Rosacea is a chronic disorder that can effect the skin and the eyes, most often seen in middle age and later and occurring in patients with thick oily skin and affecting the central part of the face. There is an inflammatory reaction and occasionally pustules and telangiectasias. There may be hypertrophy of the sebaceous glands with inflammation and a condition in the nose known as rhinophyma. There is a strong allergy type component to the condition and many types of foods and lifestyle factors, drugs, and conditions that stimulate the redness. Much research has been done, and as early as the 1940's it was learned that B Vitamins are helpful. Dr Bafitis' approach is a combination of internal and dietary recommendations, and topical skin care interventions. Signs and symptoms include redness and flushing, mostly in the central part of the face. This is often seen in response to substances in your food called tryptophans, stress, alcohol, spicy foods, hot or cold extremes, exercise and certain foods. Consider some or all of the following recommendations one at a time as evaluating results:
Lifestyle Recommendations (for a complete list see www.rosacea.org/patients/materials/coping/index.asp ) :

• Consider food sensitivity and avoid hot drinks, spicy foods, caffeine and alcoholic beverages. It's important to note that although alcohol may worsen a case of rosacea, symptoms may be just as severe in someone who doesn't drink at all. This condition has been unfairly linked to alcoholism.

• Practice good sun protection. This includes limiting exposure to sunlight, wearing hats and using broad spectrum sun screens with SPF of 15 or higher and avoiding extreme hot and cold temperatures, which may exacerbate the symptoms of rosacea.

• Avoid rubbing, scrubbing or massaging the face. Rubbing will tend to irritate the reddened skin.

• Exercise in a cool environment. Don't overheat.

• Be aware of the effects of sun, strong winds, cold, or humidity. Avoid these if necessary.

• Avoid irritating cosmetics and facial products. Use hair sprays properly.

• Certain drugs such as vasodilators and steroids may exacerbate rosacea.

• Several medical conditions such as menopause, chronic cough, caffeine withdrawal and frequent flushing may be associated and need further evaluation.

• Keep a diary of flushing episodes ( www.rosacea.org/patients/materials/diary.asp ) and note associated foods, products, activities, medications or other triggering factors ( www.rosacea.org/patients/materials/tripwires.asp ) to help determine what exacerbates your symptoms.

• Stress is a powerful stimulant of rosacea and don't underestimate the benefits of stress management.

Factors that may trigger rosacea flare-ups

Foods:
Liver
Yogurt
Sour Cream
Cheese (except for Cottage Cheese)
Chocolate
Vanilla
Soy Sauce
Yeast Extract ( bread is ok)
Vinegar
Eggplant
Avocados
Spinach
Broad-leaf beans and pods, including lima, navy or pea
Citrus fruits, including tomatoes, bananas, red plums raisins or figs
Spice and thermally hot foods
Foods high in histamine

Temperature-related
Saunas
Hot Baths
Simple overheating
Excessively warm environments

Beverages
Alcohol, especially red wine ,beer, bourbon, gin, vodka or champagne
Hot drinks, including hot cider, hot chocolate, coffee or tea.

Emotional influences
Stress
Anxiety

Skin care products
Some cosmetics and hair sprays
Especially those containing alcohol
Witch hazel or fragrances
Hydro-alcoholic or acetone substances
Any substances that cause redness or stinging

Physical exertion
Exercise
"Lift and load" jobs

Weather
Sun
Strong winds
Cold
Humidity

Medical conditions
Frequent flushing
Menopause
Chronic cough
Caffeine withdrawal syndrome

Drugs
Vasodilators
Topical steroids