It is now commonly understood that the gut is the principle interface between microbes and the immune system. When the balance of ‘good’ and ‘bad’ microbes is lost in favour of increased levels of pathogenic strains then damage to the lining of the gastro-intestinal tract can occur. Not only does this allow pathogens and toxins to reach the bloodstream, but the damage to the gut mucosa also triggers an inflammatory reaction from the immune system. The continuous cycle of damage to the gut lining and the low-grade systemic inflammation that it causes, can have far-reaching consequences in the body. As healthcare professionals you may already by aware that one of the possible outcomes is eczema.

It is estimated that 1 in 5 children in the UK has eczema

The introduction of probiotics into a gut that is over-populated by pathogenic species is believed to increase the competition for space on the epithelial wall, and also the competition for available food and nutrients. In this way probiotics can effectively ‘crowd out’ less desirable strains of bacteria and help to restore the gut flora to its natural balance, giving the epithelial lining a chance to heal. If the gut lining regains its integrity and becomes less 'leaky' then a significant burden is taken off the immune system, meaning that it is less likely to 'over-react' thus reducing our susceptibility to allergies.

Clinical evidence:

Preliminary research seems to suggest that skin conditions such as eczema and psoriasis can be linked back to an imbalance of good and bad bacteria in the gut. However, not all strains of friendly bacteria exert a protective effect against the development of atopic eczema, and research is still ongoing as to the best strains to use.

One large study in 2010 on a strain of Lactobacillus rhamnosus showed babies exposed to probiotics prenatally & after birth for 6 months were less likely to develop eczema than those not given probiotics. This study was followed up in 2012 by a paper published in the journal ‘Clinical and Experimental Allergy’1. The same strain of Lactobacillus was given to pregnant mothers from 35 weeks gestation to 6 months post birth (if breastfeeding), and their infants were also supplemented from birth until age 2yrs. The study results showed that of the 425 participants, the incidence of eczema at age 4 years (2 years after the cessation of probiotic supplementation) was greatly reduced in the probiotic group as compared to placebo. The researchers believed that this protective effect was gained through the modulation of the immune system and the suppression of pro-inflammatory cytokines, which are ‘messenger’ molecules within the immune system.

Additionally, in a 2007 study2, 188 pregnant women from families with high incidence of allergic conditions were given probiotics or placebo from week 36 of gestation to birth. Their infants were then subsequently supplemented with the same probiotic from birth to age 12 months. The probiotic strain used was: Lactobacillus reuteri ATCC 55730. Clinical results showed that the probiotic group of infants had less IgE-associated eczema (IgE is a certain type of antibody).

Anecdotal evidence:

Much research is still going on into the specific strains of probiotics that might positively impact the development and progression of eczema, however customer reviews of our product 'For every day EXTRA strength' indicate that the strains in this formulation may be helpful. And we hope that your patients and clients have had similar experiences.

One review by Jenny in Southampton said: ‘I used this product originally after a couple of courses of antibiotics. What I didn't expect to happen was for my eczema to clear up almost over night. I have had it severely for eight years. I was so convinced it was the probiotics I called my doctor who dismissed the idea. I however put my 8 year old daughter on them and her eczema cleared up too, and she had been under hospital treatment for her condition. If you have eczema then please try these I think they are amazing and I tell everyone I can.’

For every day EXTRA Strength

Click here to read more about ‘For every day EXTRA strength’

Our product ‘For babies & children’ (formerly called ‘For your child’s health’) was also favourably reviewed by GreenKiddie, a website providing information about green and natural care for babies and children. The review stated that the product ‘proved to stop eczema in its tracks’ and, due to the fact that it is shelf-stable, was also ‘perfect for busy parents’.

For babies & children

Click here to read more about ‘For babies & children’ .

For more detailed information on this topic you may also like to read the following article by Dr Georges Mouton, health practitioner and expert in digestive health.

Probiotics and Eczema. How probiotics can help to prevent and/or improve atopic eczema.

References: [1] A protective effect of Lactobacillus rhamnosus HN001 against eczema in the first 2 years of life persists to age 4 years. Authors: K. Wickens, P. Black,T. V. Stanley, E. Mitchell, C. Barthow, P. Fitzharris, G. Purdie, J. Crane First published: 15 June 2012
[2] J Allergy Clin Immunol. 2007 May;119(5):1174-80. Epub 2007 Mar 8. Probiotics in prevention of IgE-associated eczema: a double-blind, randomized, placebo-controlled trial. Abrahamsson TR1, Jakobsson T, Böttcher MF, Fredrikson M, Jenmalm MC, Björkstén B, Oldaeus G.