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Sudden eruption of acne on face. Thyroid, hormone test normal. Treatment? - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: Acne
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User:hello Dr
Doctor:How can I help you?
User:I have sudden acne problem on my face
User:I am 33 years old - Female
User:i always had v clear skin
User:This started in Oct11
User:and doesnt seen to go
User:i did hormone and thyroid tests in Jun12
User:they turned out ok
Doctor:Were the test suggested by a doctor?
User:a skin specialist
Doctor:What advice did the doctor suggest you?
User:he prescribed 2 gels and a facewash
User:clindoxyl and adapelene or someting
Doctor:Have they helped you?
User:and dox t and vizylac
User:that was a yr back
User:i dont think anything helped
User:maybe the pills did , but the gels didnt
User:then i stopped the pills after 2 mnths
Doctor:Acne is a chronic skin condition where relapse and remissions are very common. I would like to know if these medications - pills and gels reduce the acne eruptions initially?
User:the pills did help initially
User:but since i was planning a family i discontiued
Doctor:Would you mind restarting the pills now (Or)did you have any side effects with it?
User:i had no side effects per se
Doctor:Let me brief you.
Doctor:As I said earlier acne is a chronic condition with relapses and remissions.
Doctor:The condition can be kept under control with life style changes and medications.
Doctor:I would suggest you to restart the medications after consulting your dermatologist.
Doctor:You will need a fresh prescription to understand the doses and course of treatment.
Doctor:In the mean time, you also need to modify lifestyle (if you haven't done them yet)
Doctor:They include:
Doctor:1. Avoiding stress primarily. Stress and physical exertion increases acne eruptions.
User:i had also joined a gym then, which cud have helped
Doctor:2. Avoid frequent face washes. It is not recommended to wash your face more than twice.
User:i would like to avoid pills as far as necessary
Doctor:Preferable use the right choice of soaps as per your skin.
Doctor:3. Do not pop acne eruption. You would worsen the situation.
Doctor:4. Maintain proper personal hygeine. Avoid sharing of your towels, soaps and cosmetics.
Doctor:5. No make up before sleeping. Wash your face with plain water before you sleep.
Doctor:6. Beneficial to take plenty of fruits and vegetables.
Doctor:Medical pills will be prescribed to you briefly (not life long).
Doctor:however the duration of treatment is individualized - for 2 months to 6-8 months.
Doctor:Once the medication successfully reduce remissions, following a strict life style as the ones suggested by me
Doctor:it will significantly control and prevent eruptions.
Doctor:Once we are able to control the situation with right medications, you will be suggested to use topical creams/gels/ointment only during acute symptoms.
Doctor:I hope I am not confusion you.
Doctor:If it is not clear, I would like to discuss this over a phone call.
User:i am clear doctor thank you
User:but any specific reason for this eruption?
User:i always had clear skin
User:no teenage pimples either
User:now ppl come up to me and ask me whats wrong, since its so evident
User:i use only margo on my face
Doctor:Scientifically we have not yet clearly understood the reason for acne development or new eruption.
User:since childhood
Doctor:However there are some factors which have been associated.
Doctor:Those factors include increased stress, lack of personal hygeine, increased sebum secretion from your facial glands, environmental pollution, hormonal conditions such as polycystic ovarian disease / thyroid disturbances, etc.
User:i kept thinking cud i have PCOS
Doctor:If you are weight is in excess of the normal limits and if your periods are not regular, then yes it is possible that you may be suffering with PCOS.
User:My wt is ok and my periods r regular till now
User:i got pregnant in nov last yr but had a miscarriage
Doctor:Studying your FSH, estrogen/progesterone levels and ultrasound scan will confirm whether or not you have PCOS.
User:i will b going for a USG soon
User:since i had a partial molar preg
Doctor:Ok, if an ultrasound scan is planned shortly, then that will clarify your doubts regarding PCOS.
Doctor:Have I answered all your queries. Do you have any more queries?
Doctor:I have to close the window as you are not responding.
User:no thnk you
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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