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Treatment for Nodular cystic acne and dehydration - 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 :   Hello, I have had a very big problem with nodular cystic acne since I was 12. I'm 20 now and it is only getting worse even though I've tried isotretinoin, but I wasn't able to follow through completely as it just made it worse. Recently, I noticed that dehydration is the problem. I noticed I hardly drink anything maybe a glass a day, sometimes nothing for a couple days. I've always been this way, but I just don't ever feel that thirsty. So when I get headaches and start feeling sick I know I'm dehydrated so I drink and the cysts start to go down. Am I wrong? Is this a correct theory? How do I feel thirsty?
Doctor :   Hi
Doctor :   let me read ur query
Doctor :   give me a few minutes
User :   Hello Dr. Thanks
Doctor :   lack of proper hydration can increase the toxic metabolites & chemicals in the body and this can affect the skin in different ways
User :   ok. So this could be the ultimate cause of my skin problem?
Doctor :   your current issue of severe nodular acne, needs treatment with isotretinoin, and u have been correctly been initiated
Doctor :   there are a lot of issues that affect the skin
Doctor :   dehydration is one of them, but not the only thing
User :   is it still possible to get isotretinoin even though it has been taken off the market?
Doctor :   during the teens, its more common due to hormonal surge and developemental stages, the androgens are high and can cause acne
Doctor :   Isotretinoin can be taken with proper prescription by a dermatologist
User :   what about antibiotics to get rid of the infection? it seems to slowly spread like an infection over time
Doctor :   antibiotics like tetracycline in form of creams are helpful in clearing acne
User :   Ok. So what is your recommendation altogether? I'm also on lumectogirine for bipolar. I can take all these including anti biotics at the same time?
Doctor :   yes
Doctor :   that is not going to interact with tetracyclines, but these also need prescriptions
User :   Ok. What about not feeling thirsty? Is that a problem that has a name?
Doctor :   u are still in your teens and u may not like to drink as much as u need to
Doctor :   but thats ok,
Doctor :   u can drink when u feel thirsty ,
Doctor :   Or make it a habit to drink a glass of water or fruit juice every 2-3 hrs to keep u hyudrated
User :   Okay. Thank you. Unless you have any other recommendations that's all I needed. Thank You
Doctor :   continue the medications of isotrenioin, that ur doctor will prescribe
Doctor :   and u will definitely see good results
User :   Ok. Thanks. I hope you have a good day.
Doctor :   you too
Doctor :   thanks and take care
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