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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small Pimple On Forehead, Getting Larger, Painful. Using Acne Cream, Sinus Block. Treatment?

I had a small, i think pimple , on my forehead when i awoke yesterday. Over the course of the day it got larger and started to get painful. I put some of my wifes neutrgena acne cream on it last night. When i awoke today i had a spot about 2-3 diameter that is swoleen on my forehead and very painful. The swelling is coming down the bridge of my nose and causing havoc with my sinuses.
Mon, 22 Oct 2012
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Dermatologist 's  Response
Hi there Matt.

I hear you & it does seem you have an issue with an iatrogenic infection caused by overzealous use of the wife's cream :)

On a serious note, you need to be seen by a physician & prescribed an appropriate antibiotics & anti-inflammatory agent that will depend on your body weight & will require a prescription!

Do try to do a light steaming followed by splashing cold water on the region to help release the pus that seems locked in. This will help clear your sinuses' in addition.

Swelling in the midline of the face needs to be taken care of soon as it was what used to be taught to us as students as being the 'dangerous area' of the face because of its proximity to the sinuses higher up & the chances of what we call a cavernous sinus thrombosis...hence the need for immediate intervention with an antibiotic.

Cheers & wish you good luck & good health & a clear face soon!

Dr Praveen Rodrigues MD
Dermatologist, Cosmetologist, Venereologist
Bangalore, India
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Allergist and Immunologist Dr. Suman Kumar's  Response
Pimples are symptomps of oily skin
keep skin dry
No oils like mustard almonds coconut walnut groundnuts
Olive can be used
No oily or grresy foods
TAKE DOXYCYCLINE 100 MGM BD FOR 2 WEEK
APPLY CLINDAMYCIN GEL MORNING EVENING
AND HISTOCALAMINE AFTERNON
IF THE SKIN BECOMES TOO DRY YOU CAN ADD LITTLE FLUTICASONE OINTMENT IN CLINDAC GEL
COURSE 4-6 WEEK
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Small Pimple On Forehead, Getting Larger, Painful. Using Acne Cream, Sinus Block. Treatment?

Hi there Matt. I hear you & it does seem you have an issue with an iatrogenic infection caused by overzealous use of the wife s cream :) On a serious note, you need to be seen by a physician & prescribed an appropriate antibiotics & anti-inflammatory agent that will depend on your body weight & will require a prescription! Do try to do a light steaming followed by splashing cold water on the region to help release the pus that seems locked in. This will help clear your sinuses in addition. Swelling in the midline of the face needs to be taken care of soon as it was what used to be taught to us as students as being the dangerous area of the face because of its proximity to the sinuses higher up & the chances of what we call a cavernous sinus thrombosis...hence the need for immediate intervention with an antibiotic. Cheers & wish you good luck & good health & a clear face soon! Dr Praveen Rodrigues MD Dermatologist, Cosmetologist, Venereologist Bangalore, India