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Face Getting Red During Physical Activity. Getting Depressed And Anxiety. Any Treatment To Get Cured?

Posted on Fri, 17 Aug 2012

Question: hey dr. im 19 and for the past few years my face has been always red, gets even more red when i get embarrased or during physical activity. its only in my cheek, area and my chin and everywhere else is normal skin color. my cheeks and nose are also rough and bumpy, with open pores it looks like. when sun hits it, my face feels really hot and stings. i have been very depressed for years and had insane social and overall anxiety for years. its starting to ruin my life... i really need help. i have heard good things about pulse XXXXXXX laser, but also really bad things. please help send answer to YYYY@YYYY

Answered by Dr. P V S Prasad (4 hours later)

Hello
thanks for posting your query
You seem to be suffering from acne rosacea from the history.
the disease has to be controlled with medications first before deciding about lasers.
there are various medications which will help you.
first you need to use sun screens which will suit your skin and your job with at least an SPF of 15.
then you need to take drugs like doxicycline, or minocycline or isotretionoin orally under supervision of a dermatologist.
topically there are many choices ranging from benzoyl peroxide, to metranidazole cream.
once the disease is under remission with these medications for at least three to six months the residual signs can be tackled with pulse XXXXXXX lasers. lasers are good for scars which occur due to rosacea.
I hope I have addressed your doubt
if there is any further question feel free to ask
good day XXXXXXX pvs

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. P V S Prasad (7 hours later)

ok thanks for the advice. i have never been to a dermatologist for this before, so i guess the next step would be to set up an appointment with one. i got one more question for you as to my diagnosis. when i am totally calm and not thinking about my face being red, its really not that bad at all. the redness is toned down to almost normal and my face feels cool. but its too the point where when i go out i always think about it and i really think that makes the problem much worse. it kind of runs my life right now, i need to fix this and get on with my life before its too late.

Answered by Dr. P V S Prasad (19 hours later)

Hello
Sorry for the late reply. as you rightly mentioned face becomes red in acne rosacea because of vaso dilatation especially with sunlight or other light sources. that is why i have adviced you to use sun screens. you should try it half an hour before going out in sunlight.
I am sure that you dermatologist should be able to help u
good day
Prasad PVS

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. P V S Prasad (6 hours later)

No problem on the late reply doctor. Do you have any particular sunscreens you would recommend? Id like to find one that works as a moisturizer and a sunscreen? And yeah im going to look around for some dermatologists in the area. By the way, what do you think about pdl treatments? Have your patients had any success with them? Just give me the rundown on it, and how much it usually costs. Thanks alot Dr. For your time and help, you the man!

Answered by Dr. P V S Prasad (47 minutes later)

Hello
I tried to answer twice for your query since yesterday but unfortunately there was a problem in the net and sending the answer.
Ok, The problem is due to change in climate which produces vasodilatation. I sugggest you to use cold sponge washes of face once you are back home.
As adviced earlier use a sun screen.
consult ur dermatotlogist at the earliest.
Good day
Prasad PVS

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar