Q. What are the common triggers for psoriasis flare-ups?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Psoriasis flare-ups can be triggered or exacerbated by various factors, and these triggers can vary from person to person. It's important to identify and manage your specific triggers to help prevent or reduce psoriasis flare-ups. Common triggers for psoriasis flare-ups include:

1. Stress: Emotional stress is a well-known trigger for psoriasis. Managing stress through relaxation techniques, exercise, and mindfulness can be helpful.

2. Infections: Bacterial or viral infections, particularly streptococcal infections like strep throat, can trigger guttate psoriasis.

3. Skin Injuries: Any trauma to the skin, such as cuts, burns, insect bites, or surgical incisions, can lead to a psoriasis flare-up in the affected area, a condition called the Koebner phenomenon.

4. Medications: Certain medications, especially beta-blockers, lithium, and antimalarial drugs, have been known to exacerbate psoriasis in some individuals. If you suspect a medication is affecting your psoriasis, consult your healthcare provider for alternatives.

5. Alcohol: Excessive alcohol consumption can worsen psoriasis symptoms for some people. Reducing or eliminating alcohol may help improve the condition.

6. Smoking: Smoking has been associated with an increased risk of psoriasis, and it can make the condition more severe.

7. Cold and Dry Weather: Psoriasis often worsens in cold, dry climates. Proper skin care and moisturization can help mitigate these environmental triggers.

8. Hormonal Changes: Hormonal fluctuations, such as those during pregnancy, menopause, or the use of oral contraceptives, can influence psoriasis.

9. Certain Foods: While there is no specific diet for psoriasis, some individuals report that certain foods, such as gluten or dairy products, can trigger or worsen their symptoms. It's a good idea to keep a food diary to identify potential triggers.

10. Excessive Sun Exposure: While moderate sun exposure can improve psoriasis symptoms for some individuals, excessive sunburn can trigger flare-ups. Sun protection is essential.

11. Alcohol-Based Skin Products: Some skin products containing alcohol or harsh chemicals can irritate the skin and exacerbate psoriasis. Using gentle, fragrance-free products is advisable.

12. Allergies: Allergic reactions to certain substances, such as detergents, can trigger or worsen psoriasis in some cases.

It's essential to work with a healthcare provider to identify your specific triggers and develop a personalized management plan. Additionally, lifestyle modifications and stress reduction techniques can help reduce the frequency and severity of psoriasis flare-ups.

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