The main basis of your diet should also exclude wheat,rye or dairy products and if this is the cause or part of the cause you will know in 21 days after remaining off wheat gluten, rye gluten and cow dairy products. So if you are stuck with no insurance and are denied at every turn just go gluten and dairy free first and 7 out of 10 times that is the case but having a diagnosis from a Naturopathic Doctor or a specialist doctor in each of your symptoms (provided you have insurance for all of that ) is wise before trying this restrictive diet which is mostly protein sources and veggies only with gluten free grains ,no sugar,, small amounts of healthy oils in cooking
Hello and hope you are doing well.
I am unable to visualize your pictures. As medications don't seem to helping much, to reduce acid levels try good lifestyle measures. Take frequent small meals. Avoid spicy and oily food. Eat dinner about two hours before sleeping. Elevate the head end of the bed. Keep a food diary and note down what aggravates your symptoms and avoid them. Ensure to maintain optimum weight by regular exercise. Avoid NSAIDs, quit smoking, eliminate alcohol, avoid caffeinated beverages and reduce stress levels. OTC antacids can further aid in reducing acid levels. These measures need to be practiced long term for results.
The most causes for scaly itchy lesion are Eczema and Psoriasis. Eczema is one condition where the hands get cracked. In this disorder contact with triggering factors like soaps, cosmetics, jewelry, clothing, and detergents causes symptoms. Sometimes sweat, changes in temperature and psychological stress are known to trigger these episodes. Psoriasis is an autoimmune disorder that can cause scaly patches. Genetic and immunologic theories have been predicted as causes for psoriasis. Metabolic disorders like diabetes and hypothyroidism can aggravate the symptoms.For either of these conditions for therapy the best way is to prevent attacks by identify those substances which you are allergic to and avoid them. So, Allergy testing would be worth looking into. And treatment is with cortisone based creams, which need to be very potent and of increased strength to heal the lesions.
Hope this helped and do keep us posted.