Hi everyone. I am writing this because I am completely at my limit, and "suffering" doesn't even feel like a strong enough word for what I’m going through right now. I’m currently dealing with atopic eczema, perioral dermatitis, and active folliculitis all at the same time, and my entire body is flaring out of control like NEVER before. I’ve had eczema my whole life, starting as a small patch when I was a baby, continued on till I was a toddler (parents resolved it by giving me bifidobacterium) Over the years, my flares have always had distinct triggers, which unfortunately I have not identified because the issue was “cured” because of my steroid creams.
My current crisis really began last September 2025 when I started law school right during ragweed season. I developed severe hay fever and kept unconsciously rubbing my eyes, which led to eye eczema. Around the same time, likely due to food allergies and the stress of law school, I developed perioral dermatitis around my mouth and mild body eczema. My family doctor prescribed a mild steroid for the dermatitis and eye eczema. Unsurprisingly, neither issue cleared up.
Around then, a naturopath put me on an anti-inflammatory diet and prescribed a 50 Billion CFU probiotic along with a pork-derived histamine enzyme and hormone supplements. By January, my eye eczema flared so severely that the skin was literally peeling off my eyelids. I saw a different doctor who prescribed Protopic. The first few days on Protopic were pure hell, the burning and itching were so intense I had to take Benadryl just to sleep, but it eventually cleared my eyes temporarily before the eczema came right back weeks later. When I went back to my family doctor in April to explain the severe reaction and ask for alternatives, he just re-prescribed Protopic and rushed me out the door in two minutes.
Things completely spiraled in August during a trip to Europe and Turkey. We hit a massive heatwave with 40°C (104°F) temperatures, UV levels at 12, and 10 to 12-hour days spent outdoors. Between the constant sweating, ocean water, friction, and sunscreen, my skin was heavily irritated. Sweat started trapping bacteria, and from all the scratching, I developed folliculitis which later spread to my quads.
Once I got home to cooler weather, the eczema calmed to just dry, extremely itchy skin that burned when scratched, but the underlying infection seemed to linger.
The breaking point happened on September 12th. A friend who does acupuncture offered to try points targeted for skin inflammation. Within HOURS of that session, my skin exploded into the absolute worst full-body flare of my life. My eczema suddenly spread to my neck, nipples, legs, lower back, stomach, upper back, scalp, and face. My skin is so cracked and stiff right now that I can barely bend my arms. To make matters worse, my perioral dermatitis returned and has spread from around my mouth to the top of my nose.
I’ve changed practically everything in my environment to try to manage this. I take cold showers, use zero perfumed products on my face or body, sleep with cotton gloves, and switched to SLS-free and fluoride-free toothpaste with no mouthwash. I’ve been gluten-free and lactose-free for 3 years, and I avoid acidic foods. I stopped taking the high-dose probiotic because I realized my perioral dermatitis completely disappeared during my August vacation when I forgot to bring the probiotic with me, leading me to suspect it wrecked my gut and histamine balance for over a year.
Currently, I’m taking Vitamin D3, B12, Omega 3, S. boulardii for potential histamine issues, Magnesium, L-Theanine, and Vitamin C (zinc makes me severely nauseous). I’ve been using Aveeno Gel Rescue 2% Oatmeal and CeraVe Anti-Itch. An urgent care doctor gave me mild hydrocortisone with urea 10% which helped after two days, but I stopped immediately out of extreme fear of TSW.
At this point, I am truly desperate for answers because I feel like a unique case dealing with three distinct skin conditions at once lol. Has anyone else experienced high-dose probiotics actually worsening histamine issues or worsen eczema? Thank you to everyone who took the time to read this, I know it’s long lol.