The Gut & Skin Connection: Rosacea

Introduction

As everyone knows, the gut helps the body metabolize nutrients and vitamins that it needs to function correctly. The gut system also allows the body’s immunity to perform while staying in communication with the brain. The gut helps sends signals back and forth to regulate the body’s hormones signals and other beneficial substances that the body requires. The gut is also in communication with the largest organ in the body, which is the skin. When intolerable factors start to wreck the gut and cause chaos inside the gut system, it disrupts the brain signals in the nervous system and can also take a toll on the skin. Today’s article will focus on a skin condition known as rosacea, how it affects the gut system, and what is the gut-skin connection. Referring patients to certified, skilled providers who specialize in gastroenterology treatments. We provide guidance to our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

What Is Rosacea?

 

Have you felt any gut disorders like IBS, leaky gut, or GERD affecting your mid-section? How about redness around your face, especially the nose and cheek areas? Does your skin seem to feel tender to the touch in certain areas? Most of these symptoms are related to a chronic inflammatory disease known as rosacea. It is usually indicated by genetic and environmental components that can trigger rosacea initiation on the skin. Rosacea is generally aggravated by dysregulation of the body’s innate and adaptive immune system. Research studies have mentioned that rosacea is usually developed by lymphatic dilation and blood vessels exposed to extreme temperatures, spices, or alcohol which causes rosacea to affect the cheeks and nose. Not only that, but genetics, immune reaction, microorganisms, and environmental factors lead to various mediators such as keratinocytes, endothelial cells, mast cells, macrophages, T helper type 1 (TH1), and TH17 cells.

 

How Does It Affect The Gut System?

Since rosacea is developed through exposure to high temperatures, spices, or alcohol, research studies have shown that particular food and drinks cause the inflammatory cytokines to become triggered in the face. Additionally, many trigger factors can directly communicate to the cutaneous nervous system; neurovascular and neuro-immune active neuropeptides are lead to the manifestation of rosacea lesions. Some of the other triggers that can cause rosacea to develop is an unhealthy gut system. A study showed that more than 50% had low stomach acid among patients who had both rosacea and dyspepsia. The bacteria H.pylori resides in the stomach and has been recognized to trigger inflammation and gastrin-induced flushing, thus causing rosacea. Additional studies have mentioned that rosacea individuals will experience some gut disorders to occur. Since the gut system can succumb to various factors, it can affect the gut’s composition and trigger rosacea. Since the gut microbiota has influenced the body’s homeostasis, it can also influence the skin. When there are factors that trigger the intestinal barrier of the gut, it can affect the skin, causing the inflammatory cytokines to proceed with the development of rosacea.

---

Uncovering The Gut-Skin Connection-Video

 

Does your skin feel flushed due to extreme temperatures or consuming spicy food? Have you experienced gut disorders like SIBO, GERD, or leaky gut? Has your skin seemed to break out even more than it should? Your skin could be affected by your gut microbiota, as the video above shows what the gut-skin connection is and how they work with each other. Research studies have shown that since the gut microbiome is the key regulator of the body’s immune system, it plays a vital role in various skin disorders. This means that when environmental factors affect the gut’s microbiome, it also affects the skin through dysbiosis. 

---

What Is The Gut-Skin Connection?

 

As stated earlier, the gut system is home to trillions of microorganisms that help metabolize the body’s homeostasis, including the largest organ, the skin. Research studies have found that when the gut microbial and the skin communicate with each other. It creates a bidirectional connection. The gut microbiome is also an essential mediator of inflammation in the gut and affects the skin. When there are factors like insulin resistance, imbalances in the sex hormones, gut inflammation, and microbial dysbiosis wrecking the gut system, the effects can cause the pathology of many inflammatory disorders to affect the skin. Any changes to the gut can also affect the skin as the gut consumes food to be biotransformed into nutrients that the body needs. But when food allergies and sensitivities affect the gut, the skin also gets involved, causing skin disorders like rosacea.

 

Conclusion

Overall the gut makes sure that the body is functioning correctly by metabolizing nutrients from consumed foods. The gut system has a connection to not only the brain and immune system but also the skin. The gut-skin connection goes hand in hand as factors that affect the gut can also affect the skin in developing skin disorders like rosacea. When a person is suffering from gut disorders, their skin is also damaged by factors like stress, food sensitivities, and skin disorders that can become a nuisance. This can be alleviated through small changes like reducing stress, eating healthy foods, and exercising, which are beneficial for relieving gut and skin disorders for individuals who want to get their health back.

 

References

Daou, Hala, et al. “Rosacea and the Microbiome: A Systematic Review.” Dermatology and Therapy, Springer Healthcare, Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7859152/.

De Pessemier, Britta, et al. “Gut-Skin Axis: Current Knowledge of the Interrelationship between Microbial Dysbiosis and Skin Conditions.” Microorganisms, MDPI, 11 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7916842/.

Farshchian, Mehdi, and Steven Daveluy. “Rosacea.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 30 Dec. 2021, www.ncbi.nlm.nih.gov/books/NBK557574/.

Kim, Hei Sung. “Microbiota in Rosacea.” American Journal of Clinical Dermatology, Springer International Publishing, Sept. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7584533/.

Mikkelsen, Carsten Sauer, et al. “Rosacea: A Clinical Review.” Dermatology Reports, PAGEPress Publications, Pavia, Italy, 23 June 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5134688/.

Salem, Iman, et al. “The Gut Microbiome as a Major Regulator of the Gut-Skin Axis.” Frontiers in Microbiology, Frontiers Media S.A., 10 July 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6048199/.

Disclaimer