Many individuals with eczema, also known as atopic dermatitis, experience a profound sense of tiredness. There is a recognized connection between this chronic inflammatory skin condition and fatigue. This exhaustion often extends beyond typical drowsiness, significantly affecting daily life.
The Link Between Eczema and Fatigue
Eczema can lead to profound fatigue. The persistent symptoms, such as intense itching and skin irritation, demand continuous attention from the body’s immune system. This ongoing internal response consumes substantial energy, contributing to exhaustion. This fatigue is more than just feeling sleepy; it often manifests as a pervasive tiredness that a typical night’s rest may not resolve. The chronic nature of eczema means the body is continuously managing inflammation and discomfort, which can be draining.
Key Factors Contributing to Tiredness
One significant contributor to tiredness in individuals with eczema is chronic itching and the resulting sleep disruption. The intense itching, often worse at night, can lead to frequent awakenings and difficulty falling or staying asleep. This itch-scratch cycle disrupts restorative sleep, preventing the body from achieving the deep rest it needs. Studies indicate that over 80% of adults with eczema report sleep problems, with many experiencing less restorative sleep.
Systemic inflammation also plays a role in the fatigue experienced by those with eczema. Eczema impacts the entire body, with the immune system’s overreaction causing widespread inflammation. This chronic inflammatory state requires the body to expend energy continuously, leading to fatigue. Elevated levels of stress hormones, such as cortisol, triggered by chronic itching, can disrupt sleep patterns and contribute to sleep disturbance and exhaustion.
The psychological burden of living with a chronic skin condition further depletes energy levels. Eczema can cause significant stress, anxiety, and frustration due to its visible symptoms and unpredictable flare-ups. These mental and emotional challenges are energy-intensive, with individuals reporting decreased energy and difficulty concentrating. The constant effort to manage symptoms can also contribute to weariness.
Certain treatments for eczema can also have side effects that include drowsiness or fatigue. For instance, some oral antihistamines used to reduce itching can induce sleepiness. Additionally, some systemic medications may list fatigue as a potential side effect.
Managing Fatigue When Living with Eczema
Effectively managing eczema symptoms is a primary step in alleviating related fatigue. Adhering to prescribed treatments, such as topical medications and moisturizers, helps reduce itching and inflammation, which are major drivers of sleep disruption. Regular moisturizing, especially after bathing and before bed, helps maintain skin hydration and reduces nighttime itch. Avoiding known triggers, such as harsh soaps or certain allergens, can also minimize flare-ups and improve skin comfort.
Improving sleep hygiene is crucial for individuals experiencing eczema-related fatigue. Establishing a consistent sleep schedule, even on weekends, helps regulate the body’s internal clock. Creating a comfortable sleep environment that is cool, dark, and quiet can promote better rest, with recommended bedroom temperatures often between 60–67°F (15–19°C). Avoiding electronic screens for at least an hour before bedtime and incorporating calming activities like reading or gentle stretching can also prepare the body for sleep.
Stress reduction techniques can help manage the psychological burden of eczema, which contributes to fatigue. Practices such as mindfulness meditation, deep breathing exercises, and yoga can lower stress hormone levels and promote relaxation. Seeking support from groups or counseling can also provide coping mechanisms and address the emotional toll of the condition. Consistent, moderate physical activity, tailored to avoid sweat-induced flares, can also enhance mood and overall energy.
Lifestyle adjustments further support overall energy levels. Maintaining a balanced diet rich in fruits and vegetables supports general health and can help manage inflammation. Staying adequately hydrated is important for skin health and overall well-being. If fatigue remains severe, persistent despite managing eczema, or is accompanied by other concerning symptoms like difficulty concentrating or mood changes, consulting a healthcare professional is advisable. They can assess for other contributing factors and adjust treatment plans as needed.