Need advise on acne and scar problem - Online Doctor Chats
Hello Good Morning Doctor.
I would like some advice on acne and scars please
Can you brief me a bit more?
Since when do you have the acne problem?
Are you on any treatment for it?
sure. Both my parents do not have a history of acne
however for some reason i do. Ive gone through numerous treatments since teenage-
like dr batra, english medicines , baksons etc
to no avail.
now i do not get acne on my face , however it still appears on my back only the area below my neck and central back only
ive tried a lot of creams applied medicines, sandalwood paste but it doesnt go.
i do have dandruff as a result of harsh chemicals and hair straightening as well, , even that doesnt seem to go. I assume its because of Dandruff as well partially.
i use Nizral 2% then only my scalp clear. the minute i stop using the shampoo the dandruff is back.
and then acne flares
i really dont know what to do . please help me out.
Have you seen a doctor for this problem?
I have also been [rescribed medines for the acne on my back by some of the best dermatologists in bangalore
but it seems stubborn . the marks dont go and just before my period , it flares up again.
Its like boils and pimples and they leave a nasty black XXXXXXX as a result of which i cannot wear clothes with a XXXXXXX back .
Is there any permanent solution to this doctor?
Let me guide you.
Acne is a recurring clinical condition that is associated with multiple factors.
Hormone changes that occur with periods are known to produce flaring of this acne.
Ok , is it also related to the fact that i recently got married in Dec 2010. But i have never had any contraceptive pills etc .
ok , well thats off my list then ..
being or not being on contraceptive pills do not have any significant role here.
However stress factors can play a role.
thats an eye opener
As far as treating it is concerned, it needs proper medication, a healthy life style and managing stress properly.
There are various medical drugs available to treat this.
This is available as oral drug as well as topical creams.
They are used most frequently by doctors.
If you haven't tried this one, you might try it undersupervision of your doctor.
In addition sometimes resistant cases may need a course of antibiotic for few months.
I am hardly stressed doctor. I am a working woman but i do not have stress I have a good work life balance .
Alright - is isotretinoin an ointment?
it is an ointment.
You may try it if you haven't used it earlier.
it is available in the market as 0.025% and 0.05% creams.
Your physician can prescribe it to you.
In addition, avoid washing your back frequently,
avoid any harsh chemical products.
Proper hygeine, good and regular sleep, regular diet will help.
Should i use a loofah while having a bath? Right now i just use soap and water
i sleep 9 - 10 hours a day.
diet - should i avoid chocolates and oily food and icecreams?
will the scares go with the cream you have prescribed Doctor?
Chocolates, high calorie food can influence hormonal changes that can affect acne.
So it would benefit you to avoid them.
should i exercise to release excess heat in system?
when i used to swim the acne reduced
is it inter connected
Swimming, physical exercises do not have any direct association with acne, but they do have a significant role in managing the effects of any stress on the body.
ok. When i used to swim it greatly reduced the acne and also the scars.
I would suggest you to try these medications, involve in stress reducing techniques like physical exercise, meditation, yoga, swimming and so on.
It would help.
As far as scars are concerned, these scars usually fade away with time.
if the scars are persisting, you may need a different medications.
You can try them on very dark, cosmetically disfiguring pigmentation.
Alternate method of treating dark spots secondary to acne would be by a simple procedure called dermabrasion.
This can be done at your dermatologist's office.
1-2 settings of this would clear off most pigmented spots.
Have you followed what I have suggested?
is that expensive?
sure doctor i am making a note of the details you have prescribed
dermabrasion? is this expensive?
It may cost roughly around 2000 to 3000 INR per setting, depending on the doctor performing it.
You can try if there are lot of cosmetic disfigurement.
The mederma cream would be a cheaper option if there are only few.
thats really expensive?
Can i try any packs in a parlour?
Mederma cream can be bought in less than hundred indian rupees.
In addition there are a few herbal ingredients that may help (which a homeopath or ayurveda practitioner can suggest you).
You can try any of those products.
If you choose to use isotretinoin cream, avoid sun exposure when the cream is on your skin.
It can increase pigment formation.
I understand you are facing a difficult problem.
Treatment for such resistant and recurring problem
is going to be slow and gradual.
Be patient while using any medication or depigmentation products.
If none of the products help, you can try the dermabrasion procedure sometimes.
Now to your last problem, dandruff.
Dandruff is caused by a fungus which commonly inhabitates the scalp and sometimes other parts.
Antidandruff shampoo can treat it effectively, but as this is a fungus
there is always a chance of recurrence.
Since nizaral shampoo works best for you.
Do not change it.
use it to shampoo your hair atleast twice a week.
if i use onion paste on my hair will it work?.
I am sure with regular usage for 6-8 months, this problem can be reduced considerably.
i ve been using Nizral since 4 years . As long as i use it there is no dandruff- the minute i stop Dandruff is back
I am not aware of the effectiveness of herbal ingredients including onion pastes on this fungus.
is there a permanent solution to this fungus? is it because of the water i use for bath?
As there are no scientific evidence that prove the effectiveness of onion paste here, I would not be the right person to comment about it.
I read it in a magazine- actually ii am so fed up of this dandruff ive tried everything from beetroot paste to onion to Nizral to all product shampoos in the market .
Reduced personal hygeine is one factor that is commonly associated with this fungus infection.
Apart from this any chemical or harsh product that damage the scalp can increase the chances this infection.
So avoid using multiple chemical cosmetic product or harsh water.
The effectiveness of nizoral is proved to be better when this shampoo is used on the scalp (not just the hair) and left for few minutes before washing.
I would encourage you to do this.
Have you followed?
I should leave it for 5 minutes on hair?
Rub the shampoo on the scalp and not just the hair
and leave it for for 3-5 minutes before washing.
This increases the effectiveness of this shampoo.
I suggest you to try this method of usage, twice or thrice weekly for 2-3 more months and let me know the results.
how do i connect with youand inform results?
You can connect with me on this chat any time 24/7
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