Atopic eczema is often thought of as a skin-deep issue, itchy, dry, and inflamed skin that affects daily comfort and confidence. But did you know that atopic eczema can also be linked to digestive problems, particularly constipation? This surprising connection highlights how closely the skin and gut communicate, and why looking beneath the surface is essential for long-term relief. 

In this article, we’ll explore how atopic eczema and constipation are linked, and what steps you can take to support both your skin and your digestion. 

The Gut–Skin Connection 

Your skin and gut may seem worlds apart, but they are more connected than most people realise. Both act as barriers, protecting your body from harmful substances while also playing a role in immunity and inflammation. When one is under strain, it often shows up in the other. 

In people with atopic eczema, there is often an imbalance in the gut microbiome. This imbalance can disrupt digestion, reduce nutrient absorption, and increase inflammation. Over time, this may contribute to sluggish bowel movements and constipation. 

Why Atopic Eczema Can Contribute to Constipation 

There are several reasons why those with eczema may be more prone to constipation: 

• Chronic Inflammation: Atopic eczema is linked to higher levels of inflammation in the body, which may affect gut motility (the movement of food through the digestive tract). 

• Food Sensitivities: Common eczema triggers, such as dairy, gluten, or processed foods, may also slow digestion and irritate the gut lining. 

• Microbiome Imbalance: A lack of diverse gut bacteria may lead to harder stools and irregular bowel movements. 

• Medication Side Effects: Some eczema treatments can impact digestion and contribute to constipation. 

• Stress and Sleep Issues: The discomfort of eczema often affects rest and stress levels, which can further disrupt digestive rhythms. 

Supporting Both Skin and Digestion 

The good news is that by addressing gut health, you can often improve both eczema symptoms and constipation. Here are some supportive strategies: 

• Increase Fibre Gradually: Incorporate soluble fibre (oats, flaxseeds, apples, pears) and insoluble fibre (leafy greens, whole grains) to keep stools soft and regular. 

• Hydrate Effectively: Water, alongside electrolyte-rich foods and herbal teas, helps ease constipation and supports skin hydration. 

• Add Probiotics & Prebiotics: Fermented foods like sauerkraut, kefir, or probiotic supplements may help restore balance to the gut microbiome. 

• Identify Food Triggers: Work with a nutrition professional to explore potential dietary sensitivities that may worsen both eczema and constipation. 

• Soothe Inflammation Naturally: Anti-inflammatory foods such as oily fish, turmeric, ginger, and berries may help calm both the skin and the gut. 

When to Seek Support 

If you have atopic eczema and are regularly experiencing constipation, it’s a sign your gut health needs attention. Left unaddressed, chronic constipation can contribute to toxin build-up, increased inflammation, and worsening of eczema symptoms. 

This is where personalised nutrition support can make a real difference. By uncovering your triggers, supporting your microbiome, and addressing the root cause of your symptoms, you can experience relief in both your skin and digestion.