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What Causes Dry Skin? Prevention Tips and Treatment

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The general cause of dry, itchy skin might seem like common sense: a lack of moisture. The real question is finding out what causes this lack of moisture. Normally, the top layer of skin is made up of dead cells and natural oils, which help to trap moisture in order to keep skin soft and smooth. But if there is not enough water in this top most layer of cells, often the result of protective oils being diminished, then dry skin may be the result.

For the most part, experiencing dry skin, or xerosis cutis, is not a big concern. In fact, it’s extremely common, can happen to people of all ages, and can occur anywhere on the body including hands, face, legs, and stomach.

While you may not be able to completely prevent dry skin from occurring, there are a few lifestyle changes and over the counter moisturizers available that should be more than enough to treat it.

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What is Dry Skin and What Causes It?

Dry skin is an extremely common skin condition that is characterized by the lack of an appropriate amount of water in the epidermis, the most superficial layer of the skin. The epidermis is generally composed of fat (lipid) and protein. The lipid portion of the epidermis, coupled with specific epidermal proteins such as filaggrin, work to prevent skin dehydration. When there are deficient proteins and/or lipids, the skin moisture will evaporate more easily, resulting in dry skin.

While dry skin affects both men and women at about the same ratio, older individuals are specifically more prone to dry skin. This is because the skin of elderly individuals tends to have a diminished amount of natural skin oil and lubricants. Areas such as the arms, hands, and particularly the lower legs tend to be the most affected by dry skin, but it can occur anywhere on the body.

Environmental factors, like humidity and temperature, will have a profound effect on the amount of water that is retained by the skin. For example, cold air is drier, and when heated by a furnace it will produce dry skin by evaporating the moisture on the skin.

Frequent hand washing and sanitizing can also cause evaporation and dryness.

In some cases, dry skin may be a side effect of some medications or possibly a byproduct of certain skin diseases.

Some of the other most common causes of dry skin include:

  • Being middle aged or older: As skin ages it will produce less sebum, which is an oil that helps to keep skin soft and youthful. During your 40s, the amount of sebum that your body produces will drop dramatically and continue to drop as you get older.

  • Skin tone: Research shows that people with darker skin tones or fairer skin are more likely to develop issues with dry skin than people with a medium complexion.

  • Taking certain medications: There are several medications, including statins and diuretics, that may result in extremely dry skin being a side effect.

  • Having a job with “wet work”: A job that will require you to frequently put your hand in water throughout the day, or use harsh chemicals, can strip your skin of its protective layer. Hairdressers, nurses, housekeepers, construction workers, cooks, florists, and metal workers will all commonly develop excessively dry skin.

  • Low outdoor temperatures: When the temperature outside falls, the air will hold less moisture. This is a very common reason for seasonal related dry skin.

  • Having a vitamin or mineral deficiency: Skin requires nutrients in order to keep it healthy. If you are lacking vitamin D, vitamin A, niacin, zinc, or iron you are more likely to develop dry skin.

  • Smoking: Cigarettes contain lots of harmful chemicals that will speed up how quickly your skin ages along with helping it to dry out faster.

  • Having a skin condition: Some of the more common skin conditions are atopic dermatitis, ichthyosis, perioral dermatitis, psoriasis, and seborrheic dermatitis.

  • Having diabetes, thyroid disease, or kidney disease: All of these conditions are known to result in accessible dry skin.

  • Are undergoing dialysis: Kidney disease will increase the risk of developing dry skin, but undergoing dialysis will greatly enhance the risk of it because dialysis works to remove water from your body. People that are receiving dialysis treatments will also need to limit how much fluid they drink daily, consuming only roughly 32 ounces. This will also contribute to dry skin.

  • Are undergoing cancer treatment: If you have ever had chemotherapy, are receiving targeted therapy, or getting radiation treatments then you may develop dry skin.

  • Having anorexia: If you are not eating enough food, then you will not be getting the nutrients required to keep your skin hydrated.

  • Are HIV positive: Having excessively dry skin is common for people that are HIV positive, even those undergoing antiretroviral treatments.

How Can You Prevent Dry Skin?

While dry skin will not be completely avoidable, you can make a few lifestyle changes that will significantly reduce the amount of times you develop it:

  • Avoid using hot water in baths or showers
  • Shower every other day instead of daily
  • Keep your shower time to under 10 minutes
  • Use a mild, fragrance-free, moisturizing soap when bathing or showering
  • Apply moisturizer immediately after bathing or showering
  • Pat, as opposed to rub, dry with a soft towel after a bath or shower
  • Stop smoking, as nicotine reduces blood flow which dries out the skin
  • Avoid itching or scrubbing dry skin patches
  • Manage stress, as it can aggravate eczema and other skin conditions
  • Use a humidifier to add moisture in your home
  • Minimize sun exposure, which evaporate oils and moisture from your skin
  • Drink plenty of water

How Do You Treat Dry Skin?

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The best treatment for dry skin is daily lubrication with an emollient, a substance that inhibits water evaporation. Since most dry skin is the result of external causes, external treatments such as creams and lotions can be applied to the area and effectively eliminate the problem.

In most cases, dry skin can be improved by applying bland over the counter moisturizers. The main goals of treatment should be to stop the itching, prevent further loss of water, and restore skin hydration. Most lotions will be effective for helping reduce mild dry skin. For more severe dry skin you may need to try:

  • Petroleum jelly (such as Vaseline or Aquaphor)
  • Hydrocortisone 1% cream (mild strength)
  • Hydrocortisone and pramoxine 2.5% (mild strength)
  • Triamcinolone 0.1% cream (medium strength)
  • Fluocinonide 0.05% cream (strong strength)

In addition to these medical treatments, there are also home remedies that can be highly effective as well. If you don’t believe your dry skin needs medical attention, it may be best to start with these options first.

Coconut Oil

Coconut oil has emollient properties, which help to fill the space between skin cells, therefore creating a smooth surface. The saturated fatty acids that occur naturally in coconut oil can both hydrate and smooth skin. You can use coconut oil daily on even the most sensitive areas of your body, including the areas under your eyes and around your mouth. Another advantage of coconut oil is that you won’t need to dilute it by mixing it with anything -- it’s already gentle enough for everyday use.

Oatmeal Baths

One of the most common folk remedies for irritated or dry skin is the oatmeal bath. A study in 2015 backed up why so many have been using this home remedy for centuries: it works. Colloidal oatmeal has plenty of antioxidants and anti-inflammatory properties that are both effective ways to soothe irritated skin. This remedy is especially effective when seeking relief for itching. Use a food processor to chop oatmeal into a fine powder, then stir it into the warm water of a bath. After you get out of the oatmeal bath, be sure to moisturize your skin in order to lock in the barrier.

Antioxidant-Rich Foods

When your skin is dry, it means that you are exposing it to elements that are damaging your skin cells faster than your body can repair them. There are plenty of foods you can eat that will help your skin to appear healthier. Foods that are high in antioxidants can help to minimize the damage from toxins and help your body to create healthy cells.

Some of the best food that can help your skin include:

  • Blueberries
  • Tomatoes
  • Carrots
  • Beans
  • Peas
  • Lentils

The Takeaway

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Having dry skin is almost impossible to avoid altogether, but there are ways you can reduce your risk for it -- there are plenty of simple and cheap treatments that can get your skin back to being healthy and hydrated.

No matter how closely you pay attention to your skin health, you will almost certainly experience dry skin multiple times in your life. When the seasons change and the air gets colder it’s very common to experience dry skin. Creating a daily skin care moisturizing routine, and making a few lifestyle changes can help reduce your chances of dealing with dry skin or help to repair it if you are currently experiencing it.

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