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Tips to control acne inflammations - 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 :   I have had a severe break out of acne on my lower cheek and neck area. I have never had severe acne and i am also getting this with redness around it almost like a rash and its itchy. what can this be?
Doctor :   Hi
User :   hello
Doctor :   May I know your age and gender?
User :   male and 33 years old
Doctor :   Since when have you noticed this?
Doctor :   Have you seen a doctor for the current problem?
User :   a month an a half ago
User :   yes i was prescribe tretinoin and its not working and clydamacin
User :   tretinoin drys my skin a lot
Doctor :   Ok
Doctor :   Do you have any other medical illness such as diabetes, thyroid problems?
User :   i have notice that the acne turns on the most when its cold
User :   no other medical problems
Doctor :   Do you have pus points from the acne?
User :   some do and other look like a rash
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Acne is a chronic condition, and relapse and recurrence are very common in them.
Doctor :   Presence of pus pointing, itching can suggest infection, and if the antibiotic creams are not working,
Doctor :   you may need change of treatment.
Doctor :   There are other form of creams and antibiotics that are useful in treating this.
Doctor :   You may need combination of oral medications and creams.
Doctor :   Since these are prescription medications, its unethical to suggest those online.(As I haven't examined you).
Doctor :   See a doctor(dermatologist) to obtain them.
Doctor :   Apart from this, you also need few modifications in your personal lifestyle and diet to help curtain this problem.
Doctor :   Few such measures are
Doctor :   1. Avoid over washing of the face(do not wash for more than once or twice in a day)
Doctor :   2. Avoid harsh soap and cosmetic products.
Doctor :   3. Do not try to squeeze the pimples or handle the acne lesions with base hands.
Doctor :   4. Proper stress management with good sleep and improved nutrition is essential.
Doctor :   5. Some people who get them very frequently may need
Doctor :   a course of antibiotics for 4-6 months period.
User :   yes i am a very stressed out person i am a business owner and very nervous person
Doctor :   You can discuss with your dermatologist, if you need them.
Doctor :   Stress factors and dietary factors apart from pollutants in the environment are few factors that can aggravate these conditions.
User :   i also recall i got this break out when i was taking a protein shake for excersize purpose do you think this can be a factor
Doctor :   You need to take necessary steps, so that these factors are kept under control, if you want to prevent the relapse of acne.
User :   can cold winter weather make this worse
Doctor :   Loss of moisture from face is a factor, and cold weather can make this worse.
Doctor :   Henced
Doctor :   Mositurisers with proper oil control formula to during cold weather.
Doctor :   They will help preventing them.
User :   any names for these mosturisers
Doctor :   You can use XXXXXX
User :   is aveeno soap for my face ok
Doctor :   You can use any mild soaps.
Doctor :   I am not sure of aveeno soap, however dove products are mild in nature.
Doctor :   Avoid frequent washing face.
Doctor :   Not more than twice a day.
Doctor :   frequent washing with any product can be factors causing the acne's.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   what about the rash looking acne
User :   its not even acne its more like a rash
Doctor :   Redness and pus points are due to presence of infection and inflammation.
User :   ok sounds
Doctor :   It needs antibiotics.
User :   good
User :   ok thanks
Doctor :   hence report to your doctor, if clindamycin is not helping.
Doctor :   Do you have any other query?
User :   no thats find thanks much for your info have a great night
Doctor :   Thanks for consulting me. Bye for now.
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