn’t eat an overly restricted diet forever. The goal of an elimination diet is to eventually include as wide a variety of foods as possible into your diet, while knowing which foods trigger your symptoms and at what dosage they cause problems. Staying on an extremely limited diet for too long can cause nutritional deficiencies. Also, your body may overreact by becoming sensitive to those few foods that you do eat.
You may find that some foods will always trigger a reaction, while others are only a problem if you eat a food too often or eat too much at one sitting. With time, you may be able to include some foods you’re sensitive to in limited quantities. Once you know your triggers, begin testing with new foods. Done correctly, an elimination diet can show good results. Lily Nichols, for example, says that her patients can see up to a 70 percent reduction in symptoms by the end of one month.