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Acne

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Acne
  • Acne is the most common of all skin conditions.
  • It is almost universal during puberty.
  • Acne affects almost 90% of people at some stage during their life.
  • Comedones are the hallmark of acne vulgaris.
  • Acne vulgaris is more common among teenagers and more severe in males.
  • Acne Treatment should be commenced early to prevent scarring.
  • The patient should be counseled that the improvement may not be seen immediately for at least a few months.
  • Mild to moderate acne is treated with topical preparations.
  • Moderate to severe acne is treated with systemic antibacterial preparations.
  • Hormonal treatment with co-cyprindiol (cyproterone with ethinylestradiol) is only used in women.

What is Acne?

Acne vulgaris is a common, usually self-limiting, multifactorial disease that involving inflammation of the sebaceous follicles of the skin in the face and upper trunk.

Acne is a chronic, inflammatory skin condition that results in spots and pimples, especially on the face, shoulders, back, neck, chest, and upper arms.

What are the types of Acne?

The following are the most common types of acne;

  • Blackheads – These are small black or yellowish bumps that develop on the skin.
  • Whiteheads – These are Similar in appearance to blackheads, but more firm and they do not empty when squeezed
  • Pimples (pustules) – These are small red bumps that may feel tender or sore.
  • Papules – These are similar to papules, but they have a white tip in the center due to pus formation.
  • Cysts – These are large pus-filled lumps with the greatest risk of forming a scar.
  • Nodules – These are painfully hard and large lumps that build up beneath the skin

During puberty, the sebaceous gland is activated so there are more chances of developing acne in that stage, but it can occur at any age. It is not dangerous, but it can cause;

  • Skin scars
  • Spots
  • Oily skin
  • Sensitive skin that’s hot or painful to touch

How Acne occurs?

Acne usually occurs when hair follicles become plugged with oil and dead skin cells. Bacteria worsen the condition by causing infection and inflammation.

  • Small gland known as Sebaceous glands is present near the surface of the skin. The glands are attached to hair follicles.
  • Sebaceous glands secrete an oily substance called sebum which lubricated the hair and skin.
  • In acne, there is over secretion of sebum from sebaceous glands. This excess sebum along with dead skin cells, debris and bacteria forms a plug in the follicle, which results in acne.

 

During puberty increased androgen activity triggers the growth of sebaceous glands which results in enhanced sebum production.

What are the factors involved in Acne?

The four primary factors involved in the formation of acne are;

  • Increased sebum production
  • Sloughing of keratinocytes
  • Bacterial growth
  • Inflammation

 

What are the Risk Factors?

The most common Risk factors for acne are as follows;

  • Genetics – Family history
  • The menstrual cycle
  • Hormonal changes
  • Anxiety and stress
  • Hot and humid climates
  • Using oil-based makeup more frequently
  • Squeezing pimples will worsen the condition
  • Medications like steroids, lithium, androgens
  • Continues Friction against the skin

Acne in males

During puberty, there are more levels of testosterone in the body. Testosterone enhances the production of sebum from a sebaceous gland that results in acne.

Acne in females

Hormonal changes in female occur during;

  • Periods (menstrual cycle)
  • Pregnancy
  • Polycystic ovary syndrome (POS)

 

How Acne Can be Prevented?

  • Wash face with soap and water twice daily can help prevent acne. Particularly when you face more sweating and dirt.
  • Avoid picking, popping, and squeezing pimples, as it may lead to infection and scarring.
  • Avoid skin rubbing and scrubbing
  • Use sunscreen when going outdoors, as too much sunlight has damaging effects on the skin.
  • Avoid oily skincare products.
  • Avoid stressful conditions.

Diagnosis of Acne

Diagnose of acne can be done by careful examination of the skin. It involves examination of face, chest or back for the different types of spots, such as blackheads or sore, red nodules.

The doctor also looks for different signs and symptoms;

  • Mild soreness
  • Pain
  • Itching
  • Lesions over the;
    • Face
    • Neck
    • Upper chest
    • Back
    • Shoulders
  • Comedones, that are the hallmark of acne vulgaris
  • Inflammatory papules
  • Pustules
  • Ecstatic pores
  • Acne cysts
  • Scaring

What is the Treatment for Acne?

Treatment of acne involves the use of Topical and Oral preparations. The goal of treatment is to prevent the formation of new acne lesions, heal existing lesions, and prevent or minimize scarring.

Topical Preparations

Topical preparations for acne include;

  • Benzoyl peroxide
  • Azelaic acid
  • Topical Antibacterial like
    • Erythromycin
    • Clindamycin
  • Topical Retinoid
    • Retinoid
    • Adapalene

 

These preparations are used for Mild to moderate acne, comedones, and inflamed lesions.

Benzoyl peroxide

Benzoyl peroxide (Benzac AC, Acnestar ) is effective against;

  • Mild to moderate acne
  • Comedones
  • Inflamed lesions

Treatment is usually started with low strength; if acne does not respond to the treatment after 2 months then topical antibacterial is recommended.

Azelaic Acid

Azelaic Acid (Aziderm)  is effective against;

  • Mild to moderate acne
  • Comedonal acne of the face

It has antimicrobial and anticomedonal properties. It causes less local skin irritation as compared to benzoyl peroxide.

Topical Antibacterial

Topical erythromycin and clindamycin are used against;

  • Inflammatory acne

These are usually recommended to avoid the oral use of antibacterial.

To avoid antibacterial resistance;

  • Use non-antibiotic antimicrobials (benzoyl peroxide, azelaic acid)
  • If one antibiotic is effective then do not change it without any reason
  • Do not continue treatment for more than recommended

 

Topical Retinoid

Topical retinoid is effective against;

  • Inflammatory lesions
  • Comedones
  • Mild to moderate acne

Retinoid (TRETINOIN) and Adapalene (ADACLENE) are used as a topical retinoid.

Treatment with topical retinoid should be continued for several months until no new lesions are formed.

Oral Preparations

Oral preparations for acne include;

  • Systemic Antibacterial
    • Oxytetracycline
    • Tetracyclin
    • Doxycyclin
    • Minocycline
    • Clindamycin
    • Erythromycin
  • Oral Hormone
    • Co-Cuprinol
  • Oral Retinoid
    • Isotretinoin

Systemic antibacterial treatment

Systemic antibacterial used for the treatment of acne are as follows;

  • Oxytetracycline
  • Tetracyclin
  • Doxycyclin
  • Minocycline
  • Clindamycin
  • Erythromycin

 

  • Systemic antibacterial treatment is useful for inflammatory acne when topical treatment is not useful or it may be used with topical treatment.
  • If there is no result after 3 months then another oral antibiotic should be used.
  • Maximum improvement occurs after 4 to 6 months if treatment
  • In severe cases, the treatment can be continued for 2 years.

 

Oral Hormone Treatment

Co-cyprindiol (an Oral Hormone), is used for the treatment of moderate to severe acne. It has anti-androgen properties. Sebum secretion and hair growth depend on androgen. Co-cyprindiol decreases sebum secretion and it is also used for hirsutism.

Oral hormone treatment is recommended to treat moderate to severe acne in the female.

It is recommended when topical and oral antibacterial therapy does not produce the desired outcome.

Co-cyprindiol also has contraceptive properties.

Oral Retinoid

Oral Retinoid used for the treatment of acne is isotretinoin.  It reduces sebum secretion. Isotretinoin is used for the systemic treatment of;

  • Scarring
  • Severe acne
  • Nodulo-cystic and conglobate acne
  • Acne which has not responded to a systemic antibacterial
  • Acne which is associated with psychological problems

Isotretinoin is useful in women who develop acne in the third or fourth decades of life. Since acne in this age is usually not responsive to antibacterial. Isotretinoin is given for at least 4 months (16 weeks).

Side-effects of isotretinoin include;

  • Severe dryness of the skin and mucous membranes
  • Nose bleeding
  • Joint pains

Isotretinoin is teratogenic and must not be given to pregnant women. Treatment with Isotretinoin should be stopped if psychiatric changes occur during treatment.

Visit https://www.drugscaps.com/product-category/face-care/ to find products online.

Home Remedies

Below mentioned are some home remedies for acne;

Tea tree oil – Tea tree extract has natural antibacterial and anti-inflammatory properties. Teat tree oil can be added in creams, gels, or essential oil.

Jojoba oil – Waxy substances in jojoba oil helps to repair skin. Jojoba oil can be added in creams, gels, essential oils, and clay face masks. It can also be applied directly to acne sore with the help of a cotton pad.

Aloe Vera – Aloe Vera has antibacterial and anti-inflammatory properties. Aloe Vera can be added to creams or gels.

Honey – Honey has anti-oxidant properties that help to clear clogged pores from debris. Honey can be directly applied to pimples using a cotton pad or a clean finger.

Green Tea – Green tea contains antioxidants. Green tea extract can be applied to the skin or it can be used as a drink.

 

 

Visit https://www.drugscaps.com/product-category/face-care/ to find products online.

References

  • Rosacea and Acne. (2016). In British national formulary 70. London: BMJ Publishing and the Royal Pharmaceutical Society.
  • Maxine A. Papadakis

Dermatological Disorders In Current Medical and Diagnosis Treatment. Mc Graw-Hill Education, 55th Edition, 2016. (page: 127-129)

  • Joseph T. Dipiro

Acne Vulgaris In Pharmacotherapy Handbook. The McGraw-Hill companies, 7th edition, 2009. (page: 179-185)

 

 

  • Revol O, et al. Psychological impact of acne on 21st-century adolescents: Decoding for better care. British Journal of Dermatology. 2015;172(suppl.1):52.

 

 

  • Acne: Tips for managing. American Academy of Dermatology website. aad.org/public/diseases/acne-and-rosacea/acne#tips. Accessed March 11, 2018.

Melnik, B. C. (2015, July 15). Linking diet to acne metabolomics, inflammation, and cosmogenesis: An update. Clinical, Cosmetic, and Investigational Dermatology, 8, 371–388
ncbi.nlm.nih.gov/pmc/articles/PMC4507494/

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HEALTH

Why choose Herbal Hair Care Products?

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Why choose Herbal Hair Care Products?

Human hairs are made up of organic material. Similarly, like our bodies require food to revitalize, our hairs also require nourishment. The hair care products that we use goes into the hair shaft and clean your hair follicles. There, these products have the function of strengthening hair follicles and hair growth. Because of this reason, what can be best for the health of your hair than natural and herbal hair care products?

Queensanity is the one-stop for all herbal hair care products for your hair problems. Rather you’re suffering from dryness of the scalp, or brittle hairs. Your hair breaks easily or you have very slow hair growth. You can find the answers to your every hair query and problem at Queensanity. The products formulated by us contain natural ingredients, that’s why all products can be used on children, even infants. Our products are equally effective for all hair types and ethnicities. You can see visible results with the use of our products.

Our Herbal Shampoos

Usually, shampoos available in retail markets contain chemicals harmful to hair like sulfates. Harsh chemicals can also cause skin allergies and certain skin diseases. All these harmful side effects and potential threats are not present in our herbal and natural products. Our Herbal Liquid Black Soap Shampoos are mild on all hair types. Packed with all the goodness of natural ingredients like fenugreek, purple sweet potato, lemongrass, vitamins, and essential oils, our herbal shampoos nourish the scalp and smooths the hairs. No chemical thickeners are used in the shampoo giving it a watery consistency and gives bouncy and smooth hairs with every use.

Our Hair Growth Oils

Our hair oils are free from any sort of chemicals and thus from any type of risk. Therefore, you can use our hair oils without giving them a second thought. Kakadu Plum Chebe Hair Loss Oil is full of Vitamin C from the Kakadu Plum and gives excellent results for damaged follicles. The Dreadlock Oil is best for those who want to have thicker hand strands, hair loss due to postpartum, thyroid unbalances, loss of edges from protective styles.

Natural herbs like Nettle, Chamomile, Basil, Calendula, etc., promote the growth of hair, make them smooth and soft, and hydrate and soothes the scalp. Authentic African Chebe Oil shows excellent results for hair growth, moisture retention, and softening of hairs making hairs more manageable.

Our Herbal Hair Sprays

If you are worried about thinning hair and want a lustrous full head of hair, then make Fenugreek Spray your best friend. The spray is made 100% from the pure herb known as, fenugreek. With the continuous use of this product, your hair will become thicker, healthier, and easy to detangle. If you want to improve the shine, strength, growth, and texture of your hair, you can get all of these by using Rice Water with Rose Scent Daily Hair Growth Spray. It is a non-oily formulation derived from Asian culture. This product is extremely beneficial for curly hair as it elongates the hair strand without changing the pattern of the curl.

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HEALTH

What Services Are There At The Best Dermatologists Near Me?

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What Services Are There At The Best Dermatologists Near Me?

I was a complete novice when it came to having professional help with my skin issues, but I needed assistance as I was having trouble with the skincare routine I’d been using for many years. I looked online to see what the best dermatologists near me were offering and here’s what I uncovered.

Having looked across the full range of local dermatologists I found online, I have to say that I was amazed at how much they offer these days. Rather than offering one or two services – like I thought – the top dermatologists in my area provide an impressive array of treatments.

Here’s just a few of them…

  • Dysport & Botox Injections – we’ve all heard about botox injections and what they offer and my local practitioners all had it as part of their services. Dysport is another type offered that helps to reduce fine lines and wrinkles, so if you’ve got crows feet or any other facial skin lines, they can help.
  • Microneedling – the next thing I found being offered by the best dermatologists near me was microneedling. This fantastic treatment helps to stimulate the production of collagen, meaning that the skin is given more suppleness and youthfulness.
  • Latisse – another FDA-approved treatment provided is latisse, which is an effective way to get longer and thicker eyelashes. You may have seen products claiming to do the same from your local drug store, but this is a proven way that gives guaranteed results.
  • Glycolic Acid Peels – created from sugarcane, glycolic acid peels represent an effective exfoliant that reaches deep into the pores. Helping to break down dead skin cells and natural skin oils, these peels are superior to physical exfoliants as they don’t cause any skin microtears.
  • Sclerotherapy – If you suffer with spider or varicose veins, then sclerotherapy is also provided by the best dermatologists near me. Falling mid-way between a cosmetic procedure and a medical treatment, it’s the key to restoring a smooth aesthetic for your legs.
  • Dermal Infusion – another great option for anyone looking to improve the look and feel of their skin is dermal infusion. Rather than employing tiny particles to remove dead skin and dirt, technology that uses closed-loop vacuum is employed to also eliminate excess sebum.
  • Laser Treatment – if that weren’t enough, also available at the best dermatologists near me is laser treatment for all kinds of skin issues. Whether you’re in need of help with scarring, stretch marks, fat removal, unsightly leg veins or hair removal, a specialist laser can deal with them all.

A Treatment For Every Type of Skin Issue

So, if you’re thinking of running your own ‘best dermatologists near me’ search online, then I would absolutely encourage you to do so. There is a huge range of treatments available and I’ve only covered a fraction of them here.

It is, however, important that you choose your dermatologist wisely, as you’re putting your skin health very much in their hands. It’s not hard to do though, as all it takes is doing a quick look around for the reviews left by past customers. It’s the only way to get an unbiased view.

All that said, when you do find the best practitioner for your needs, you’ll get access to treatment for every type of skin issue imaginable. After an initial consultation, the experts you speak to will be able to suggest the ideal options for your skin type.

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HEALTH

7 eye care tips you must use for better eye health

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7 eye care tips you must use for better eye health

Your eyes work day in, day out. But, most of us don’t take proper care of them. But, if you want to preserve your vision for a long time, you could use some handy tips. 

Maintaining a healthy vision is more than just getting regular eye tests. Whatever you eat or do can have an effect on your eye health. Thus, the road to healthy eyesight involves making few changes in your lifestyle and habits.

If you are ready to make your eye health your top priority, we are here to give you 7 easy tips to achieve that. 

Eat well

If you want your eyes to be fit and healthy from within, you need to pay attention to your diet. Eyes need vitamin A, C and E to function properly and lower your chances of developing vision-threatening eye conditions. 

Not only this, but omega-3 fatty acids are also beneficial for your eyes. Fill your plate with green vegetables, salmon, eggs and citrus fruits to give your eyes the nutrients they need. 

Eating healthy foods is beneficial for your physical health as well as your ocular health. Include all the crucial nutrients in your diet and you will notice improvements in your vision. 

Use glasses

If you are in a windy or dusty environment, make sure you are using protective eyewear. It will reduce the chance of a foreign object getting into your eyes and causing eye irritation.

Even if your vision is good, you can wear fake glasses with wide lenses to protect your eyes from dirt and debris.

Glasses not only guard your eyes against environmental pollutants but also improve your personality. Whether you are at your job or playing sports, make sure you use protective eyewear to prevent eye injury. 

Do not rub your eyes 

When something gets inside our eyes, we rub them to reduce the pain. Where it does provide you with a moment’s relief, the consequences can be catastrophic. For insurance, rubbing your eyes can give the object an extra push to penetrate even deeper into your eyes. 

Moreover, if it was a sharp object, it could scratch the surface of your cornea and cause a problem known as corneal abrasion. 

Scratches on your cornea could lead to temporary vision problems such as blurry vision and eye pain. When it happens, make sure you consult an eye doctor and use medications prescribed by them.

Always use sunglasses

Sunglasses protect your eyes from UV-related harm. Too much exposure to these rays can burn the surface of your cornea and lead to temporary vision problems. 

Not only this, some cases have found that UV light could also cause severe eye-related problems such as eye cancer, cataracts and macular degeneration. 

Using sunglasses not only provides you with a clearer vision in bright light conditions but also guard your eyes against vision-threatening problems. When you buy sunglasses, make sure you check the label. Sunglasses that provide less than 60% UV protection, won’t be of any use to you. 

Take screen breaks 

Whether you are a working professional, a teenager or an aspiring gamer, you might spend most of your day in front of a digital screen.

However, hours of blue light exposure could lead to visual discomforts such as eye strain, dry eyes and eye pain. These symptoms are together known as digital eye strain.

It’s important to take breaks during screen time. And wear blue light glasses or gaming glasses so that the blue waves from the screen do not target your retina. 

Get regular eye tests

Eye tests are the most efficient way to determine the health of your eyes. But, some people pay no heed to these tests and take their eyes for granted. 

But, if you truly care for your eyes, you won’t skip the appointments with your eye doctor. Make sure you get your eyes tested every two years. But, if you have a refractive error or a family history of severe eye conditions, then you must take an eye exam every year.

You can get a free eye test in the UK by independent opticians or from the NHS. Check out the NHS website to see if you qualify for an eye test.

Quit smoking 

If you smoke, you are at a higher risk of developing cataracts later in life than your peers who don’t smoke. Smoking leads to damage to your optic nerves and builds pressure on the delicate retinal vessels. 

Smoking excessively for a long time could start to show effects on your eyes. The sooner you quit it, the lower your risk gets of developing cataracts. 

Your eye health won’t improve overnight. Using all these tips consistently and building a lifestyle around them will get you results. 

Don’t forget to take regular eye exams as they can detect problems with your eye health as well as your general health. 

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