Things to Avoid for Perioral Dermatitis

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Lisa (MI) on 10/06/2021:
5 out of 5 stars

Mine started when I sat in the hospital last December with a mask on while waiting for my husband to have a 8 hour procedure. Two days later I had a red rash and itching on the side of my mouth. A month later it was around my eyes. I thought it was from wearing a mask and glasses. That was not the cause, but it aggravated something I didn't know I had. I thought maybe it was fungus related, I think that aggravates it too so I did a Candida Cleanse diet for a month. When I was finally able to see a good dermatologist he told me I have POD and will likely have it for some time. I am trying to find things to avoid to, hopefully, stop this from flaring up. I don't drink wine or beer anymore, but had a shot of whisky the other night and my face was on fire. Then I had a couple sips of a marguerita a week or so later and the same thing happened. Alcohol is off the table now. That's ok! I think you're right that it is from the inside out. Thanks for your input!

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Charlie (Melbourne, Victoria) on 05/22/2016:
5 out of 5 stars

I have had POD (perioral dermatitis) for about ten years. So often I thought I was eating the right foods and avoiding thing I was intolerant. I always avoid unnecessary toxins in all things food, cosmetics, household cleaning and so on. Even during times when I was being extremely strict about my diet it would still flare up for what seemed like no reason. But I knew it had to be related to something going on in my gut because if I fasted it would completely calm down. I have tried all the suggestions on this site and many do help to varying degrees but still don't seem to solve the core issue.

Then I discovered something that has been hard for me to come to terms with. I work with tea and I love tea. Most days would start with a rich organic black tea, organic soy milk and organic honey (i now soy isn't great but I cant digest dairy and nut milks aren't as creamy). I would drink various other teas throughout the day. Then my day would usually end with a glass of red wine and a small piece of dark chocolate (again, almost always, both organic). Throughout the day I would snack on nuts, berries, grapes or apples and if I were cooking for myself my favourite spices and seasonings included cumin and cinnamon, miso and sesame to name a couple.

I went to stay with my sister and her palette and eating habits are completely opposite to mine. I like rich, dark, sour and dry flavours. She likes soft, light, sweet, acidic flavours.

Although I was drinking alcohol and eating foods that would usually upset my digestion and/or weren't my usual preference, my skin completely calmed down. As soon as I returned to my chosen habits it flared up again.

Finally, I realised all the things I was favouring were all extremely high in tannins.

Its a sad state of affairs because I've had to give up my most favourite but now that Ive recognised this and cut most tannin rich foods and drinks out my POD has almost disappeared. After a bit more research I found that the skin reaction was only the tip of the iceberg and that this issue was the reason for a few more ailments I was struggling with for example- headaches, joint pain, lethargy, brittle nails and hair, depression and more.

Anti oxidants are such a praised health benefit but they seem to go hand in hand with tannins. So although I thought I was doing really good things for my body, it was actually having a really hard time processing a huge part of what is otherwise nutrient rich and delicious food. I don't fully understand the science of how tannins react in my body but I'm still researching. I have discovered that heating or fermenting the tannin vehicle will unbind the tannins from the plant protein and thats when they become more difficult for my system to deal with. The tannins in tea are already oxidised and then you heat them to brew the tea. real chocolate is fermented. Wine is fermented. You obviously heat the spices to cook them. So I can have some raw tannins in moderation with out a flare up but mostly just try to avoid it altogether.

I am not suggesting that tannins are the culprit for all POD but I definitely think it needs to be addressed from your inside out. It took me a really long time to figure this one out and it was staring me in the face.

If you're a big tea drinker and love the odd glass of red or piece of dark chocolate and POD is an issue then cut out these for a few days and see if it makes a difference. I would've loved to have known about this sooner so I hope this can help out some others.

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Kelly (Orlando, Fl) on 05/09/2016:
5 out of 5 stars

My 4 year old daughter had perioral dermatitis for 9 months. We tried switching to natural toothpaste, soaps, laundry detergent, etc. with no improvement. Her rash started out at one corner of her mouth and slowly progressed to a muzzle around her mouth. It would flare up sometimes and other days would quiet down but the little bumps were always there. The dermatologist prescribed tacrolimus but I didn't fill the rx because I was concerned about the immune suppression.

We were on a week long trip when I realized it had been a few days since she had eaten strawberries (which she would usually eat daily) and her face seemed better. I continued to withhold strawberries and her face gradually cleared up. After 2 months it was completely clear and has remained so for the last month and a half.

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Christy (Lexington, Ky) on 04/23/2014:
5 out of 5 stars

Last summer I developed a burning, itching rash beginning around my mouth. The skin would itch for a few days, then pustules would develop that burned and the skin around the area became inflamed. After a few days it would appear to begin to heal with dried scabs, only to re-emerge worse and spread. It spread to my cheeks and forehead and the burning and itching became intolerable to the point that I was scratching my face in my sleep at night. After a few months, I visited the dermatologist and she diagnosed it as perioral dermatitis and prescribed topical antibiotic (Metronidizole) and oral antibiotics (Doxycycline). She said it was common in teen and menopausal women (so related to hormones possibly). I tried the Metronidizole for a week but it only worsened the area. I decided not to use the Doxycycline until trying a few more things first. I eliminated fluoridated toothpaste and began to use simply baking soda with a bit of peppermint essential oil and the dermatitis improved a bit, but did not go away. I switched shampoo and conditioner to one that did not have sodium laurel sulfate and I saw a bit more improvement. A friend recommended derma E Psorzema Creme which calmed my skin and lessened the itching and burning, but still the rash didn't go away completely – it would subside for a few days, only to break out again.

I cleaned up my diet and began to think about the food allergy triggers in my diet. Gluten has become increasingly problematic as I approach menopause, so I strictly eliminated all gluten from my diet for a month with only mild improvement in the dermatitis. I decided to read all of the ingredients in my haircare products and discovered that the shampoo and styling products had wheat protein in them! I immediately switched to different products that have no gluten ingredients and no SLS and my skin completely healed within two weeks – after 6 months of suffering! I currently use Gud by Burts Bees (Red Ruby Groovy) Shampoo and Conditioner and Purology Silk Bodifier. The last time I had my hair cut and styled, my stylist used Pureology Hydrate shampoo, conditioner and Root Lift mousse styling product. When I washed my hair the next day, I began to break out on my cheek and forehead in the same way as before – itching, burning, then pustules developed. I looked up the ingredients of these products and they had wheat-derived ingredients. This was all the confirmation I needed to determine that the perioral dermatitis was an allergic reaction. I have found the Skin Deep app from ewg.org to be helpful in determining what products contain gluten, chemicals and other allergens – both for hair and skincare. Also, the glutenfreemakeupgal.com is a helpful resource.

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Erica (Germantown, Md Maryland, United States) on 03/04/2013:
5 out of 5 stars

I recently had an outbreak of perioral dermatitis for the first time in 10 years. I tried a few different suggestions from this site including ACV and clendula cream, but the inflammation continued to get worse and it continued gradually spreading from the right corner of my mouth up to my eye and to the left side of my mouth. I finally stumbled on an article online linking the condition to cinnamon/cinnamon flavored foods. I thought about it and realized I had started taking a cod liver oil/butter supplement that was cinnamon flavored right around the time the dermatitis re-emerged. I have been off the cod liver liver oil for one week now and had dramatic improvement in the rash! So this is something to consider for those of you dealing with this painful and unsightly condition. Good luck to you all!
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Emily (Raleigh, Nc) on 08/08/2012:
5 out of 5 stars

I had a mild to moderate form of perioral dermatitis for about 3 and a half years, tried medicines and creams of all kinds, tried apple cider vinegar, wholistic toothpaste, tried avoiding sodium laurel sulfate, pretty much everything on the internet. I suddenly realized it was gone one day. What was the only correlating factor? I stopped letting my pets lick my face! My cat used to like to get up on my chest at night and lick my face around my mouth which I of course thought was sweet, like he was giving me kisses. I don't let him do that anymore and I haven't noticed a problem! I also switched from using colgate total to using crest whitening advanced. Thought I'd mention that also. But it's like night and day.

So if you let your dog or cat give you face kisses, try stopping that altogether and see if it clears up!

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Lizzy (London, Uk) on 04/11/2012:
5 out of 5 stars

After years of living with perioral dermatitis, I have finally worked out what has been causing my sensitive skin - bismuth oxychloride in my mineral make-up.

I'm 33 years old and about 5 years ago I started getting red, scaly, itchy spots on my cheeks and chin. I initially went down the medical route (prescribed antibiotic creams etc) which helped briefly, but then just made my skin worse in the long run. About a year ago I discovered that SLS that I used in face wash and aqueous cream (routinely prescribed in the UK for eczema, dry skin) was an irritant, so stopped using and switched to SLS, paraben etc- products. This undoubtedly helped clear my skin. However at the same time I also switched to using mineral make-up in the hope that it would suit my sensitive skin better. Despite not using any other products on my skin (just plain SLS-free cleanser and baby oil to moisturise), my skin has just got worse over the last few months, which naturally coincided with me using more mineral make-up to cover it up. I've tried a tonne of the other remedies suggested on this site, but got no long-term benefit. To cut a long story short, I researched mineral make-up some more and found that bismuth oxychloride is a known irritant (i'm surprised it's not mentioned more on this site). I stopped using the makeup a week ago and my skin is 95% better, I'm amazed - for the first time in years when I run my fingers over my cheeks they are smooth and soft and the blemishes have nearly almost gone.

I've ordered a sample of a pure mineral make-up from a small company in the UK (that doesn't use bismuth, talc etc), but at this rate I won't be needing any cover up! I thought it was worth contributing my story in the hope that bismuth may be responsible for anyone else's sensitive skin. Note it's contained in lots of make-up powders, blushes etc (its what gives makeup its 'glow'). Best wishes everyone and thanks for a great site!

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Joan (South Riding, Virginia Usa) on 02/24/2012:
5 out of 5 stars

I have experienced a rash around the outside of my mouth as a result of tartar control toothpaste. Someone saw my mouth and told me about the reaction, and I just had the pleasure of seeing a 10-year-old girl with the same mouth rash (and she'd had it for five months) clear up in two days. Switch your toothpaste and the rash around your mouth will clear up!
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Craig (Forest Grove, Oregon) on 01/28/2011:
5 out of 5 stars

I've had perioral dermatitis for years, and think That there are a variety of Causes For POD outbreaks. That said, it's up to the individual to determine what those causes May be.
For me, it turned out to be fluoridation, both in toothpaste and in water. Until I figured this out, the only product that really helped me was Margarie's (tinted) zinc cream. Hope this helps someone.
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Brendan (Adelaide, South Australia) on 12/22/2010:
4 out of 5 stars

Hey Tracy, My name is Brendan and I know exactly what your going through, I too have dermatitis all over my face and no matter what I do it seems to get worse. I hate going out and only really ever go out to the organic shop to get my vege's. It's ruining my life and I am so scared that I have to go back to uni in feb and endure the staring again. I have found stress is a major cause too as I am doing architecture which is full on and as the semester goes on it gets worse and worse. I never believed it before but I know stress is a major factor as when I went to Fiji this year for my bros wedding, my face cleared up in a couple of days, it was like magic. Im convinced the mud bath I went to when I was there had a healing effect but you cant bring the mud back so theres no way of proving that. After I got home to Adelaide and back to uni it progressively got worse and is now worse than its ever been. I've tried every remedy, natural or not, I could find and every med my dermatologist has ever reccomended which is a lot but im done with that now because I figure everything he's given me has only ever made it worse.

I am now just trying my very hardest to just eat as healthy as possible and supplement what I think could help, all I eat is basically raw organic veges and a bit of organic chicken as well as gluten free cereal in the morning with organic rice milk. Actually tonight I went crazy for the first time in months and had some green and blacks organic dark choc. It's my christmas gift to myself. I figure youve got to give your body the best chance to heal itself so feeding it well is the first step. Anyway, enough about me, I could go on all day about what ive done so far. All I really wanted to say was that ive found something a few days ago which has helped me somewhat, the first thing in ages which has had a positive effect. Its called Aveeno, daily moisturising lotion or theres another Aveeno skin relief moisturising lotion but that has menthol in it which may aggrivate your skin as it did to mine a little. It's made by johnson and johnson and im sure youll be able to find it in the states. If your like me you will read the ingredients and think "oh I dont know about this" as it contains things like alchohol and other chem sounding stuff which I would usually steer away from but Seriously it is the only thing in ages which has actually kept my skin moisturised for a decent amount of time, like overnight. My skin is still red but less so, it is more a pinky colour but still stands out as I am fair skinned irish australian. It still looks pretty bad but it is no longer so dry and tight and is a lot less flakey, almost not at all actually. I can now crinkle my forehead without it feeling tight and dry.

Anyway it is a step in the right direction, and has given me some glimps of hope for my condition. I know everyones skin is different but I thought it's definately worth mentioning and maybe you can do a test patch first before you go and use it full on. I would love to have a decent chat with you and maybe discuss things further as I have not found anyone with the same problem as me in all my searching and I think ive blabbered on for long enough on here, I tend to babble on a bit lol. My email is austmade(at)live(dot)com(dot)au Email me anytime for a chat. Dont give up, I know its so hard and I know exactly how alone you feel as nobody knows what it's like to have this constant burden on your mind. But I know there is a cure out there somewhere and I will not stop till I find it. It's so discouraging when doctor say "there is no cure" but all that means is they dont have it and they'd rather give you there bs meds which prolong your suffering and keep you poor. The way I figure it, the answer is something we need to find ourselves. The big pharm cos are making billions of dollars a year on skin condition meds which dont work so why would they cure us, that means less profit for them, somehow I doubt theyre gonna do it. They are afterall a buisness. Sorry, for going on and on. Try to have a merry xmas. Hope to hear from you soon, Brendan.

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