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Acne on face and back, oral and topical medication - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2567 Questions
Doctor :   Hi
Doctor :   Good evening.
Doctor :   How can I help you?
User :   gud evening
User :   actually my wife has a acne problem and she has been taking treatment for last three years still the condition is same
User :   please suggest something
User :   now the condition i getting worse day by day
Doctor :   May I know your wife's age?
User :   25years
User :   n baby is feed her milk
Doctor :   You mentioned that it is getting worse - do you mean there are more pimples developing or she having symptoms such as pain, redness and pus in those pimples?
User :   hi doc its for my wife
Doctor :   Hi.
User :   yes more pimple and blackheads are developing
Doctor :   Ok.
Doctor :   so there are no redness or pus pointing from the acne right?
User :   yes there are but in some parts
Doctor :   Do you feel that your acne is spreading to other parts of the body apart from the face?
User :   and tried so many medicine aloepathic n homopathis
User :   but that was worthless
User :   and i have black scars on my face and back
Doctor :   Ok
Doctor :   Do you feel that your acne is spreading to other parts of the body apart from the face?
User :   yes pimples are spreading
Doctor :   Ok
User :   same thing is developing on my back aswell
Doctor :   Ok
Doctor :   Do you have oily skin?
User :   yes but only in summer
User :   why it is coming again n again when i take medicine then only its improve else it comes again
Doctor :   Do you have history of diabetes, thyroid problems also?
Doctor :   How long ago did you deliver your child?
User :   last year in aug
User :   no i dont hav such problem
Doctor :   Ok
Doctor :   Are you still breast feeding?
User :   yes
Doctor :   Ok
Doctor :   Let me explain to you.
User :   ok
Doctor :   Acne/pimple is a chronic condition. It is a conditions that is known to persist for a long duration of time.
Doctor :   A complete cure of this problem is rarely achieved.
Doctor :   It is condition which usually shows reduction and then sudden flaring.
Doctor :   This is what is happening with you.
User :   ok now what should i do
Doctor :   There are few factors which are known to cause flaring of the pimples.
User :   now i hav more scars and blackheads on my face
Doctor :   Unfortunately one of those factors can be pregnancy and breast feeding. they can cause changes in the hormones changes causing it.
Doctor :   Let me put across the treatment options now available.
User :   but i m facing this problem since i was 18
User :   ok
Doctor :   That is right - what I meant was acne usually starts of during puberty due to changes in hormones.
Doctor :   They can get worse or improve during pregnancy and lactation due to further changes in the hormones.
User :   ok
Doctor :   So the treatment here is controlling the factors that can cause flaring of the acne.
Doctor :   Before I tell you about the prevention aspects, let me suggest you few medications that help in reducing a formed pimple.
Doctor :   There are various medications available.
Doctor :   One could try oral as well topical creams.
User :   ok
Doctor :   Topical creams such as Isotretinoin, benzoyl peroxide, clindamycin and so an are available which can be used.
Doctor :   Isotretinoin is the most commonly and widely used medication suggested by dermatologist.
Doctor :   These creams can be purchased as they are available at a chemist.
Doctor :   They are available as 0.05% or 0.1% medications
User :   i hav used bezoyl peroxide and clindamycin but its worthless
Doctor :   They need to be applied only at night, as day time exposure can lead to pigmentations
Doctor :   These are the 3 forms of topical medications that are used.
User :   for which one would the best apart from those two
Doctor :   Isotretinoin preparation is the most widely suggested topical medication suggested.
User :   ok
Doctor :   You could use the low strength that is 0.05% creams
Doctor :   They have to be applied only during night time.
Doctor :   Most patient respond to the topical creams, however
Doctor :   a few have severe acne not easily treatable by topical creams.
User :   ok
Doctor :   Such conditions are treated using oral medications.
Doctor :   Various oral medications such as isotretinoin itself, antibiotics, diuretic, hormone therapies etc are availalbe.
Doctor :   Each drug have side effects
Doctor :   and the use is limited while breast feeding.
Doctor :   Hence if you feel that the topical cream is not helping you too,
Doctor :   you need to see a dermatologist who will prescribe you one of these oral medications.
Doctor :   A course of the tablets are effective in treating the present condition.
User :   and what about the face wash and soap
User :   because problem i hav on my back as wel
Doctor :   I'l come to them.
User :   ok
Doctor :   Cosmetic product use can remove the much needed moisture away from the skin.
Doctor :   Apart from these use of harsh products can also effect a lot on the natural texture of the skin.
Doctor :   All these can aid acne formation.
User :   ok
Doctor :   It is recommended that washing is restricted as much as possible during acute acne episodes.
Doctor :   But since absolute restriction is not possible,
Doctor :   you could restrict your self from washing I mean cleaning more than twice a day.
Doctor :   Avoid using products on the areas where there are plenty of acne.
Doctor :   Use only mild products such as dove.
User :   ok
User :   but dove is not for oily skin
Doctor :   If you feel that there are plenty of acne and topical preparations are difficult to apply, you could use these products on the large acne alone.
Doctor :   Pears is another alternative to dove.
User :   ok
Doctor :   Avoid handling the pimples unnecessary with bare fingers.
Doctor :   Avoid dust and allergies.
Doctor :   Along with these measures, a healthy diet with proper stress management and good sleep
User :   ok and i hav to use pears soap for my face and whole body right
Doctor :   is very much beneficial.
Doctor :   Use the soap more on the normal skin, if there are lots of pimples grouped in one area, you could avoid cleaning or not more than once.
Doctor :   The last step, about stress and good sleep is very essential.
Doctor :   It is proved that lack of proper sleep, too much of worries and stress can actually aid acne formation.
User :   and the oral suspension may affect my baby
Doctor :   If there are high stress levels existing in your life then that could be one reason why you have had worse acne episode now.
User :   ok
Doctor :   Oral medications can get secreted via milk
Doctor :   and can to some extent enter baby's system.
User :   ok
Doctor :   Hence I suggest you to use the oral medications after consulting a dermatologist alone.
Doctor :   The mode of using the medications, the dosage and the frequency of the oral medications will be suggested by a dermatologist.
User :   ok
Doctor :   You need to follow them strictly.
Doctor :   Have you followed what I have suggested?
User :   yes
Doctor :   Ok
Doctor :   Coming to your next problem, the dark spots.
Doctor :   One of the known after effects of acne healing is hyper pigmentation.
Doctor :   Though this is a worrisome concern, usually the hyper pigmented spots fade away over time.
Doctor :   After a few months, normal skin comes back.
Doctor :   This is achieved by the process of exfoliation, that is new skin development.
Doctor :   No major treatment is needed for this, except for the use of commercially available depigmentation / skin lightening products.
Doctor :   You could look for skin bright creams which are available at some reputed pharmacy.
Doctor :   or alternatively use any other products of your choice.
Doctor :   Sun screen lotions prevents worsening of hyper pigmentation as well as new hyper pigmented spots from occuring.
Doctor :   Are you following?
User :   yes
User :   which sunscreen lotion i should apply
Doctor :   Finally, if hyper pigmented spots are very disfiguring or
Doctor :   if there are 2 many scars on the face,
Doctor :   you could try derma abrasion.
Doctor :   It is a minor OPD procedure done by dermatologist.
Doctor :   Skin is rubbed and the underlying skin is allowed to grow back.
User :   derma abrasion is it a cream and if yes when do i ahve to apply
Doctor :   This is basically nothing but aiding the natural mechanism.
Doctor :   No
Doctor :   this is not a cream.
Doctor :   It is done by a dermatologist.
User :   ok again i hav to visit the dermatologist
Doctor :   Yes.
Doctor :   It is simple procedure done by a dermatologist.
Doctor :   It is useful for both scars and pigmentation caused by acne.
User :   so could you suggest the best dermatologist in bangalore at koramangla
Doctor :   I shall ask my customer care member to call you back and guide you with the last question.
User :   ok
Doctor :   They will be able to tell you the best dermatologist
Doctor :   You could probably give your husband's contact number
Doctor :   so that we can get back with the details of the doctor to him.
Doctor :   Thanks for confirming.
Doctor :   Do you have any other query that I can assist you with?
User :   thanks
User :   thanks for helping me
Doctor :   My pleasure.
Doctor :   Thanks for consulting me.
Doctor :   Bye.
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