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Query about medicine for psoriasis - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3387 Questions
User :   Dear Doc,
I am 30 yeras old male suffering from psoriais since childhood. no family history. Earlier it used to appear and dissaper but since 3 years it has become permanant. I know there is no permanant cure/remedy but i just want to ask you that cant it be controlled through medicine? Earlier it used to be on inner parts hidden with clothes like elbows hands, calves, back, hips, chest, stomach & skull etc. but now it has started appearing on open parts like my fingers, back of my palm, on forehead, feets. I have a public interaction job in a multinational comapny. icant afford people hating me due to my appearance. Can change in lifestyle make a difference? I see a hope in you sir. kindly help me to control this curse, if not erade this. i am too much menatly disturbed. I have also started loosing my hair due to this. Itching and redness is very strong these days.
Doctor :   Hi
Doctor :   Let me read the query.
User :   ok
Doctor :   May I know your age?
User :   30 years
Doctor :   Have you tried any treatment options/seen a doctor?
User :   yes
User :   I have been using betamethasone dipropionate saliscylic acid ointment since long
Doctor :   Ok
Doctor :   Have they helped you?
User :   earlier but now it seems resistant to them
User :   they just keep my sclaes moist thats it
Doctor :   Ok
Doctor :   Do you have any other medical illness such as diabetes/thyroid hormone abnormalities?'
User :   none
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Psoriasis as you know is a chronic condition.
Doctor :   There are few factors that can cause flaring of the condition.
User :   can it controled if not stopped with medicines?
Doctor :   Such conditions include high stress, cold weather, dry skin, vitamin and fatty acid deficiencies and so on.
Doctor :   Hence the preventing options are basically lifestyle modifications, dietary changes, vitamin and omega fatty acid supplements.
Doctor :   Avoid scratching, regular use of moisturizers, avoiding exposure to cold weather, and allergens are few preventing options.
Doctor :   Medical drugs available are for reducing the symptoms and control of already existing scales only.
Doctor :   Hence I suggest that you involve in life style changes, dietary modifications, destressing measures along with regular moisturizers.
Doctor :   They can help preventing new scale formation.
Doctor :   For the present condition, if the steroid creams are unavailable, UVA therapy can be tried.
User :   UVA therapy is costly?
Doctor :   Each sessions can cost you around a few thousand Indian Rupees (1500 to 2000).
Doctor :   You may need few sessions to treat the scales.
Doctor :   Finally, recently certain medical drugs such as immuno suppressants, chemotherapy drugs have been launched
User :   does UVA leaves scars on my body?
Doctor :   for both treatment and preventing psoriasis.
Doctor :   Since they have plenty of side effects
Doctor :   they are used only in case of severe non resistant conditions.
Doctor :   Yes, UVA therapy usually is a safe procedure.
Doctor :   Occasionally, it can cause photosensitivity, demyelination and skin changes
Doctor :   Which are not very common.
Doctor :   Have you followed what I have suggested?
User :   yes
User :   what should my diet consists of?
Doctor :   You can consult a dermatologist who will guide you through the UVA therapy sessions, if you want to try them.
Doctor :   Restrict the consumption of gluten diet - such as wheat, barley and so on.
Doctor :   Use plenty of fruits and vegetables.
User :   and alcohole, amoking?
User :   smoking
User :   ?
Doctor :   Fish and fish liver oil are good source of omegafatty acids.
Doctor :   You can use them, if you are a non vegetarian.
Doctor :   Apart from this other non vegetarian diet are also beneficial.
Doctor :   Smoking has adverse effects on psoriasis
Doctor :   They can cause resistance of already existing condition, can play a role in the development of new lesions too.
Doctor :   Hence restrict smoking if you are a smoker.
Doctor :   Have you followed?
User :   yes
Doctor :   Do you have any other query
User :   drinks?
User :   alcohol?
Doctor :   The role of alcohol is not proved as the cause of psoriasis.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
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