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Pimples and black heads on the face - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Acne
Answered by

General & Family Physician
Practicing since : 2009
Answered : 638 Questions
User :   Hi Good morning!!!
Doctor :   Hi
Doctor :   How can I help you ?
User :   I have more black spots on my face.please help to cure
Doctor :   K
Doctor :   Are they due to acne ?
User :   Means?
Doctor :   Are they black heads ?
Doctor :   Are they due t pimples ?
User :   Yes earlier there were more pimples on my face now some wards okay
Doctor :   Ok.
Doctor :   I shall give you a few steps that you need to follow ?
Doctor :   Is your skin oily or dry ?
User :   ya sure suggest me
User :   oily
Doctor :   Ok, May I know your age please ?
User :   23 runnning
Doctor :   1. Most important step is avoid oily diet and fatty diet and diet that is junk -- switch over to fruits, juices, more veggies food.
Doctor :   2. If you want to have non-veg. have grilled ones rather than fried or oily diet.
User :   okay then
Doctor :   Hope you have followed the first step.
User :   k
User :   k
User :   yes
Doctor :   2. Use Neutrogena wash at least 6 times daily.every 4 hrs.
User :   Is it face wash gel
User :   ?
Doctor :   3. Use Tretinoin (Retin-A) : Tretinoin (Retin-A, Avita, Renova) is the mainstay of treatment for whiteheads and blackheads. Tretinoin is a derivative of vitamin A and works by increasing cell turnover and reducing the "stickiness" of the sloughed cells. It helps expel the plugged material returning the pore to normal
Doctor :   It is a face wash with antioxidants and vit.e
User :   okay
User :   Where it is available?
Doctor :   any medical shop ?
User :   Okay can u suggest me opa?
User :   presently i am using Jhonsons baby
User :   soap
Doctor :   4. If you are still having some developing acne / pimples apply A drug named " adapalene " does wonder in reducing the blackhead formation by stimulation of skin growth through modulation of cellular differentiation and keratinization of follicular epithelial cells, i.e. it encourages skin peeling. ADELENE in India.
User :   is it ointment? How to use it?
Doctor :   6. Also you have to use Clindamycin ointment called Cleocin ointment.
Doctor :   Now I shall tell you how to use .
Doctor :   Morning after the wash please use 3.
Doctor :   After noon after wash use 4.Adelene
Doctor :   Night before you sleep use 6.Cleocin
Doctor :   These 3 have to be used for at least 4 weeks.
Doctor :   Hope you are following ?
User :   Could i go to outside after using 3?
Doctor :   5. The fifth point is please do not expose your skin to dust and pollution and smoke, Please use a fresh piece of cloth, over face and one more on the head.
Doctor :   Do you have dandruff ?
User :   yes
Doctor :   Then please use 7.Nizral shampoo every alternative day as dandruff increases the inciidence of black heads and acne.
Doctor :   for 4 weeks, after showeer , hair has to be absolutely dry, and do not expose to dust , pollution and smoke .
Doctor :   Now as you have dandruff. i will suggest a slight change in timings
Doctor :   Please note down this new switch over.
User :   I think you have suggested many medicines i working as a soft ware engineer is it possble to follow all of these?
Doctor :   If you want to reduce fast , this is the only way out, even we wash our face every 3-4 hrs to keep our selves fresh and keep washing hands after seeing every patient , that doesnt make us less busy, Hope you understand ?
And In India poor hair care - dandruff is the main reason for acne , I have got the main reason for your problem and if you dont want me to suggest a shampoo, instead of one that you use I shall not.
Doctor :   And we suggest every SWE gets up after 30 mins. of desk job and take a 5 min. break to avoid spinal and other problems.
User :   okay thank you can you let me know once again the point5?
Doctor :   The fifth point is please do not expose your skin and hair to dust and pollution and smoke, Please use a fresh/washed piece of cloth, over face and one more on the head.
Doctor :   when you go outside or on to road.
Doctor :   where there is lot of pollution.
User :   okay thank you Can i go to outside after using 3?
Doctor :   Yes that is what i have been suggesting that as you have dandruff, lets change the usage of the ointment.
User :   im mean to office?
Doctor :   Please use 3. in the night before you sleep.
Doctor :   And once you get up and after the morning wash please use 4.Adelene , and can use when you go to office too.
User :   little bit confusing please cold you tell me the medicine name and use of time please?
User :   sry for again asking
Doctor :   Please use 3.retinoin in the night before you sleep
User :   giveme the list please
Doctor :   Ok.
Doctor :   Please note down from here again
Doctor :   1.Regular wash with neutrogena 6 times a day
User :   okay sure
Doctor :   2. Use Nizral shamppo for hair every alternate day
Doctor :   3. Use Retinoin cream/vit.A/ Tretinoin (Retin-A) :Tretinoin (Retin-A, Avita, Renova) EVERY NIGHT BEFORE YOU SLEEP.
Doctor :   4. Use A drug named " adapalene " does wonder in reducing the blackhead formation by stimulation of skin growth through modulation of cellular differentiation and keratinization of follicular epithelial cells, i.e. it encourages skin peeling. ADELENE in India.every day in the morning after your face wash and you can go to office too.
Doctor :   5.The point is please do not expose your skin or hair to dust and pollution and smoke, Please use a fresh piece of cloth, over face and one more on the head when you go out in pollution or road
Doctor :   6. Use Cleomycin or Clindamycin ointment in your office or in the evening after a face wash for just 4 hrs before you sleep and apply retinoin.
Doctor :   Hope you have followed.
Doctor :   These are the 6 steps you have to follow for 4 weeks and please follow up.
User :   okay sure thank you and i am suffering from another problem
Doctor :   Thank you for consulting me, Take care.
Doctor :   Ok
Doctor :   Go on
User :   I am suffering from severe head ache for 20 days..
User :   When i am sitting infront of system i am getting head ache
Doctor :   Ok.
Doctor :   Do you have any excess discharge from eyes ?
User :   no i dont have
Doctor :   I would advise you to use " Refresh " TEAR DROPS , use it for two days , per day thrice 2 drops in each eye.
User :   okay may i know the reason fro getting head ache?
Doctor :   If it decreases it is fine otherwise you have to consult a opthalmologist , there might be a difference in visual acuity or commonly called sight problem .
User :   oh ok
Doctor :   Do you have anything else i can help you with ?
User :   getting bad smell from my mouth could you suggest any thing to prevent?
User :   hello sir
Doctor :   Use listerine mouth wash everyday after every meal
Doctor :   and look for any oral caries
Doctor :   tooth caries - please go to a dentist if you have any.
User :   can i use it on the morning?
Doctor :   Yes very much
User :   listerine i am planning to use it in the morning after the brush is it ok right?
Doctor :   Yes
User :   okay doctor thanks for your good suggestions nice talking to you
Doctor :   Thank you for consulting me, Take care, Bye for now
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