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The Case of the Spotty White Bull TerrierYou either hate Bull Terriers or love them to distraction.
August 25, 2014 By Todd Caldecott Rosacea is a common skin disorder that manifests as a red spotty rash typically found on the face, including the forehead, chin, nose and cheeks, but can also affect other regions of the body such as the eyes, chest and back. Over the last 20 years of practice, I have treated rosacea many times, but earlier in my career, I found myself struggling to get results. If it isn’t perfectly clear by now, we humans are not autonomous organisms separate from nature.
Apart from the issue of gut health, it has been suspected for a number of years that rosacea could be the result of an infection with a tiny parasitic mite called Demodex (D. While there clearly isn’t just one cause when it comes to rosacea, the research in combination with my own clinical experience suggests that rosacea is at its root an immunological disorder that is precipitated by a variety of factors, including diet, gut health, and lifestyle factors including skin care and sun exposure.
In consideration of the role that our microbiome plays in immune health, it is vitally important to restore the gut ecology in rosacea. While not all cases of rosacea will involve the Demodex mite, the evidence that Demodex is an active player in many cases of rosacea is undeniable, although as I have stated, the bacteria that colonize Demodex may also play a role.
Mix all the above ingredients together, and use a small handful with a little bit of water to make a paste.
In traditional herbal medicine, the state of the skin reflects the health of the blood, which itself is a refinement of the foods we eat in our diet. As a last note, I want to mention that pet owners may acquire Demodex mites from their pets, particularly if their immune system is weak. Informed by the theory and practices of Ayurveda, folk medicine and scientific research, the new book Food As Medicine: The Theory and Practice of Food provides a practical and lucid model of what food is, how it impacts your health, and how to make the best choices in your diet - all depending on your individual needs.
Todd Caldecott is a trained medical herbalist and practitioner of Ayurveda, in clinical practice since 1997. In Ayurveda, rosacea has all the characteristics and qualities of a pitta disorder, which is more or less synonymous with a state of chronic inflammation. We exist as part of the ecology, and likewise, each of us maintains our own microbiome: a collection of micro-organisms that we originally acquired at birth that has grown and evolved to become a highly intimate part of our body.
Rather than being a distinctly separate feature of rosacea, alterations in immune function that promote the inflammation of rosacea seem to be generally linked to gut health. Taking all this into consideration, this is a breakdown of how I approach a patient with rosacea. To achieve this, I typically recommend the consumption of lactic acid bacterial (LAB) ferments, such as sauerkraut, kimchi and pickled foods on a regular basis, about one cup daily eaten with food. The paste can then be used as a facial scrub, gently rubbing the mixture over the affected area to exfoliate and remove the mites.
Thus anytime we see skin issues, we need to direct our attention to the nature of our diet and the health of the gut. Hey beauties!I often get compliments on my skin whenever I post FOTD pictures and in my none web day to day life. They brought Amy to me from puppy-hood and I must confess that she crept into my heart too. Although a specific cause has not yet been elucidated, rosacea has been linked to a variety of factors including chronic infection, poor digestion, improper diet, medication side-effects, and lifestyle factors. Over the years, however, I found that the typical pitta-reducing treatments didn’t always have a positive effect.
Our skin in particular contains an enormous diversity of microbes, with about 1000 different species of bacteria including the Propionibacteria that play a role in teenage acne, Corynebacteria that can cause diptheria, Staphylococci that are frequent causes of skin infections, and Lactobacillus, which is commonly used as a probiotic supplement. Although the connection may seem obtuse, over 60% of immune cells are located in the gut wall, and thus when the gut ecology goes sideways, the impact is an upregulation of inflammation by the body’s immune cells. I do not, however, recommend other kinds of ferments including SCOBYs like kombucha, as they inoculate the gut with unhelpful organisms such as yeast.
Remember, however, that Demodex is a normal component of our microbiome, so the measures we’re undertaking are meant to limit Demodex populations, not wipe them out completely. If the area is too sensitive or irritated to use as a scrub, I have patients use the paste to make a mask, which is then applied over the affected area.
Overall, I tend to recommend a low-carbohydrate diet in rosacea, that is rich in nourishing fats, with plenty of leafy greens and bitter foods to upregulate the liver, and correct the altered fatty acid synthesis that plays a role in abnormal sebum production in rosacea. As I previously stated, rosacea sufferers often experience a worsening of symptoms with sun exposure, and likewise, some rosacea sufferers may have elevated levels of circulating 1,25(OH)2D3.
Chronic cases of rosacea often manifest as small bumps and pustules along with a generalized increase in local redness, often accompanied by red eyes, as well as burning or stinging sensations.
Similar to the typical recommendations, I had patients avoid spicy foods and potential irritants like coffee and alcohol, as well as hot weather, excess sunlight, and temperature extremes, in conjunction with an antiinflammatory diet and herbs.
Not just bacteria, however, our skin plays host to a diversity of other organisms including fungi such as Candida that cause yeast infections, and Trichophyton species that cause athlete’s foot and jock itch. Although a normal part of the human microbiome, when the right factors are present, the population of Demodex can increase, resulting in an inflammatory reaction in the skin from both bites as well as the feces produced by the mites (3). The idea that rosacea could be in part an immune disorder was given credence recently when researchers discovered that rosacea sufferers have greatly elevated levels of stratum corneum tryptic enzymes (SCTE), in conjunction with elevated levels and altered function of the antimicrobial peptide called cathelicidin.(5).
In this regard, it is vitally important to make sure that the diet is low in sugar and refined carbohydrates when treating rosacea, as this will tend to promote inflammatory changes in the gut microbiome that are in turn reflected in the skin. In part we can achieve this by using live culture pickle juice as I mentioned, and while this does encourage healthy skin, it isn’t directly lethal to the Demodex mite. When the mask dries, and starts to fall off about 15-20 minutes later, it can be gently removed with water. In this regard, avoiding oils and foods rich in omega 6 fatty acids is generally a good idea, as is taking a herbal remedy to upregulate liver function, including bile stimulants (cholagogues) such as Oregon grape root, dandelion, and bupleurum root. Unusual for Bull Terriers, she seemed to get on well with the rest of the van der Merwe canine family.
Once again thank you to all.From Lorren Cresswell To Dr Retief and all my friends at Montwood Park Veterinary Hospital.

If left untreated, chronic rosacea can lead to telangiectasia (dilation of superficial blood vessels on the face) as well as rhinophyma, in which the nose gradually becomes bulbous and red from chronic inflammation. In some cases this approach was sufficient, but there were still patients that weren’t completely better. Understanding the complexity of the human microbiome is key in the treatment of many diseases, and no less so in rosacea, particularly considering the research which suggests that disturbances or alterations in the human microbiome can result in inflammatory skin disorders.
Demodex in particular, thrives on the waxy sebum secreted by our skin, and when temperatures increase in the spring and summer, we produce more sebum, facilitating the growth of Demodex.
When these two components are elevated, SCTE enzymes act on cathelicidin to give rise to peptides that directly promote skin inflammation.
If there are issues with SIBO, a diet low in fermentable fibers is helpful to limit bacterial growth, but more active measures may need to be undertaken to inhibit the pathogens involved, using antibacterial herbs such as neem leaf, garlic bulb, turmeric root, wormwood leaf, and Oregon grape root. Both neem and sandalwood have miticidal properties and are anti-inflammatory, and in particular, the sandalwood has long been used in India as a skin care agent. Likewise, because of the strong immunological role for rosacea, potentially antigenic foods including wheat (i.e.
Remember, Demodex is a normal part of our shared microbiome, so just because a dog or a cat has mites doesn’t mean that they have mange or are unhealthy.
I’ve tried many foundations but none have seemed to be able to cover my greasy imperfections enough to make it look flawless, until I discovered veil cover cream which literally covers everything. I don't know how she behaved towards strange dogs - but most Bull Terriers love fighting with other dogs. Unsatisfied with these results, I continued to look for better ways to address the condition. For example, Helicobacter pylori is a bacterial pathogen commonly implicated in peptic ulcer disease, but some research is showing that this pathogen may also play a role in rosacea (1). This explains why rosacea seems to get worse with sun exposure or an increase in temperature. The trigger for the increased production of SCTE enzymes and cathelicidin appears to be a bacteria called Bacillus oleronius that has been isolated from the Demodex mite (6). Likewise, if you regularly take drugs that impair gut function, including antibiotics, NSAIDs, proton pump inhibitors, antacids and opiates, these can also play a big factor in SIBO, and hence contribute to rosacea. Following this, I have the patient apply a tincture of miticidal herbs, such as neem, wormwood, black walnut hull, quassia and pau d’arco to the face with a cotton ball.
My suggestion here is to get your vitamin D3 level checked, and if it’s high, reduce your sun exposure and vitamin D3 supplementation accordingly.
But if you love to rub faces with your pet(s), let them sleep in your bed, or on your clothes, you are running the risk of infection. After all, that’s what they were bred for in the first place.When she was about a year old, she started getting pimples and what looked like small abscesses all over her body. Although I don’t have a magic wand to make rosacea disappear, through experimentation and practice, I have been able to come up with some very useful measures that can be used to resolve rosacea permanently. This is an interesting finding, because it supports an age-old assertion in traditional medicine that what is happening in the skin can be a reflection of what’s happening in the gut.
However, this association doesn’t explain why oily-skinned teenagers tend not to get rosacea, why rosacea seems to increase in prevalence with age, and why it is often associated with dry skin. The presence of this bacteria alters the function of toll-like receptors (TLRs) which are part of the body’s defense against microbes. In addition to the consumption of live culture foods, I also have patients apply the pickle brine directly to the skin a few times a day, to inoculate the skin with lactic acid bacteria.
Not only do the herbs kill the mites, but the alcohol from the tincture also has an inhibitory activity.
Sugar in particular is bad news for the skin, as most people can observe that when they eat sweets, they typically will have some kind of skin eruption. Otherwise, if you have rosacea, supplement with vitamin D3 to achieve optimal levels, and make sure to limit your sun exposure, wearing protective clothing and wide-brimmed hats in sunny weather.
Thus, if you are a pet owner with rosacea, it might be time to change your lifestyle arrangement.
I like to use it as a foundation as it’s got the best coverage and totally gets rid of any redness. This is such a common condition in white Bull Terriers, that some vets actually call it “White Bull Terrier Disease”.
In a similar fashion, researchers have linked a condition called Small Intestine Bacterial Overgrowth (SIBO) to rosacea, demonstrating that when the antibiotic rifaximin is used to eliminate the bacterial pathogens from the small intestine, a significant proportion of patients with rosacea note an improvement in their condition (2). One suggestion is that as we age, the skin becomes more dry, fragile and brittle, providing more opportunity and surface area for the Demodex mite to thrive (4).
Patients with rosacea have been shown to express an elevation in TLR activity, which in turn leads to increased cathelicidin synthesis.
These bacteria compete with pathogenic bacteria for nutrients, as well as produce inhibitory substances such as bacteriocins and organic acids that can kill or limit the growth of bacterial pathogens (9). As part of my protocol for dealing with Demodex, I have patients prepare a facial scrub and mask. Another excellent miticide is tea tree oil, which can be applied undiluted to the skin to inhibit Demodex, used by itself or in combination with neem oil. To help heal and moisturize the skin, I recommend avoiding conventional soaps and shampoos, which are extremely drying and irritating, and completely destroy the delicate bacterial ecology of the skin. And in keeping with the recommendations of Ayurveda I discussed at the outset, try to follow a regimen that generally helps to reduce heat and inflammation (pitta), avoiding stimulants like caffeine, chocolate and alcohol, nightshades (e.g. Once the dog or cat is removed from your personal area, it’s also a good idea to thoroughly wash your sheets and clothes in hot water with borax and soap, and maybe buy new pillows. Want to see how well it works?BeforeYes, this is spotty make up free me, 10 minutes after waking up and chilling in my boyfriend’s hoody. We removed the sock by abdominal surgery). Dr Retief, Thank you for helping my angel Muffin.

Certainly we see this same dynamic in other skin infections, such as toenail fungus, which grows into the cracks and fissures of aging, dehydrated skin. Interestingly, TLRs also play a role in vitamin D3 metabolism, enhancing the the enzymatic conversion of the precursor 25(OH)D3 to 1,25(OH)2D3, the active form of vitamin D3 in the body. Applying pickle juice to your rosacea seems like a rather unsophisticated and simplistic remedy, but I have found it very helpful in my practice to restore the health of the skin.
We need to remember that a healthy bacterial ecology serves as a component of the immune system, so if we weaken our bacterial ecology, we essentially weaken our immune system. Pyodermas can be deep (the worst kind) and superficial (more manageable) The only effective treatment is to give antibiotics over prolonged periods.
Likewise, it has been suggested that altered fat metabolism as we age results in the production of sebum and other factors that encourage the growth of Demodex. This is important because 1,25(OH)2D3 also regulates cathelicidin production, and research has demonstrated that rosacea sufferers may have high serum vitamin D levels compared to controls (7), providing a direct link between sun exposure and the worsening of rosacea symptoms. Just remember that if you’re going to use the pickle juice topically as a probiotic, that you apply it to the skin AFTER you have applied treatments to kill Demodex, so as not to kill the probiotic organisms. Instead of soap, I recommend the daily application of oil to the body, a practice in Ayurveda called abhyanga. I treated Amy with Cephalexin capsules twice daily for a month and the condition seemed to improve.
Thus, ensuring that the skin is properly hydrated is a key element in the treatment of rosacea, as is ensuring a proper balance of essential fatty acids in the diet, as well as promoting proper fat digestion. Although it isn’t clear what factors alter TLR activity, some research suggests that glucocorticoid creams used to reduce skin inflammation enhances TLR activity, and thus may contribute to rosacea (8). When oil is applied to the skin it has a cleansing activity, saturating the surface and penetrating deep below the epidermis to rehydrate, dissolve grime, and exert a mild antimicrobial activity.
Two months later she was back again and this time her skin was worse!I gave the van der Merwes strict instructions to continue with Cephalexin capsules twice daily for at least three months. The key to getting rid of Demodex, however, is to take measures to restore digestion and the gut ecology, and using topical remedies that can kill the mites. Choosing the right oil, however, is an important consideration, as some oils such as coconut are comedogenic, and could cause pimples in some people. I don’t have any issue using coconut oil when the skin looks very dry and fragile, but otherwise, I tend to suggest non-comedogenic oils such as almond, apricot, sesame or castor oil.
We took out a dog Medical aid which is a worthwhile investment and have found it works vey efficiently.Dr. These oils can be rubbed on the face after treatment to rehydrate, and can be a carrier oil for essential oils such as lavender, which not only smells nice, but also has a mild miticidal effect. Retief has looked after Theodore from when he was 6 weeks old and he enjoys his visits there for his annual vaccinations.
Another measure that is effective for restoring the skin is the regular application of mid-stream morning urine.
I have the same type of skin as yours and I would love to see a in-depth post about it ?Y™‚ Emma x Raspberrykiss I agree!
I began to suspect that the van der Merwes were perhaps not as conscientious about giving daily treatments for the full prescribed period as they should have been.I asked them, “Are you sure that you are giving Amy her capsules every day for the whole period?”Mr van der Merwe looked a bit uncomfortable and glanced at his wife before he said, “Of course we do ou Dokkie.
This can be collected in a clean glass and applied fresh to the affected area with a compress or cotton ball. I shall definitely do a more in-depth review xoxoxo Vicky Ayles You look gorgeous with and without the cream.
Retief was away and I phoned him to tell him what had happened, he did say he was on holiday, but took my call and said I must take him to the emergency veterinary clinic and gave me their number and said if I don’t come right I must call him again.
Although many will balk at the idea of putting urine on their face, it’s important to note that many skin cosmetics contain urea to take advantage of its unparalleled ability to moisturize the skin. Fortunately he recovered.Now he is 13 ? years old, (which is very old for a boxer, their normal life span is about 9 years). Dry, flaky skin typically occurs due to a reduction in its urea content, and thus rosacea sufferers that exhibit these symptoms in particular will definitely benefit from this measure. A single injection lasts for a full 14 days, so the vet need not worry that the pet's owners may not give the full treatment as prescribed.I told the van der Merwes, "I've got good news for you!
Not only does urea and urine moisturize and hydrate the skin, it also helps to promote wound-healing, accelerating the process of cellular renewal, and also has some anaesthetic properties, reducing the irritation and burning sensations that often accompany rosacea. There's a new injection that will last for a whole 14 days, so you won't have the schlep of having to remember to give Amy capsules every day. As a purely symptomatic measure, fresh aloe gel scraped from the leaf rind and applied as a fresh poultice to alleviate burning sensations and overcome dryness. We might have to give her another injection after 14 days though."I could see the relief on their faces, "I don't care what it costs, ou Dokkie, please go ahead. Dr Gerry is retiring at the end of 2010 and will hopefully have a lot more time to answer members of the site’s questions about their pets. Thanks for sharing your secret ?Y™‚ I would love to see a more in depth post xx Raspberrykiss Thank you Suzy, I will definitely do a more in depth post! Mines just the same, getting fed up of trying to find something that'll keep it at bay! If you continue to use this site we will assume that you are happy with it.Ok Close Me Looking for Something?

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