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Severe acne vulgaris, heavy breakout that leave dark marks, whiteheads all over face, constipation. Suggestions?

hi. i am 23 years 10 months old i had severe acne vulgaris . i was suffering from acne 2 years ago and consulted a dermatologist . after that it was okay..few pimples comes from time to time but it was rare. since 3 months i am geeting lots of big pimples. this kind of pimples never came to me even in teenage and they are leaving huge dark marks. i am also having lots of whiteheads all over my face. i am also having constipation problem. please suggest
Asked On : Tue, 19 Feb 2013
Answers:  3 Views:  98
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Dermatologist 's  Response

You seem to be having a severe grade acne vulgaris. To treat the same you might require a course of oral antibiotics and oral isotretinoin along with topical anti acne medicines. For the same you need to consult a dermatologist as certain precautions are required while being on these medicines. Pigmentation and scarring is more when acne lesions are inflammatory, severe and not treated for long. Once the treatment for acne is taken, chances of pigmentation, scarring also reduces. Later on residual pigmentation or scarring can be treated with creams, chemical peels, microdermabrasion etc.

As a general recommendation for acne

Use a salicylic acid based face wash like saslic or neutrogena

Apply brevoxyl gel in morning and retino a cream in night over acne lesions

Get your white heads black heads extracted regularly

Do not squeeze or manipulate acne lesions

To relieve constipation, drink adequate amount of water, take high fibre/ roughage diet. Constipation as such has no role in acne.
Answered: Tue, 19 Feb 2013
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General & Family Physician Dr. Gustav Gous's  Response
Thank you for your question. It is important to treat acne aggressively to prevent permanent scarring . You do not mention whether you are mail or female, in ladies hormone manipulation is an added advantage. Acne is not only a teenage problem and often only occurs in young adulthood . There is an established step-wise approach to treating acne, face washes, topical treatments,antibiotics and retinoids , both topical and oral. As already mentioned, off female hormones may be added. Keep treating acne as long as it is present no matter your age. The constipation is a nother matter, be sure to take 2l of water daily, take natural roughage , do regular exercise and if still necessary laxatives and motility enhances can be considered. I trust you find this helpfull.
Answered: Tue, 19 Feb 2013
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Psychiatrist Dr. Seikhoo Bishnoi's  Response
Dec 2014
Hello itsmemashfa
thanks for your question
you are having acne since last 2 years so I hope you are aware of dietary modifications for acne, like low oil diet, avoid fired and junk food, high fibre diet not only detoxify your skin but also treats constipation etc..
These can be done-
-wash your face with some light and oil control face wash and don't immediately wipe with towel
-take cucumber,lemon juice in diet
- plenty of water is must
-use only water based creams on face don't use oil on hair
- Adaplene cream for local application is best
- clindamycin cream to be used for localized ares of acne after application of adaplene
- if not controlled by this method then consider isotretinoin tablets by consulting dermatologist. This is a very useful drug with very good result. Side effects of photo sensitivity, burning etc. can be observed but are reversible.
Don't take tension and do light exercise daily you will surely find improvement
take care
kindly rate
Answered: Tue, 19 Feb 2013
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