Rosacea is a chronic inflammatory skin condition for which no cure exists today. People suffering from rosacea have to keep their skin condition under control by the daily application of topical skin treatments. However, rosacea symptoms change on a daily basis due to so-called trigger factors. Rosacea skin can be improved significantly by keeping a close eye on these rosacea triggers. Here are three things that can have a major influence on the appearance of rosacea skin.

Stress
Stress can have a major (negative) influence on our skin. Stress is often unavoidable and most people have a fair amount of stress in their lives. However, if stress is not kept under control and is allowed to rise continuously, our health will suffer due to the physiological changes in our body brought on by stress. Research in mice has shown that in response to prolonged stress, the increased levels of stress hormones (glucocorticoids) in the blood over time resulted in a decline in the protective barrier function of the skin. The skin’s function is to regulate our water retention, temperature and to protect us from external microorganisms. When the barrier function of the skin gets compromised, skin conditions such as psoriasis, rosacea, eczema and atopic dermatitis may develop. When stress levels are elevated continuously, a further deterioration of the skin can result.

Ocular Rosacea
It is estimated that 60% of all rosacea patients suffer from some degree of ocular rosacea. Symptoms of ocular rosacea include burning and itchy eyes, red or bloodshot eyes or the sensation of a foreign object in the eyes. These symptoms are not always obvious for everyone and ocular rosacea is therefore frequently under-diagnosed. However, if ocular rosacea is not caught in the early stages and is allowed to develop, patient’s vision may be negatively affected. People with rosacea who regularly wear contact lenses pose a higher risk for the negative effects of ocular rosacea than rosacea patients who don’t wear contacts. The reduced oxygen availability caused by contact lenses could speed up the development of ocular rosacea.

Food
There are many different types of food that can trigger a rosacea flare-up. Foods that have the highest potential of aggravating rosacea symptoms are aged foods such as cheeses and wine. Aged foods contain large amounts of histamine, which can increase inflammatory reactions in the body. Certain foods, such as bananas and strawberries stimulate the body to produce more histamine, so these foods have an indirect effect on rosacea. In addition, certain food ingredients boost the body’s production of nitric oxide (NO), which dilates blood vessels. Foods that increase NO are foods that contain large amounts of the amino acid arginine (for example soy, chocolate and nuts) and foods preserved with nitrates (sausage and cured meats). Every person with rosacea needs to have a good understanding of their diet in order to figure out what food ingredients are contributing to their rosacea flare-ups.

Keeping track of rosacea triggers in your diet and environment plays a major role in the appearance of your skin. Knowing what these rosacea trigger factors are in combination with the right rosacea treatment, will help in managing rosacea symptoms for years to come.

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