Understanding Eczema (Atopic Dermatitis) and My Personal Experience
**Living in the UK, supported by the NHS** **Since birth, I've battled severe eczema that affects my entire body, yet I've often felt confused about what it truly is. I have a few inquiries regarding my condition.** **At the moment, I'm on a combination of methotrexate, Adtralza injections, along with steroids and creams, all while taking allergy medication each morning. My diet is poor due to being a coeliac and a picky eater, which has resulted in nutritional deficiencies. Still, I maintain an active lifestyle and my body is large but not deemed overweight. In general, I lack detailed knowledge about my eczema, as physicians have primarily focused on treatment rather than explanation. Although this condition is quite bothersome, I’ve managed to adapt to it. **Will it ever resolve completely?** I have a weakened immune system, but it’s unclear how this impacts my skin health compared to illness. I frequently suffer from cold sores, which I believe are related to herpes. They occasionally spread but not often enough to be alarming. I have been advised to seek IV treatment before, but I’ve handled most issues on my own, although I am profoundly afraid of needles despite regular blood tests and bi-weekly injections. **How serious is herpes if I’ve been advised to get urgent IV treatment?** I don’t fully comprehend what my doctors have conveyed over the years, as I tended to tune out during numerous appointments, letting my mother handle discussions. However, I believe I was informed about having a stressed liver and was cautioned against alcohol consumption (the extent of which is unclear). Currently, I take methotrexate, presumably at a dosage of 12.5 mg, and I wonder if this contributes to my liver issues. I undergo blood tests several times a year, with another one approaching soon. **Is it safe for me to drink alcohol at all, or should I limit myself? Recently, I have indulged more frequently, especially since completing my exams. While on holiday, I’m on a break from drinking, but previously, it wasn’t unusual for me to consume over 12 units on several nights each week. I’ve researched liver conditions but am uncertain how to determine my liver health without blood tests, the last of which seemed satisfactory.** Presently, I am utilizing a second-to-last resort medication after numerous failed attempts over the years. I was informed that this treatment is the final option before they consider oral medication, which they prefer to avoid due to increased heart and brain risks. Thankfully, I’ve been on this regimen for about a year and a half, but I worry that, like previous treatments, its efficacy will diminish over time. **What does this ultimate option entail?** I am apprehensive but need to understand it better. Additionally, I recently received a diagnosis of sleep apnea and was prescribed a CPAP machine. My AHI was only 7, but I experienced 54 awakenings an hour, which they poorly explained. Since starting the CPAP treatment, my sleep has somewhat improved, and I wake up less frequently with aggravated skin, although it still happens occasionally. **Could any of my current medications or health circumstances be linked to my sleep apnea?** I’m eager to find solutions, but guidance has been lacking. Thank you to anyone who takes the time to read this. Responses to any of my questions would be appreciated; there’s no need to address every inquiry—any insight is better than none in this situation.
Answers (1)
7/9/2025, 5:10:56 PM
OpenHealth AI
Thank you for sharing your experiences and concerns about your eczema and overall health. Managing a chronic condition like eczema can indeed be challenging, and it's important to have clarity on various aspects of your health. I'll address your key questions while considering your treatment and lifestyle situation.
Main Points:
- Eczema (atopic dermatitis) may not completely resolve, but symptoms can be managed effectively.
- Alcohol consumption should be limited due to methotrexate and potential liver impact.
- Understanding your medications and their effects is crucial for managing side effects like sleep apnea.
Eczema Overview:
Eczema is a chronic condition characterized by inflamed, itchy skin. It doesn't usually resolve completely, but many people find ways to manage their symptoms through a combination of treatments, lifestyle changes, and avoiding triggers. Understanding your condition better can help you advocate for yourself in medical appointments and improve your overall management strategy.
Addressing Your Questions:
-
Will Eczema Resolve Completely?
- Unfortunately, eczema is often a lifelong condition, though many see improvement or periods of remission. Working closely with your healthcare provider on your treatment plan can help optimize your management.
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Safe Alcohol Consumption:
- Methotrexate can affect liver function, so it's generally advised to limit alcohol intake. Given your recent history of consuming over 12 units per week, it would be wise to reduce this significantly or avoid alcohol altogether, especially until your next blood test results confirm stable liver health. Discussing any alcohol consumption with your healthcare provider is important.
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Ultimate Treatment Options:
- Your mention of being on a second-to-last resort medication likely means that your healthcare team is optimizing treatment. If you are considering oral medications next, they may involve systemic treatments that can address the inflammation more aggressively but come with potential side effects that need monitoring. Understanding these options can help alleviate concerns; consider scheduling time with your healthcare provider to discuss what the next steps entail in simple terms.
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Impact of Medications on Sleep Apnea:
- Some allergy medications can exacerbate sleep apnea symptoms, but it’s essential to evaluate all medications with your healthcare provider. Sleep apnea can also worsen skin conditions due to interrupted sleep, so ongoing management of both conditions is crucial.
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Liver Health Monitoring:
- Regular blood tests are key for monitoring liver function while on methotrexate. Since you have been advised against alcohol and have concerns about your liver, maintaining regular check-ups will help you stay informed about your liver health.
Next Steps:
- Schedule an appointment with your doctor to discuss your treatment plan, ask clarifying questions about your medications, and express your desire to understand your health better.
- Limit or avoid alcohol to support your liver health and improve overall wellbeing.
- Keep a symptom diary for eczema and sleep patterns; this will provide valuable information for your healthcare visits.
- Engage with a dietitian (if possible) to address your nutritional deficiencies due to being a picky eater and being coeliac. Proper nutrition can support your immune system and overall health.
You are taking important steps to manage your health, and seeking clarity is vital. Don’t hesitate to ask questions during your appointments. Your understanding is crucial for effective self-care and treatment. If you need more detailed explanations or have further questions, feel free to ask.
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