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Hello Doctor, I Live In XXXXXXX And Visit Other Cities

Posted on Sun, 3 Nov 2019

Question: Hello Doctor, I live in XXXXXXX and visit other cities that are hotter than XXXXXXX a few times every year. Everytime I live in a hotter place even for a few days and eat even little bit of spicy food, I get acne on my back and on my face. How can I prevent it?

Answered by Dr. Raju A.T (6 hours later)

Brief Answer:
Need some more details

Detailed Answer:
Hi,

Thanks for your query.

What is the distribution of the acne on face?
Are they pus filled ?
Do you change cosmetics when you change places ?
Are you using any medications for now ?

Waiting for your response,

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Raju A.T (1 hour later)

Dr. XXXXXXX They are mostly around my mouth and they are filled with pus and painful. No, I don't change cosmetics, neither do I change my soap. No, I'm not using any medication. Thanks

Answered by Dr. Raju A.T (23 hours later)

Brief Answer:
Please attach images

Detailed Answer:
Hi,

Thanks for the reply.

Please send images of the acne you have.

Since, you say they are pus filled , I want to ascertain whether they are infective or sterile.

Waiting for your response,

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

Follow up: Dr. Raju A.T (36 minutes later)

Doctor, Attatched are the pictures. I experience two types, one which start with tiny, not so painful, spots and then develop pus and the other that grow quite a lot internally and become very painful and may or may not have pus in them. I've also at times have issues with folliculitis on scalp and beard areas. I also have back acne. It is frustrating that I rarely see myself without acne. Thanks

Answered by Dr. Raju A.T (19 hours later)

Brief Answer:
Antibiotics

Detailed Answer:
Hi,

Thanks for replying back.

Since you mention that they are filled with pus, it indicates that they are due to infection. This needs antibiotics, Cap Doxycycline 100mg once after food in the night for a minimum of 1 month will solve the issue.

Clindamycin ointment in combination with adapalene applied in the night further potentiates the work of the oral antibiotics.

Regular washing of the face with a good face wash is a must, no matter you are in home town or outside.

Hope, I answered your query.

Wish you good health.

Regards,

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

Follow up: Dr. Raju A.T (3 hours later)

Thank you Doctor. Could you recommend a face wash for my oily skin? Also, how can I prevent acne on my back and how to get rid of the acne marks?

Answered by Dr. Raju A.T (4 minutes later)

Brief Answer:
Charcoal or coffee based

Detailed Answer:
Hi.

Any charcoal or coffee based face wash is fine.

Regards,

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

Follow up: Dr. Raju A.T (36 hours later)

Doctor, To someone who asked a question about acne and oily skin, one of the doctors has recommended saslic acid based face wash and water based moisturizer. what's the difference between saslic acid based face wash and charcoal face wash?

Answered by Dr. Raju A.T (25 hours later)

Brief Answer:
different

Detailed Answer:
Hi,

Active acne should not be subjected to salicylic acid, it peels the skin. Only after the acne are gone , acids can be used to remove the scars.

Regards,

Above answer was peer-reviewed by : Dr. Raju A.T