Pimples in face
My usual approach to a discussion on Pimples (medically termed Acne
vulgaris) is that having pimples is an universal experience, most people
had it at one time in life. As a matter of fact, it is one of the
commonest signs of ‘growing up’.
In the the same vein, some women, having pimples is a monthly event;
“crops” of pimples is a sign that the menses is fast approaching or that
she is “on” her menses.
Pimples occur when the oil-secreting glands in the skin are clogged and
become inflamed or infected. Ninety percent of teenagers get acne,
although this can still persist into the middle age, particularly in
women during their reproductive years.
Causes
Pimples are caused by inflammation or infection of the oil glands in
the skin and at the base of hairs called the sebaceous glands. In the
teenage years, hormones stimulate the growth of body hair, and the oil
glands secrete more oil. The skin pores, through which nourishing oil
passes to the body hairs, become clogged and bacteria grow in the
clogged pores.
Such that as the body defense mechanism works to kill the bacteria, whiteheads, blackheads, and pustules form in these areas.
Symptoms
Whiteheads: these are closed plugged oil glands in the skin at the root of the body hairs.
Blackheads: these are open plugged oil glands (the oil turns black when it’s exposed to the air).
Pustules: these are red, inflamed, infected plugged oil glands,
sometimes filled with pus. Pustules could turn out to be complications
of futile effort at pressing out the content of a pimple.
• Some pimples may be painful. In severe cases, cysts (large fluid-filled bumps) may develop under the skin.
Signs
Usually, this is often self-evidenced in that a skin elevation can be
seen or felt, which could come in the various forms outlined above.
However, a professional guide by a doctor or better still a specialist
dermatologist is better encouraged.
The health care provider will check the skin to assess the existing
problem (such as whiteheads, blackheads. pustules or cysts). The
provider will look to see where the problems are located, for example,
the face or back.
It is also important for the provider to want to know how long the
problem has been on, or if there is a cyclical nature to it occurrence
as it might be the case in menstruating ladies.
In the same vein, the doctor will also certainly be interested in what treatment methods have been previously applied.
Treatment options
Treatment is aimed at keeping oil and dirt out of the pores and
reducing inflammation. The knowledge of how one has been taking care of
the pimples is important here, in order to know how to advance the
treatment.
On a conservative approach, what is required is a simple soft toilet
soap that will keep the body less oily and hence, discourage the
plugging of the skin pore by excess oil.
The best approach is, when having ones bath, to allow the lather of the
soap to remain on the skin for some time, say for five to ten minutes,
before rinsing off with water. This is to allow sufficient time for the
soap to penetrate the skin pores and to dissolve out the potential
plugging oil substance in the pores.
Meanwhile, several products are available to help prevent pimples or blackheads.
Treatment usually begins with putting products containing “benzoyl peroxide” on the areas of skin with acne.
If benzoyl peroxide alone is not effective, then one may also need to
put antibiotic medications on the skin, as contained in some medicated
soap. In some situation of stubborn pimples, the health care provider
may prescribe antibiotics to be taken by mouth. Usually, for good result
this medication may have to be taken for several weeks.
Similarly, an affected individual may also need to use a special skin cream or gel containing tretinoin (Retin-A).
In some instance, the health care provider may have to inject large
cysts with special medication so that there will be better resolution
and less scarring.
Expectations
As mentioned above, new whiteheads usually stop appearing after 4 to 6
weeks of treatment, but one may probably need to continue the treatment
for several months.
If an affected person is taking antibiotics, at some point the doctor
will ask the person to stop taking them to see if they are still needed.
Sometimes acne treatment must be continued for several years.
Factors that Worsens Acne
Many factors may worsen acne temporarily. For example, women may notice
that their acne gets worse before each menstrual period. So even with
proper treatment, results may vary over time. It is, however, important
to try to discover and change, when possible, the factors in ones
environment or lifestyle that make the pimples worse.
Tips for Helping out the Pimples
In addition to following the full treatment prescribed by the health
care provider, the tips below might also assist with helping out the
pimples:
Wash the face 2 times a day with a gentle soap.
Change your washcloth every day (bacteria can grow on damp cloth).
Have your bath as soon as possible after exercise or a sweaty physical activity.
Wash the hands more frequently and avoid touching your face unnecessarily.
Don’t squeeze, pick, scratch, or rub your skin. Scars may form if you squeeze pimples.
Don’t rest your face on your hands while you read, study, or watch TV.
Any Food to Avoid?
Although researchers have not been able to show that any foods cause
acne, some people have found that certain foods seem to worsen their
acne.
The idea here is to keep a record of the foods an affected person eats
and see if the food appears to make the pimples worse. And subsequently
avoid these foods.
Other Measures
For those with fragile skin to sun as in whites and albinos, they should try not to get sunburned.
Avoid extreme stress if possible. Practice stress reduction strategies
such as exercise, meditation and counseling if stress is extreme.
Exercise Regularly
It is important to keep follow-up appointments with the health care
provider. Keep a record of the treatments received and tried and also
how they have worked or otherwise.
Even if the ongoing treatment protocol fails, don’t get depressed or
give up easily, knowing that there are many other treatment options.
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