Total Views: 4892

i have normal skin(T zone oily) I am suffering from severe whiteheads and acne on my face . i have consulted few dermatologists but it barely gave me any good results. as per as the doctors prescription i have been using 1.azithromtcin azifem 500- tablets 2.adalene nano gel 3.D derclean hydro gel cleanser but it gave me no results at all. i want to have a clear and glowing skin alike yours. earlier it was nice but on the usage of kaya skin regime i ended up paying so badly for my skin. on sun explosion my skin gets worse. i expect your help to get rid of of my problems. also suggest a sun screen.

PAST HISTORY : MY SKIN WAS NICE SO FAR SUDDENLY WHITEHEADS HAVE FORMED. MY DRINKING WATER AND EATING HABITS ARE ALL GOOD WITH NO OILY FOOD AND FRIED FOOD AT ALL.

3 Answers

Dr. Vivek Nair answered : 11 years ago

Hello,

Thank you for your question. I would need to assess how severe your acne is to recommend what methods could work for you. Would you be able to upload a clear photograph of both sides of your face at your convenience?

Patient asked followup Question: 11 years ago

I have sent the photo already. I have it on right cheek only. But it is slowly spreading. Prescribe me medicines for this whiteheads Sir

Dr. Vivek Nair answered : 11 years ago

Good Morning,

Thank you for the photograph. When acne like yours is localized to one side of the face certain factors like preferential sun exposure or habitual face touching on that side or friction may be making the problem worse. So try and eliminate/decrease these if any apply to you.

Treatment wise I would prescribe a patient like you Capsule Doxycycline 100 mg twice a day for 14 days along with Capsule Vizylac twice a day - short term antibiotic use like this can help to gain initial control of acne which is then maintained with topical agents for which I would recommend a Benzoyl Peroxide face wash used twice a day followed by a Benzoyl Peroxide-Adapalene combination gel at night and Azelaic Acid 10-20% cream in the morning. This would be the basic regimen. After 14 days I usually add a moisturizer like Cetaphil cream and a sunscreen depending on the skin type to the regimen. This controls the problem in over 70% patients in 4-6 weeks and new acne lesions gradually decrease. In the remaining 30% additional measures like comedone extraction and salicylic acid peeling are required. Overall it takes 2-3 months to adequately control acne and treat acne marks.

If you have or have had any recent menstrual problems then that could be adding the problem as well. If the problem persists for longer than three months it will worthwhile having it checked by a gynecologist.

As far as precautions go - avoid greasy foods, milk products, dry fruits and junk food like soft drinks and pizzas. Curd is fine as is a healthy veg/non-veg diet. Avoid using cosmetics on a daily basis and avoid direct sun exposure when you can. Do not oil your hair and sleep on it at night, and lastly do not pick or burst your acne lesions - this causes scarring.

Please note that my answer is for information purposes only and does not establish a patient-doctor relationships. All the meds I have mentioned should only be taken under the supervision of a dermatologist in person.

Please feel free to ask if you have any queries.

Patient asked followup Question: 11 years ago

Please mention the brand for benzoyl peroxide products

Dr. Vivek Nair answered : 11 years ago

Brevoxyl Creamy Face Wash is my preferred brand. Epiduo or Deriva-BPO are good brands for the night gel and Aziderm 10% cream a good brand for the day cream. Rivela SPF 50 for normal skin and Sungrace Total SPF 30 for oily skin are good sunscreens. Please note that the night gel can cause irritation and hence must be used as very thin layer and only under the supervision of a dermatologist in person. Regards.

Have a similar question? Ask our top doctors now !

Answers
Doctors

Matching Already Answered Queries

1 Answer

I hv been having problems of dizziness, and spinning sensations since last 4/5 days. Had the same earlier abt 2 yrs back but on a very mild scale and they went away without any medication. This time it has been rather acute. Visited the physician and hv been prescribed Vertin 8 mg 1x3 times a day before bkfst, lunch and dinner. After three days feeling better but the sensations are still there albeit milder. Feel the spinning sensation especially when I look straight up/down and then bring the head back to normal posn.Again when I am changing sides on bed while lying down from left to right rpt left to right I feel the same sensation. Tho' the dizziness and the spinning sensations are less now after taking the dosages of Vertin 8 last three days would u hv any advice as to how long it takes normally for the problems to be totally eliminated? I am particularly concerned as I am, tho' a retired person, a man of fairly active habits and for the various domestic chores often hv to drive quite a bit in heavy city traffic and as a result of this problem am completely grounded which is affecting our day-to-day life styles and needs.

Doctor's Answer

Hi, Tablet Vertin is used for relief of vertigo due to several reasons, but it is to be known why is this vertigo occurring. For that reason MRI and other tests needs to be done. The possible causes could be some problem in the brain or ear. If there is chronic disease in the ear, the internal ear is effected and there will be vertigo. The duration of vertigo will depend on the cause. To prevent worsening of symptoms during episodes of vertigo, try the following: - Keep still, sit or lie dow ...
Read Full Answer

1 Answer

My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.

Doctor's Answer

Hi, History told by you favours irritable bowel syndrome ( IBS ). There are two alarming signs in your case : Firstly, loss of weight and that to10kg approx. Secondly, sensation of carrying a weight in stomach. Both of them do occurs in IBS. But to be on safer side,I would suggest you to go for colonoscopy again because it was done 1 yr back and symptoms have aggravated few months back. Treatments available for IBS - - Increase the level of physical activity. - Have regular meals and take t ...
Read Full Answer

2 Answers

I was suffering from blood in my stool from long time until i consulted a doc and he said that i have fissure. I got it cured through ointments and having drinking fibre. However, from last few monts I have started suffering from incomplete evacuation. All the time my stomach is bloated up and I dont feel like eating anything. I have increased my water intake and also have started eating fibre fruits to a great extent but nothing is helping me. Howsoever hard I try, I am not able to evacuate completely. I go to washroom at least 5 times a day but still i feel full all the time. Sometimes I get black stool and sometimes its normal. My stool is not hard at all. I feel uneasy all the time. I stay in tension all the time due to this. Please suggest me a cure to this.

Doctor's Answer

Hi, Since you have had a fissure, chances of recurrence are high. Constipation is just one of the causes of fissure. There can be other causes, for example, there can be a tear in anal canal, or there may be a foreign body present in body, or it can happen during normal labor. Usually the fissure has bright red blood and not dark coloured blood. Since you have dark, it indicates that blood is coming from above in alimentary tract, which might be due to inflammatory bowel disease, irritabl ...
Read Full Answer

1 Answer

Sir i am suffering from knee sweeling in my rt knee for 6 month,two times i hv removed water(aspiration) from it bt never found relief.some time it decrease and some time increase.all tests x rays,crp,esr are normal not yet i found any relief.4 years ago same problem were in my lft knee and dr. Removed 2 pieces(tissue) from lft knee which were found normal(non specific),till one month after surgery i couldn't bent knee even a little bit,i took physiotherapy by wax and till 9 months i could bent it onle 80% after 1.5 or 2 year i could bent it properly 100 bt with pain,still there is pain when i bent it proper,and also swelling in rt knee.Dr.'s Of hospital in which i get surgery 4 yrs ago said that same surgery will pass in rt knee,bt i am afraid because still there is pain in my lft knee,if i pass again surgery in rt knee i will face same problem of pain in my rt knee,please advice me sir if there another way to get treated without surgery like med. Or i should get treated by surgery,i am just 23 yr old boy,still there is whole life for me to live please help me.

Doctor's Answer

Try with some good physio therapist ,with CPM and manual therapy skills. ...
Read Full Answer

2 Answers

Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?

Doctor's Answer

You're most welcome. Nail Melanoma does not affect multiple nails together while Longitudunal Melanonychia (LM) often does. The fact that an additional nail is showing changes is nearly conclusive that this is LM, which as I said is harmless. However it would be best to see your doctor to get this confirmed since I cannot see the affected area. I would recommend getting the entire nail removed if its the only one affected by fungus, but this will be solely to treat the fungus not because I thin ...
Read Full Answer

Doctors Related to