Introduction

Eczema is a condition that causes the skin to become dry, red, and itchy. While it usually develops in childhood, it can also affect adults. Allergies, such as hay fever, and asthma have also been shown to cause eczema.

If eczema causes dry skin, does it then follow that proper hydration is the best way to counteract this? This article will explore the relationship between hydration and the skin.

What is eczema?

The skin is made up of three layers:

Eczema causes the corneal layer to become damaged. This is usually due to inflammatory processes that occur within the skin.1 The area of the body that eczema most commonly appears on are the flexural surfaces - the areas in which joints bend inwards - such as the elbows or knees. 

Symptoms

Some common symptoms of eczema are as follows:

Water is essential for proper skin function

It is likely you have heard the phrase ‘humans are 70% water’ at some point in your life, in a multitude of different contexts. However, what does this phrase actually mean on a physiological level? Water is a major component of cells and tissues within the body. As such, it makes up around 70% of our body composition. There are various roles that water plays within the body, including:

Skin elasticity

The elasticity of the skin refers to the skin’s ability to return to normal after it has been stretched. You can test your own skin elasticity very easily. Simply pinch an area of your skin, usually the back of the hand, for 5 seconds and see how long it takes to return to normal. We tend to lose skin elasticity as we age, therefore the time it takes to get back to normal will increase as you get older. Additionally, certain skin conditions can also affect the elasticity of the skin, including eczema. 

Wound healing

People with eczema are more likely to suffer from skin breakages, due to the factors listed above. As such, it is important to understand what constitutes a good environment for the skin to heal itself effectively. 

There are four stages of primary wound healing:

Once this process is completed, you have a healed area. Sometimes this process of healing will leave a scar. 

Water is essential for wound healing due to the level of hydration needed for each stage of the healing process. If you are dehydrated, there will be a lower blood volume in your system. As a result of this, the time taken for the chemicals to travel in the blood will increase, leading to a longer recovery time. It also means that it will take longer for the recovering cells to receive oxygen and nutrients which are important for the healing process. 

If internal hydration levels are important for wound healing, the external environment is equally so. When we are injured, plasters and wound dressings are helpful for a number of reasons, one of which is that they help prevent water inside the body from escaping through the affected area. However, it is important to keep wounds clean and dry before applying the dressing, so as to minimise the risk of infection. If the wound is too wet, it can slow down healing and may introduce bacteria to the area.3

Hard water is especially bad for eczema

Water is classified as ‘hard water’ if it contains high levels of calcium and magnesium. Links have been found between exposure to hard water and increased skin sensitivity to irritants, alongside damage to the skin barrier. As such, washing skin with hard water could potentially play a part in the development of eczema. It has also been proposed that calcium-containing water might lower the skin’s ability to heal. Given that people suffering from eczema often have more sensitive skin than others, it is likely they are more prone to experiencing the negative effects of hard water. 

Moisturise from both inside and outside

If water is so essential, how can we make sure we are maximising our hydration levels effectively? Drinking water is helpful, but the water consumed orally will be used for a lot of other functions around the body. As such, it’s important to make sure our skin is not being neglected. The best way to do this is by utilising external methods of hydration, such as moisturisers. This gives the skin a little boost in a more targeted manner.

Conclusion

Eczema is a condition that causes the skin to become dry, red and itchy. Water is not only essential for us to function, both internally and externally, but it is also very helpful in reducing the severity of some eczema symptoms. It’s also important to remember that the quality of water will have an impact on your skin. If you are concerned about your skin you should seek medical advice for a tailored consultation and targeted advice.

References

  1. Eczema: Overview. Institute for Quality and Efficiency in Health Care (IQWiG), 2017. www.ncbi.nlm.nih.gov, https://www.ncbi.nlm.nih.gov/books/NBK279399/.
  2. Palma, Lídia, et al. “Dietary Water Affects Human Skin Hydration and Biomechanics.” Clinical, Cosmetic and Investigational Dermatology, vol. 8, Aug. 2015, pp. 413–21. PubMed Central, https://doi.org/10.2147/CCID.S86822.
  3. Sheffield, University of. The Hard Truth about Eczema: It’s Something in the Water - Archive - News Archive - The University of Sheffield. 21 Sept. 2017, https://www.sheffield.ac.uk/news/nr/eczema-treatments-research-hardwater-skin-conditions-1.731633.
my.klarity.health presents all health information in line with our terms and conditions. It is essential to understand that the medical information available on our platform is not intended to substitute the relationship between a patient and their physician or doctor, as well as any medical guidance they offer. Always consult with a healthcare professional before making any decisions based on the information found on our website.
Klarity is a citizen-centric health data management platform that enables citizens to securely access, control and share their own health data. Klarity Health Library aims to provide clear and evidence-based health and wellness related informative articles. 
Email:
Klarity / Managed Self Ltd
Alum House
5 Alum Chine Road
Westbourne Bournemouth BH4 8DT
VAT Number: 362 5758 74
Company Number: 10696687

Phone Number:

 +44 20 3239 9818
my.klarity.health presents all health information in line with our terms and conditions. It is essential to understand that the medical information available on our platform is not intended to substitute the relationship between a patient and their physician or doctor, as well as any medical guidance they offer. Always consult with a healthcare professional before making any decisions based on the information found on our website.
Klarity is a citizen-centric health data management platform that enables citizens to securely access, control and share their own health data. Klarity Health Library aims to provide clear and evidence-based health and wellness related informative articles. 
Email:
Klarity / Managed Self Ltd
Alum House
5 Alum Chine Road
Westbourne Bournemouth BH4 8DT
VAT Number: 362 5758 74
Company Number: 10696687

Phone Number:

 +44 20 3239 9818
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