Winter and eczema flares: How to reduce and cope

Winter can feel magical – fluffy snowflakes, cozy sweaters, and steaming mugs of cocoa. But for those living with eczema, the coldest season often brings more than festive cheer. Cold winds outside and dry heat indoors can turn skin care into a daily battle for anyone, not just those dealing with eczema. But having eczema certainly leads to new challenges. Instead of feeling uncomfortable and frustrated, consider trying a few smart strategies to protect your skin and enjoy winter a bit more.

Why does winter make eczema worse?

Cold air holds very little moisture, and indoor heating systems dry the air even further. In fact, indoor heating can drop humidity levels below 20 percent. This lack of humidity leaves skin parched. When the skin barrier is compromised, irritants can sneak in more easily. Moving between chilly outdoor air and warm indoor spaces adds stress to the skin, often triggering eczema flare-ups. 

Using a humidifier can help maintain a more comfortable environment which is ideally between 40 and 60 percent humidity. If possible, position humidifiers in rooms where the most time is spent. Avoid sitting too close to heaters or fireplaces, as direct heat can further dehydrate your skin. On warmer days, help circulate air in the home by opening windows to potentially air out irritating allergens that may also trigger flare ups. 

Moisturize like a pro

Long, hot showers might feel soothing on a cold day, but they can quickly strip away natural oils that protect the skin. Instead, opt for shorter baths or showers in lukewarm water. Adding colloidal oatmeal or gentle bath oils can help soothe irritation and replenish moisture. Harsh soaps, detergents, and fragranced products can worsen eczema symptoms. After bathing, pat (don’t rub) the skin dry, applying any prescribed treatments first. Then lock in hydration by using a rich moisturizer immediately after stepping out of the water. This “soak and seal” method is an effective way to keep skin hydrated.

However, in the cold of winter, lightweight lotions often aren’t enough. Switch to thicker creams or ointments that contain ingredients like petrolatum or shea butter. These help restore the skin barrier and prevent water loss. Apply moisturizer at least twice a day and whenever your skin feels dry. Look for products that carry eczema-friendly certifications or contain soothing ingredients like hyaluronic acid, or petrolatum. These formulations are designed to support sensitive skin and reduce flare-ups. Don’t overlook areas that are frequently exposed, such as your hands and face. For an extra boost, apply a generous layer before bed and cover with soft cotton gloves or socks to help your skin repair overnight.

Taking good care

Don’t forget that hydration starts from within. Drinking water throughout the day helps maintain skin’s resilience. Winter also means less sunlight, which can lower vitamin D levels, a nutrient linked to skin health. Consider trying vitamin D-rich foods like fatty fish or fortified dairy. Talk to a doctor about supplements as those may be helpful as well.

Self-care also means feeling comfortable. Winter clothing can be tricky for sensitive skin. Start with soft, breathable layers made from cotton and avoid scratchy wool or synthetic fabrics directly against the skin. When heading outdoors, protect the hands with gloves and cover exposed areas with scarves or hats made from gentle materials. These small choices can prevent irritation.

Act early, stay ahead

When signs of a flare up appear, including skin redness, swelling, or oozing, start treatment promptly. Use prescribed topical medications as directed, and consider wet wrap therapy for severe patches to speed healing. If over-the-counter care isn’t enough, consult a dermatologist. They may recommend additional treatments like bleach baths, phototherapy, or advanced therapies to keep symptoms under control.

Winter doesn’t have to mean months of discomfort. By adopting gentle bathing habits, moisturizing regularly, managing indoor humidity, and protecting skin from harsh fabrics and irritants, small changes may make a big difference.