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Treatment for darkening of hands during winters - Online Doctor Chats

Date : 02-Mar-2014
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2581 Questions
User:My skin on one of my hands is darkening. It started this winter and I have cut every time I go for my walk outside. I think it might be a combination of the fact that I do not wear gloves but put my hands in my pocked and the fact that I do not use moisturizer and that I also use hot water to wash my hands. What do you think? Please help. I never had these symptoms and I have been through 4 rude winters since being in the USA
Doctor:I will be able to assist you today
User:Hi There my name is XXXXXXX How are you Doc?
Doctor:I am good and thanks
Doctor:Let me read your query first
Doctor:Give me a couple of minutes
User:Thank you. No problem
Doctor:I understood the probelm
Doctor:I wish to know if the darkened part is on the palms or on the dorsum of the hand
User:The dorsum of the hand
User:Oh you did not get the pictuyre I sent through the service
Doctor:That is easy to clear
User:Oh How would I do that and what about my cuts
Doctor:Ok there are two ways of treating this
Doctor:First is to prevent further darkening
Doctor:So we know that due to cold wether the blood supply to the outermost layers of the skin is insufficient
Doctor:losing its ruddy color
Doctor:So if you warm the hands the blood supply is restored shortly
Doctor:by using the gloves and keep rubbing your plams and dorsum thoroughly
Doctor:by applying moisturizer with XXXXXXX butter
User:So but why have some part of my hnads been consitently dark and why am I having cuts this winter
Doctor:Now comes the second problem
Doctor:When there is dryness obviously skin is prone to cuts
User:Oooh I see
Doctor:but these cuts are easy to heal and just require moisturizer
Doctor:Hence I was suggesting moisturizer
User:So I have to put moisturizer on my body everyday and wear glove
Doctor:The bad problem is skin becomes more dry if you use hot water, hence it is better to use tepid water or normal temp water
Doctor:Hot water increase the cuts
User:I see
Doctor:NO tub baths
Doctor:Just quick shower and do not rub off the water
Doctor:immediately apply moisturizer preferably with bee wax or XXXXXXX butter
User:I see what about when I shake hands with people duing winter to prevent flu transmission i think they recommend you wash your hands consistently. Is that true?
Doctor:Yeah, but you should use only normal temperature water
User:I see I understand Doc. Thank you so much.
Doctor:so you should make sure the water coming out of tap is slightly warm
Doctor:Now if you follow this the skin color would restore normal in a months time
User:Can I ask you other questions regarding my health?
Doctor:If it takes long
Doctor:you can use Kojic acid creams on the darkened area after testing
Doctor:Yeah you can
User:So I have to buy Kojic acid creams, Moisturizer and gloves
User:Now I am about 80 lbs overweight
User:I was about 100 lbs overweight at the beginning of the year
User:I started walking everyday since the middle of January
User:what else can I do to accelerate my weight loss
Doctor:That is good
Doctor:Ok the proven ways of weight loss are three.
User:and I am not a good diater
Doctor:1) Calorie restriction
Doctor:2) Calorie consumption - Walk / Jog / Swim / Dance / Bicycle
User:I see
Doctor:3) Behavioural modification
User:Oh what does Behavioural modification mean in this context?
User:Does that mean changing my lifestyle?
Doctor:You can sit down and note all the unhealthy things that make you consume more calories and / or restrict calorie burning
User:I see
User:I am a software engineer so I sit down alot
User:and I think I stress eat
Doctor:Small plates, consuming salads more than main course
User:I see. cool That makes sense. Is it possible to transform fat into muscle while losing weight?
Doctor:Actually the calorie consuming parts of human body are muscle
Doctor:So the more muscle in a person the more burning happens and the lean they are
User:So I can't lose weight and gain muscle mass at the same time. Oh I see
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