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Pimple agony - 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 : 2408 Questions
User :   hi doc
Doctor :   Hi
Doctor :   Good evening.
Doctor :   How can I help you?
User :   hello Dr
User :   my face is covered with pimples
User :   i want to get rid of them
User :   there are small pimples at my back as well
Doctor :   Ok
User :   what is the cause for them
Doctor :   May I know your age and gender?
User :   23 male
Doctor :   Since how long are you suffering from such a problem?
User :   there were some in the past, now they have cropped up again
Doctor :   Ok
User :   since 2-3 months
Doctor :   Do you have any other medical illness such as diabetes, thyroid problems?
User :   nope
Doctor :   Pimples referred to as Acne is a chronic condition.
Doctor :   meaning a long standing condition.
User :   so what is the reason for acne at the back?
Doctor :   Like many other chronic condition, acne again is not completely understood as far as the cause is concerned.
Doctor :   In simple terms, there cannot be a single cause that can be completely responsible for the development of acne.
User :   what are the potential causes?
Doctor :   The factors responsible for acne are
Doctor :   1. Age - individuals in reproductory age group are more common.
Doctor :   2. Hormones - testosterone and oestrogen hormones in male and female respectively are factors responsible.
Doctor :   3. Skin - increased sebum production
User :   ok
User :   so solution for it?
Doctor :   4. Environmental factors such as dust, allergy, excessive face washings, cosmetic products.
Doctor :   5. Genetic
Doctor :   6. Diet
Doctor :   7. Stress and anxiety factors.
Doctor :   These are few factors commonly known to produce acne
Doctor :   Now before I explain to you about the treatment,
Doctor :   may I know if you have seen a doctor or tried any treatment for the same.
User :   once i tried long ago
User :   he advised me some gel
Doctor :   Ok
Doctor :   Have the helped you?
User :   it helped but for that time only
Doctor :   Ok
User :   now m not using it
Doctor :   Ok
Doctor :   Let me explain to you now.
Doctor :   As I mentioned to you at the beginning of the chat, acne is a chronic problem.
Doctor :   A complete cure may not be possible.
Doctor :   It may last as long as the risk factors exists.
User :   ok
Doctor :   Hence the treatment options are based on only preventing them.
User :   ok
Doctor :   The following measures are helpful in preventing the symptoms
Doctor :   1. Avoid washing your face very frequently.
Doctor :   More frequent washing may actually produced effects on the skin leading to worsening of the pimples.
Doctor :   Not more than 2 times a day.
User :   ok
Doctor :   2. Use mild soaps and no harsh soaps.
User :   ok
User :   like?
Doctor :   There are few brands of soaps such as dove products which are mild and proved to have no harsh chemicals.
Doctor :   You can use them.
User :   i use a mild facewash from garnier
Doctor :   3. Avoid handling the pimples with bare finger.
User :   i have been using it since 5 years
Doctor :   If you are happy with the face wash that you use ( i mean you have not found worsening of the pimples)
Doctor :   you can continue using it.
Doctor :   But again not more than twice a day.
Doctor :   4. You will need to follow measures to destress yourself.
Doctor :   Stress factors proportionally effects the skin and hormones leading to worsening of acne.
Doctor :   Destressing measures are regular sleep, regular meals, physical exercises, yoga and meditations.
Doctor :   Now these are lifestyle modifications that prevent acne.
Doctor :   The next measures are medical drugs.
User :   ok
Doctor :   1. There are certain oral as well topical creams which are used
Doctor :   medications containing benzoyl peroxide, isotretinoin, antibacterials such as clindamycin and so on
Doctor :   which are available in the pharmacy which are used.
Doctor :   Regular use of these products during the initial episodes of acne
User :   yeah, clindamycin is the one I used
Doctor :   prevent acne from increasing flaring up.
Doctor :   Such products may have to be used as soon as on acne poops.
Doctor :   2. Some dermatologist can prescribe you a course of antibiotics for 2-3 months.
Doctor :   To help preventing recurrence of acne, if severe.
Doctor :   3. Multivitamin pills one pill a day for 2-4 weeks.
User :   can u prescribe some medications?
Doctor :   These medical treating options can be obtained with a prescription, prescribed by a dermatologist.
Doctor :   With these medications and the lifestyle measures, one can prevent recurrence of acne as well as prevent acne becoming severe.
Doctor :   The lifestyle measures that I suggested need to be followed strictly.
User :   ok
Doctor :   As you get older, most often this condition starts to improve and get cured.
Doctor :   Hopefully it is clear to you.
User :   hmm
User :   yeah, but medications?
Doctor :   Have you followed what I have suggested?
User :   u did not prescribe any
Doctor :   It is not legal and ethical to prescribe medications on live chat.
User :   ohh
User :   ok
Doctor :   You will need to consult a doctor who after physical examination can prescribe you the medications.
User :   ok
Doctor :   I would hence suggest you to use your regular medications which were suggested to you.
Doctor :   Follow with the lifestyle measures suggested.
User :   ok
Doctor :   If you do not feel that the symptoms are not down, consult a dermatologist who will be able to prescribe you the appropriate medications.
User :   thanks
Doctor :   Do you have any other query?
User :   no
User :   thanks
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day!!
Doctor :   Bye for now.
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Diseases and Conditions
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