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Health Desk  
Dr. K Dinakar Rao, MD - Specialises in Dermatology, Cosmetology, Infertility and other sexual disorders & STD. Consultant Dermatologist at Lama Polyclinic, CBD Area - will be writing about skin problems. Dr. Rao has over 29 years of experience and has worked for 12 years as a specialist with the Ministry of Health, Sultanate of Oman. Dr. Rao will also give answer to your problems. 
Question,

I have been having itching in my pubic area for several months now. I was diagnosed with a yeast infection and bacterial vaginosis three months ago (in March). I took the antibiotics for the BV and yeast infection but now the itching is just in my pubic area not in my vagina. I have not had intercourse or any close contact whatsoever since my diagnosis in March but I am afraid that I may have crabs. I don't know how though since it was not spotted three months ago at my exam. I believe I saw a small bug but I see no nits (i don't think) or no red or blue spots or bumps that appear from them biting. I did find several hair follicles that had a white tip. At first I thought it was the root of a hair follicle but I noticed that the tip was hard and the white tip could be snatched off. I know nits are usually made at the base of the hair follicle so could what I found be nits anyway? The evidence I have that it may be crabs is that I itch and I think I saw a bug and a few white hard tips on hair follicles. Could it be something else? Like I said there are no spots that show the bite marks of the crabs and there are no nits by the base of any follicles. I am very concerned and incredibly embarassed. Please help me.

Answer

Itching in the pubic area can be due to pubic lice infestation or fungal infection or due to pseudofolliculitis secondary to close shaving and all these conditions can be treated effectively. Without examination it is difficult to guess the diagnosis. Consult a dermatologist.


Question,

I have white patches on both underarms. My doctor treated me for a fungal infection and told me that the color would never come back, but with all the new things that Dermatologist can do for the skin I'm hoping she is wrong. I haven't been comfortable wearing sleeveless tops in a long time. Please, is there any treatment at all out there.

Answer

If the whitish patches are due to fungal infection (tinea versicolor) the affected area gets back its original color within a few weeks after an effective treatment. If this does not happen consult another dermatologist.


Question,

I am 21 years old and recently I discovered an oval-shaped pale discoloration on the top of my glans penis. It feels slightly wrinkly to the touch and it appears as a translucent halo (skin-colored but slightly lighter) surrounded by a grey outline. It is approximately 1/2 cm x 3/4 cm. It doesn't cause any irritation or itching, but an interesting thing I discovered is that the discoloration becomes whiter when I urinate. What could cause this phenomenon? For your information, I have extremely dry skin and have ezcema on my chest and inner elbows, if that helps. Thanks very much.

Answer

Without a clinical examination it is not possible make a diagnosis of the condition you have on your glans penis. This probably has nothing to do with your dry skin. Do consult a dermatologist.


Question,

i have few pimples on my face and pimple marks on my face. my face is not smooth perhaps not clear face. kindly suggest homeopathy treatment. thanking you

Answer

I am an allopathic dermatologist and I have no idea about homeopathic treatment of acne. Please direct your question to a homeopath.


Question,

hello doc. I have exzema on my hands alot and my fingers. A few weeks ago I noticed a small dry spot on the base of my penis, and it has spread. Can this be exzema? it doesnt hurt but is spreading quite quickly. Thanks

Answer

Eczemas and fungal infections are itchy. You have mentioned that it does not hurt but is spreading. Only after a clinical examination it is possible to know the diagnosis. Consult a dermatologist.


Question,

On the top of my head, my hair is thinning out. I am only 28 yrs old female. I have had bloodwork done at the doc office, and all results came out fine. He suggested seeing a dermatologist, but wanted to ask what can be done about this? Is this passed from generations or caused by stress. When showering, it falls out after shampooing, in rather large amounts that doesn't look normal. How can I restore my hair growth before it gets too bad, or can I use rogaine?

Answer

Excessive loss of hair in females is common after child birth, if she has iron deficiency anemia, uncontrolled diabetes melitus, thyroid gland malfunction, crash dieting, drug induced, due to severe stress or rarely androgenetic. This condition requires a proper history and lab investigations. Do consult a dermatologist.


Question,

I have a purplish mole looking dot. Over the years they keep popping up in different locations of my body, mainly my arms and legs. They are normally the size of a dot from a pencil give or take. My son was born with one on the side of his face. I've been told that it could be a form of purpura, but I looked at some pictures and it doesn't look like that. I've also been told that it could be a busted blood vessel, don't know. Or someone in my shop said it could be a small small trace of cancer. Just with this information do you know anything. I was also born with one on my wrist that one is my largest one it resembles the mole. No one in my family has these dots to my knowledge.

Answer

From your description it appears that you have cherry angiomas and these are benign vascular growths. They can be cauterised. Consult a dermatologist.


Question,

I have scars from cutting and i really want to stop having to wear bracelets/wristbands/in general cover up. i am also worried about summer for bathing suits b/c of stomach scars, what should i do/how can i camaflouge them, will i have them forever?

Answer

If your scars are superficial they shall probably fade in course of time. Contractubex ointment can be used for a couple of months. Microdermabrasion or chemical peeling also can be beneficial.


Question,

I am 27 years old female. For last 4 years, I have a cyst on my forehead, which is I think a bone cyst. But it is not painful, not at all, but it is growing day by day. Please advice.

Answer

If the swelling on your forehead is enlarging do consult a dermatologist, sooner the better.


Question,

I am praying that you can help me. I am a dark skinned Black woman (34). My skin overreacts to any irritation by blackening and staying that way for months or even years.

I have keratosis follicularis on my arms and legs, all my life. It no longer erupts in bumps, but each and every hair follicle has a little black spot, which makes my legs look very ugly, like a plucked chicken.

All my life I have looked longingly at other women's smooth legs and wished I could have it, even for a week. Now that my pores don't get plugged up anymore, is there anything that can be done to lighten my pores so I have a smooth, continuous color on my legs? Sorry to be vain, but it's a dream of mine.

Answer

Try topical Retin A cream 0.5% at bed time for a couple of months. If there is irritation dilute it with an equal amount of moisturiser and then apply. If there is no response consult a dermatologist.


Question,

I think I have pompholyx eczema. I went ice fishing 4 months ago & held my hands in front of a heater causing a lot of sweat. That night,itchy bumps formed. I've seen 2 doctors; both gave me different creams, but neither work. One peels the skin. When the skin starts to heal,bumps reoccur. The other cream seems to make it worse. Any suggestions?

Answer

Without examination it is difficult to say whether you have pompholyx or any other hand dermatitis. Consult a dermatologist.


Question,

i have had these little purplish bumps on my inner thigh for the last 3-4mthsthey never hurt untill about a mth ago .its got my whole upper left inner thigh hurting really bad could you make a guestamation on what this might be i looked up maluscum and this aint that thanks

Answer

With your description alone it is difficult to guess the diagnosis of your problem over your inner thighs. Do consult a dermatologist.


Question,

Hi Doctor - I have scars on my breasts from a reduction i had about 10 years ago. i have tried lasers which helped to flatten them and reduce the redness but they are still slighly raised and are now brown. Do you think steroid injections would help? What about Eldopaque Cream Forte? Is that a strong enough agent to remove the color from the scars? Thank you.

Answer

You are probably having hypertrophic scars or mild keloids. Intralesional steroid ijection can flatten them and also lighten them.


Question,

When I eat some shell fish I break out in hives what is this from and how can I treat the hives

Answer

Avoid eating shell fish. Systemic antihistamies will help in clearing your hives. In case of sever attacks you may need adrenaline and steroids and hence reach a clinic or hospital at the earliest.


Question,

Hi, I am a 26 year old male. For the past few months I have been getting small bumps, 1-2mm on my hands, mostly on my fingers. They are slightly raised, and when popped leave a small shallow hole in their place. They usually clear up on their own in a few days, sometimes drying out the area where they were and making the skin thick and dry. They have a clear puss like fluid in them. They sometimes itch but very little, do not pop easily from scratching and are not painfull. They will dissapear for weeks at a time and then come back in clusters. I have not noticed them anywhere else. I do not have health insurance at the moment and can't really afford to see a doctor at the moment. Any info you could provide would be greatly appreciated.

Answer

Without examination it is difficult to guess the diagnosis of your skin condition on your hands. Do consult a dermatologist.


Question,

Hi doc. I wonder if how many weeks can contractubex heal my scars..its superficial, it resulted from scratching. I miss wearing shorts and Im also a varsity player and i have to wear shorts during trainings.. So i really need help asap.. And can u suggest other topical ointment that can heal my scars (pigmentation, not keloid) faster.

Answer

Superficial scars and pigmentation secondary to superficial wounds usually clear in a few months time.
Contractubex can be used for 2 to 4 months and if there is no satisfactory improvement then do consult a dermatologist.


Question,

MY SON HAS A PYOGENIC GRANUOLMA ON HIS CHEST. IT STARTED AS A SIZE OF A PINHEAD AND RAPIDLY GREW. WHAT IS THE BEST TREATMENT FOR NONSCARING AND LACK OF REOCCURING?.

Answer

Pyogenic granuloma can be treatd by elecric cautery or cryotheray or with a laser depending on the size of the lesion.


Question,

About 2 years ago I developed a cyst-like bump on my bikini line. It was very sore and I went to my doctor to have this removed. I was never told that anything was wrong.

A month or so after having this removed, I developed the same type of bump on the opposite side, but in the same area. I now have one on each side of my bikini line, sometimes they are both there, sometimes 1 will go away, only to come back in a week or a month.

I have noticed small pimple-like bumps that seem to develop before the "big" bump. I find these little "pimples" get very itchy at times. I try not to pop them, but sometimes I feel I have no choice because they are sore and itchy, and I feel getting the white puss out will relieve it. This is usually when the bigger bump forms. I have tried not popping the pimples, but the big bump still forms.

Answer

You have probably developed furancles. As you are getting recurrent attacks get a culture and sensitivity of the pus done and take the appropriate antibiotics.


Question,

doc, i'm a petite lady who's turning 20. i've got a lot of old keloidal scars. what products can you recommend to me? coz these things really bother me and make me insecure.. thanks in advance!

Answer

Keloids can be flattenned with intralesional steroid injections.


Question,

I am scheduled to see a dermatologist in a couple of weeks, but am still curious what would cause raised bumps, some are red, some are just regular skin tone. After awhile, they are just flat and pinkish and a little rough. They don't really itch. I have them on my legs, lower arms, and abdomen. They started about 3 months ago. I have never had allergies or an inclination to develop rashes and they just won't go away. Actually, they seem to be multiplying. I tried rubbing alcohol this evening which seemed to help a little. I bath daily and keep a very clean home. I just can't figure this out. I'm 38, recently finished a masters program, have 3 children, a full time job, maybe its stress? It looks all bumpy on my arms and naturally, its embarrassing as I deal with numerous people daily. Any advice would be appreciated.

Answer

Without examination it difficult to guess what you have. Do consult your dermatologist.


Question,

Hello! For the past several years I have experienced several "outbreaks" of spots on my chest, back, and upper arms that will not hold a tan. Well, i get an even tan at first, but then a couple days later after tanning, those areas begin to peel in thin layers of skin and leaves me with dots or clumps of paler skin. I went to see a doctor last summer about it and she scraped the whiter areas and tested it for tinea versicolor. It came back normal, so she told me just to use a lotion with alpha-hydroxy in it and it should go away. Well, after a while, it went away and wasn't so bad over the past winter. Just about 2 months ago, the same thing happened so I went to a different doctor and she did the same thing. Tested my skin for tinea versicolor, which also came back normal. She told me i might have pityriasis alba and gave me a lotion to use, but it didn't work, so i went back to her 2 weeks ago. She tested my skin yet AGAIN for tinea versicolor, but still it showed normal, no fungus. The doctor then went on to say that even though i didn't show a fungus, she wanted to treat me for tinea versicolor anyway. She prescribed to me nizoral pills and told me to use another gel (loramax maybe - i can't remember) on the areas that were affected. Anyway, I am a little nervous to take that medication as I have read that it can sometimes cause people to develop hepatitis and also because of the simple fact that i showed no sign of fungus.
I need your help desperately!!! My skin looks horrible and I don't know what else to do! Could I still have tinea versicolor even though all 3 tests have shown that i do not??? What else could this be??
I'm looking forward to hearing back from you soon!! Thanks!!!

Answer

From your description it appears that you have tinea versicolor only. It is recurrent but it can be treated effectively with systemic Ketoconazole or Itraconazole of Fluconazole. Do consult your dermatologist.


Question,

M

Answer

T


Question,

My 6 year old son complains that his penis itches. He is forever holding it. He has said that its the head that itches but I can't see anything that could be causing it. Some days he appears to go to the toilet frequently but this doesn't seem to be at the same time as his penis itches. Should I take him to my local Doctor? Or is this something that should pass in time? Although it has been going on for a while now. Thank you.

Answer

There must be some reason for the itching over his penis. Please do consult your family doctor.


Question,

Are there any safe antibotics that can be taken for Rosacea during pregnancy?

Answer

It is better to avoid any medication during pregnancy unless it is really required. If the rosacea is severe erythromycin can be taken after consulting your doctor.


Question,

HOW DO I GET RID OF MY RAZOR BUMPS. I SHAVED MY HEAD AND TWO TO THREE DAYS LATER I WOKE UP WITH BUMPS ON THE BACK OF MY NECK

Answer

Avoid shaving against the direction of hair growth. Try an electric shaver.


Question,

i have kiloid but it is not seen anywhere on my body yet. i want to get a few piercings is this a risk?? i want one particularly on my tongue is this dangerious??

Answer

Any deep wound can result in a keloid. It is difficult to predict and it is upto you to take this risk. Over the tongue it is better to avoid piercing.


Question,

How can you get rid of stretch marks with out going through laser and creams? Help.

Answer

Stretch marks do fade to some extent in course of time. Microdermabrasion can help to some extent. Contractubex ointment or Palmars stretch mark cream can be of some use.


Question,

HI, IM 15 YEARS OLDAND I HAVE SEVERAL SCARS ON MY BODY AND IT IS NOT PREETY AND ALSO I ONCE HAD A BOIL ON THE BACK OF EACH HEEL FROM WEARING SHOES TO LITTLE ANDI POPPED THEM AND THEY LEFT A HUGE BLACK SPOT ON THE BACK OF EACH ANGLE. iT IS VERY EMBARRASING AND I HAVE TO HIDE THEM IN HOT WEATHER ALONG WITH MY ARMS AND LEGS DUE TO MY SCARS AND BECAUSE OF MY AGE MY PARENTS OF COURSE DONT AGREE WITH LASER TREATMENT AND INSTED BELIEVE THAT COACOA BUTTER CAN FADE IT. WELL, IS THAT TRUE? IF SO WHAT KIND OF COA COA BUTTER IS THE BEST TO USE?

Answer

Try contractubex ointment or Palmar stretch cream for a few months. If there is no response do consult a dermatologist.


Question,

I am a female...two weeks ago after shaving my pubic area, I noticed some bumps, they tend to be very itchy, a few days later more showed up in the same area..this time they became very painful. I thought they were just razor bumps at first, but with the pain, itching and swollen lymph nodes I became very concerned...I went to my doctor who is running the appropriate tests to make sure it is not a result of an std, but as you know the test take a little time to come back...is it possible that these can be razor bumps that became infected..also the time I noticed these bumps I just started to use a different kind of shaving cream. I hope you can help me...I don't have any other symptoms, thank you

Answer

You have probably developed secondary infection of the razor bumps. Avoid shaving this area and if you have to, do so along the course of hair growth only once or try an electric shaver. Do take your doctor's advice after the lab results are known.


Question,

Hi doctor! I have a problem underarm shaving. I have dark armpit like if I did not shave. Have sensitive skin therefore cannot wax or use creams to remove the hair. I have to shave once every day or else later on noticeably hair grows again so fast! I've tried different razors, new razor blades, different shaving creams/gels and skin still becomes irritated. Are there any methods or products you recommend me that I could use to reduce or make make the irritation, rashes, dark underarm, and itchiness disappear?

Answer

As you are not able to tolerate the usual methods of hair removal it is better that you get rid of those armpit hairs by laser therapy. The existing pigmentation is likely to fade in due course of time.


Question,

I have a question. My hair began to be noticeably thin a few years ago. I still have most of the hair on the top of my head. The problem is that it is getting thin in random, tiny spots. When i look closely, i can still see hair that looks like its gone from further away. I do not notice baldness on ANYBODY on either sides of my family. This really makes me feel awkward around everybody else.Do you have any idea as to what it may be?

Answer

From your description it is difficult to guess the exact type of hair loss you have. Do consult a dermatologist.


Question,

I have a lot of old scars in my legs that i got when i was still a kid. I am 27 yrs. old and never in my life I wore shorts outside because of my horrible legs. I was thinking of using peeling or bleaching cremes. Please help.

Answer

Superficial scars do fade by chemical peeling or microdermabrasion.


Question,

I am three and half months pregnant and I am currently experiencing terrible acne and discoloration on my face. Can I use bleaching products such as DH7 or Nadinola to clear up my face??

Answer

During pregnancy it is better to avoid any topical or systemic medication. If the acne is severe topical erythromycin can be used. I have no idea about DH7 or Nadinola as these products are not available in this part of the world.


Question,

DR. you tell people who have hyperpigmentation to use 2% hydroquione cream to fade dark areas.I have heard this is unsafe and that it causes the skin to get darker and could result in permenant scarring, as well as health problems especially in africian americans. What gives with this advice and is there anything that really works without all the risks?

Answer

Hydroquinone 2% cream is recommended for hyperpigmentation but shouild not be used continuously . If there is no response in 4 to 6 weeks it has to be stopped.


Question,

gud day doc! im a filipina and i am very vain even when im still 13..at age of 17 i already use astringents and some creams like whitening, depigmenting cream and even placenta creams. Now my face looks very thin and have large pores. and some pimples are getting visible and some turn to become acne-like.. i want it to be clearer, whiter and pore free but my face is so sensitive to commercial products in stores.. please help me doc.. im very insecure to girls with natural looking fairer and whiter skin.. thanks for the time..God bless!

Answer

From your description it is not possible to guess the nature of the skin problem you have. Do consult a dermatologist.


Question,

i have had these bumps in my pubic hair region for about 2 years now. They puss or bleed sometimes when i squeeze them. Some of the bumps stay and some go away. There are also a group of little bumps on the lower under side of my penis where some hair seems to be wanting to come out.It feels like little balls under the skin. Do you know what this could be.

Answer

You have probably developed folliculitis (infection of the hair follicles) and you may have to take a course of the appropriate antibiotics after getting a culture and sensitivity from the pus done. The little bumps you have under the penis are probably prominent hair folliclar orifices and you do not have to worry about them. Do not press them and leave them alone.


Question, 

I'm a b/w i notice that i have two light color spots on my face over my nose on both side of my face one side is starting to fade but the other side is not infact it is starting to spread. can you tell me what could this be and what can i do?

Answer

Light colored patches on the face may be ptyriasis simplex or tinea versicolor or ringworm infection or previtiligo or vitiligo or rarely Hansen's disease. Only after clinical examination a diagnosis can be made. Do consult a dermatologist.


Question, 

I have gone to my physican and found that i have folliculitis on my legs. They only appear as little bumps that turn red, then white. I am taking Topicort and anoter cream that the doctor described. However, they seem to never be going away. They come up on my feet, and even on my arms and hands. Could wearing shinguards in soccer have any affect? and does it ever go away? and should i keep with the cream or do something else? Help, PLEASE!

Answer

You are probably having chronic and recurrent foliculitis. Get a culture and sensitivity done from the pus and take a course of an appropriate antibiotic.


 Question, 

hi doctor....iam 21 years old ..my problem is that i have moles on my face not very dark but dark and i wanna remove them ...tell me how ...and if there are any side effects...? thankyou

Answer

Moles can be removed by electric cautery or laser therapy. With an experienced hand scars are unlikely.


Question, 

Over the last 8 months i have been getting cysts all over. i have had 3 under my arm one on my stomach 2 on my leg. what is causing these repited cysts. they swell up to the size of a ping-pong ball and are very red and painful. often they will open and puss will come out. i have been to the dermatologist and told him, and was put on antibotics as well as compresses, but they keep coming back. please let me know how i can stop them from occurring.

Answer

You are probably having recurrent furancles. Get a culture and sensitivity of the pus done and take the appropriate antibiotics. Get your fasting blood sugar and a routine urine test done. Avoid sweets and soft drinks.


Question, 

My husband has had several very large painful bumps around his butt and thighs with lots of blood and puss draining out of it bad... It looks like a big, big open wound with tons of puss all around it and blood has been draining out of it like a leaking faucet... what in the world is it? how did he get it? And how does he get rid of it? Please we really need to know because he refuses to go to the doctor because he is way too embarass. Please help!

Answer

Your husband probably has recurrent furancles. Without examination it is not possible to guess the diagnosis. Besides he also requires blood and urine tests and also culture and sensitivity from the pus. Consult a dermatologist.


Question,

I used to have Razor Bumps on my face but i implimented a new shaving method and i dont get them anymore. But the problem is that i have scaring and discoloration in some areas on my face. I was wondering how to get rid of them.

Answer

Try cotractubex ointment for a couple of months. If there is no change consult a dermatologist.


Question, 

Hi Doctor, My boyfriend and I used to live in a house with a bunch of dogs while we were attending college. When we were done, and we moved into another apartment, I started getting these pimple-bumps on my face although even smaller. It started around my nose, and now I get them on the rest of my face, along my hairline, and my neck. After a bit, my boyfriend started to get them also. I thought they might be from mites, and so I put a vinyl cover over my bed after many endless itchy nights, and I stopped itching. I thought that that was the problem and that they would go away, but they never did. When I squeeze them they only drain of clear pus (not much though) and then a little blood comes out (not much though either), then it looks like there is a hole there. They scab over, and then eventually fade away, but after a few weeks. They don't itch or anything either. I am 30 and do not have an acne problem either. If anything, my skin is sensitive. Do you know what this could be, and how I can treat it over the counter? Thank you

Answer

From your description it is difficult to guess the diagnosis. Please consult a dermatologist.


Question, 

i am an 20 year old male. a few months ago i had fallen and bit my inner lip. after a few weeks i noticed a type of bumb apeared. it has no redness around the bumb. its not dry. it doesnt hurt at all. its the same color as the rest of my inner lip. i left it alone for a couple of months, just thinking that it would heal.but it never did. so i decided to drain it. a type of yellowish translucent puss came out.after i had done that it went away. but then two weeks later it was grown back to the normal size.might this be a type of herpes or something else maybee.

Answer

You have probably developed a submucous cyst in your lip. This can be excised or cauterized or treated by cryotherapy with liquid nitrogen. Consult a dermatologist.


Question, 

2 questions the first being i notice swelling or enlargement of one or sometimes both of my nipples it feel like something hard just the past week i notice that if i squeezed it puss like fluid would come out but not in one area all over. the second question is my girlfriend thinks she has herpes simplex she is almost positive she hasn't been check but she takes meds for it we were messing around and a day later she had an outbreak on her mouth she is very concerned that she gave me herpes gentilia 1 how would i know if i contracted this and 2 how common is herpes if the numbers i am reading are like everyone is say shouldn't almost everyone have some sort of herpes thank you for your time

Answer

Only after examination it is possible to tell whether the lesions you and your girlfriend have are herpes or anything else. For further confirmation a serological study for herpes antibodies is required. Consult a dermatologist.


Question, 

Dear doc, I have had heat rash/pimple type bumps on my forehead for about 10 weeks now. They are painless yet when squeezed have some whitish fluid. Seen a dermatologist who diagnosed cosmetic acne and treated it with Doxycycline 100mg/14 days and Retin-A cream which i'm still usine. There has been a significant improvement. Coincidentally i have noticed similar bumps on a girlfriend. What is it and what is the best treatment?

Answer

From your description it appears that you have acne only and you are taking the right treatment. Acne is not contagious. What your girl friend has it is difficult to guess without examination. Take a dermatologist's opinion.


Question, 

Hello, how are you? I'm alright, I guess. I came across your website just by surfing off of the elidel.com website. Since I was in high school I have had problems with the skin of my feet. I have been to the local dermatalogist, she no longer can help me. A year ago, I went to a foot and ankle center, I stopped going to him, although he was great for me. I get really itchy on my feet. Whether it be from dryness or too moist. No matter what, my feet are itchy. Since I left the foot and ankle center, I believe it's me just scratching out of habbit and I felt that I shouldn't waste his time anymore. After I scratch, I notice that I get smaller than a pea size water bubbles where it is itchy, they can actually get to be the size of a nickle or dime. I've come to notice if I don't pop them, my feet continue to be itchy. After I pop them, it is still itchy but becuase of how sensitive the area is, I won't scratch. I have been tested to see if I'm allergic to anything, came up negative. I have been on so many steriodal and non-steriodal creams. I scratch to the piont where I make myself bleed and it looks like trench foot. The foot and ankle doctor gave me a idea to soak my feet in DOMEBORO, however it clears it away, doesn't stop the itchyness, and repairs the skin, but once it gets too dry it cracks open and becomes itchy again. I would then apply a moisterizing anti-itch cream but from being so moist it would itch really bad. I'm looking at the elidel cream to try out. I want to go swimming again, I want to wear sandels, but it's too embarressing. I need help. I'm at my last resorts. Can you help?

Answer

From your description it appears that you have a condition called pompholyx. This is a recurrent and itchy condition. Often it is stress induced and responds well to topical steroids, systemic antihistamines and in severe episodes systemic steroids are indicated. Consult another well experienced dermatologist.


Question, 

Good morning Doctor..
I had a scar revision 2 years ago on my left leg and now i have a huge and ugly sugery scar it is not raised or anything its on the surface of my skin but it looks like a huge stretch mark its almost 10cm in 10cm !! its color is light red to pink. it is darker than my skin color. I Used cicacare silicone sheets for 3 months but didnt see any visible results. I started now to use contractubex and i hope it works can you please help me what else can i do ?

Answer

Surgical scars are permanent. They do lighten a little as the years pass by. Contravtubex is of some help. Use it twice a day for a few months.


Question, 

i'm 21 years old ...over the past 9 months i have a whole bunch of red dots on my tonge and it seems like it's not go away...my tonge is itching and even bleeding sometime when i brushed my teeth...so i would like to know what kind of disease is that...so please let me know ..thanks doc...

Answer

From your description it is not possible to arrive at a diagnosis. Please consult a dermatologist or an Oral Medicine specialist.


Question, 

hi sir ...iam 21 with an oily skin u know about an oily skin when ur skin gets oily u was it and ur skin feels smooth ...this is what used to happen to me but since last 6 months ...i am suffering from this problem ..i dont know what it is but i will try to explain..my skin has become pale ..yellowish whole body skin...and whenever i wash my skin my face or my hands etc oil doesnt come out properly ..a layer of i guess oil remains there..and i feel sticky ..even after washing my hands with soap ..it happens ..and now my lips stick with each other and my face looks dull and pale..and if i wash it it doesnt become smooth ...a sticky layer of i dont know what remains their...this is with my soles my feet my palms hands and i think full body...iam really worriued ..my mother thinks its my psychy but i swear their is sthg which is botheriong me...plz tell me what it is and how can i get riud of this.........as soon as possible....thank you

Answer

Without examination it is not possible to make out the reason for your oily pale skin. Do consult a dermatologist.


Question,

Four years ago, I started getting little bumps on the back of my arms and outer thighs so I went to a dermatologist and he told me that it was Keratosis Pilaris. Now I have the bumps just about everywhere. I have them on my stomach, all over my legs (not ver many below my knees), on my arms (not a very many below my elbows), a few on my face, and they are very bad on my back and sides. Is this still Keratosis Pilaris or has it developed into something else? I have also been diagnosed with Hypothyroidism and just recently started Synthroid. Is there any connection between Hypothyroid and Keratosis Pilaris or other skin disorders? If so does the synthroid help to eliminate the severely dry skin problems?

Answer

From your description it appears that you have keratosis pilaris only. This is a disorder of keratinisation and can be seen in families. There is no cure for this but with topical Retin A (0.05%) the lesions do flatten. In hypothyroidism the skin becomes dry and keratosis pilaris can become prominent and with treatment for hypothyroidism these conditions do improve.


Question, 

i have little whit bumps on the upper part of both of my arms and nowhere else. they do not itch but they look like little whitheads. i can squeeze them and a white puss (like from a pimple) will come out then the area will turn red for an hour or so. then the bump comes right back. any idea what this may be?
thank you :)

Answer

You are probably having acneform eruptons on your arms. Do not squeeze them. Use a topical Retinin A cream (0.05%) for a few days once at bed time and if there is no response consult a dermatologist.


Question, 

hi doctor. i am balding around my temples (but not the crown) and its getting deeper by the day. the hair usually becomes thinner and then drops. i have been having this problem for two years but now its becoming more visible.most of my male relatives face the same problem too, so i suuspect it must be genetic. what can i do about it cause i dont want to be bald.

Answer

You are developing male pattern alopecia (androgen alopecia) and it is difficult to treat this condition. Topical minoxidil 2% to 5% may be beneficial in some and one has to continue to use it forever and it is expensive. Oral fenesteride (1mgm) has been found to be of some use in some. It is an antiandrogen and in a small percentage it can cause erectile dysfunction. Now you have choose whether you want hairs or normal erection. The other treatment for well established baldness is hair grafting and it is done in many centres.


Question, 

My problem is that I've lots of dark spots on my face as well as my back.they are not from pimples/acne.On the face it starts like a mosquito bite(although it's not),dissappears in almost 5 min. & leaves behind these dark spots.I'm surev that it's not due to any kind of insect bite.

Answer

With your description alone it is not possible to arrive at a diagnosiss. Consult a dermatologist.


Question, 

is contractubex is effective in acne scar or blemishes?

Answer

Contractubex is of little help in acne scars. Microdermabrasion or chemical peeling or dermabrasion or laser resurfacing is recommended, depending on the depth of the scars.


Question, 

Doc how can i repair skin thinning, atrophy and striae of my axilla due to excessive use of corticosteroid? Thank u.

Answer

Skin thinning and atrophy is difficult to treat. For striae try contractubex ointment twice a day for a few months.


Question, 

I have been experiencing itch and rashes as the back of my trunk. Apparently, the rashes run in a line and are slowly forming a kind of huge spirical pattern to the centre of my back. There isn't any signicant huge bump except the skin felt kind of rough. Is this normal heat rash?

Answer

With your description it is not possible to arrive at a diagnosis. Please consult a dermatologist.


Question, 

Hi, I am 20 year old male from California Bay Area and I am suffering with extreme itching all over my body, and it is contageous because now my wife itches all over her body just like me. And not only that, both me and my wife are getting these white spots all over out bodies on the skin. They are not bumps, they more look like burn scars and the hair doesn't grow on them. We are also very fatigued all the time and our bones or muscles ache like crazy as if we are getting old. Please help, tell me what we may have. I have been itching for the past 4 years but started developing these white scar like spots recently and they are spreading well too fast!!! These itches that we are getting are not just regular itches, they are the worst! Put it this way, the more I scratch the itch the more it will itch and there is no end to it, it just get worse and worse and worse. Please reply. Thank you!

Answer

Without clinical examinatio it is not possible to guess what your skin problem is. Please consult your dermatologist.


Question, 

My husband has black patches all over his body,which becomes more visible during summer when he sweats more. One of the skin specialist gave Nizral tablet 200mg for 5 days.I heard that this tablet has side effects.Is it true?.

Answer

Your husband probably has a superficial fungal infection called tinea versicolor. This condition responds well to treatment and Nizoral is quite effective. Nizoral in a small percentage can be toxic to liver. If liver function tests are within normal limits oral nizoral can be given.


Question, 

During Pregnancy my wife was having herpes 2 infection as it was positive in torch test(torch test was done in Jan 2004) she took occuvir medicine. She Delivered baby on march 26 2004 it was normal delivery, what is possiblity that herpes infection is transfer to baby, baby's torch test was also done it showed negative result, baby also took zovirax treatment. I am still worried what futher precautions should i take, should i continue zovirax ,pl. answer on my mail ID

Answer

As your child has not developed any skin lesion suggestive of herpes and as the blood tests was also negative you do not have to worry. If by chance the child develops any skin lesions do consult a paediatrician or dermatologiat.


Question, 

I am a regular user of methamphetamines, and for the last year or so have been dealing with small bouts of skin infections like tiny boils and ingrown hairs - nothing a round of antibiotics and a hierarchy of treatment won't take care of quickly.
But lately, about once a month, I develop a horrendous boil, usually on my hand somewhere - fingers (just past 2nd joint from tip) or the back of my hand. These start out as small pimples, boils or ingrown hair infections, and can be dried out using epsom salts and the like. But one will stay behind, and within 4-8 hours my hand will be swollen up painfully, with bright red skin around the area stretched so tight the skin sometimes spkits. Usually the offending hair can be spotted quickly and removed, but then I notice a small tip of what looks like greenish-yellow pus growing beneath the skin, usually in more than one spot. A product that smalls like crude oil called "draw out" usually softens the tissue enough to dig the entire mass of infection out, but pulling it out (which can only be done with a very accurate pair of medical tweezers) is very difficult. It takes quite a bit of pull, the fibrous clot seemingly connected to every nerve in my hand, and I can feel it grabbing on and holding to other areas. It will not fall apart, however, and even resists cutting, and when it does pull out all the other tips disappear, showing they are connected. The resulting extruded mass is sometimes almost as long as my finger itself, and is a bright, almost fluorescent green. I don't see any core of hair, and what on earth can be so tough and fibrous? What are these things, and what causes them? How do I treat them? The resulting scar is purple and enormous, and that area of the hand loses some strength. Please help! I doubt I am host to an alien species, but at this point it would not surprise me.

Answer

Without examination it is not possible to guess what you have. Do consult a dermatologist.


Question, 

Doctor - i have two questions. First, I have recently found a large, red, irritated bump underneath the skin in the pubic area. When i drain it it gets tender and oozes pus and light blood. From your descriptions i believe this to be a sebaceous cyst. Is that accurate? However, at the same time i noticed that i had developed about 5 pin-sized flesh colored-what i thought were warts? Upon fooling around with them i was able to scrape them off and they each bled for a short period. Are these warts? Ingrown hairs? fungal or viral reactions?? response to the cyst?
Second, about 3 weeks ago i (starting noticing) small, red pin-sized bumps that showed up first on my wrist, then stomach, then leg, and butt. Overall there were about 10 of them. I have scraped at them, they scabbed over, but now my skin has a red overtone where the bump used to be. I recently went and got tested for HIV. Is this a stress reaction? folliculitis? I'm worried its connected to HIV (i'm still awaiting my results)...thanks for your help and time!

Answer

From your description alone it is difficult to make out the exact diagnosis. Please consult a dermatologist.


Question, 

HI, IM 17 and I have never had any sexual contact, but about 2 years ago I noticed all these white bumps beneath my skin on the back of my penis to about halway up, but not in the area where cum comes up. Some might have little hairs coming out of them but not to sure, I tried squizzing them and sometimes I can get stuff out. Plz Help me should I be worried, what can I do...

Answer

You are probably having prominent hair follicles only in the area you have mentioned and this does not require any treatment. Do not squeeze them and just leave them alone. To confirm the exact diagnosis consult a dermatologist.


Question, 

I have dark excess body hair all over my body and it's definitly not normal, not to mention the fact that I'm a female. I was wondering if it was due to chemical or hormonal inbalance of some sort? Should I go see my doctor about it? Is there any type of medical treatment that can be given to get rid of the hair, such as pills or anything of that nature? Please help

Answer

Excessive growth of hair can be familial, due to hormones (androgens) or drug induced. You have to undergo hormonal blood tests before any treatment can be planned. Do consult a dermatologist


Question, 

hello dr..i would like to know whether all warts in human skin are due to hpv??will it spread to different parts of the body?will i pass thru sharing beds?how long hpv virus can stay outside human body?what are the symptoms of allegies due to spermicides or wearing condom in male genitals?is syphiis completely curable?what r the concequences of wearing brief while sleeping?awaiting ur reply thanks..

Answer

Warts over human skin are due to HPV and it can spread to different parts of the body. There is a posibility of acquiring infection by sharing beds. Dryness is detrimental to viruses and hence it can not survive outside the body for more than a few hours probably. The main symptom to allergy for any substance is itching and this is followed by redness, swelling and oozing. Syphilis is curable, whether it is completely curable is still doubtful. Dr. Stokes who is considered to be an authority on Syphilology in his text book (published about 75 years ago) mentions that syphis is treatable to a point of presumptive cure and this fact still holds good. There is no problem in wearing a brief while sleeping as long as it is not tight.


Question, 

I had what I thought was a zit under my right eye. After about 2 weeks, it didn't go away. At one point I tried to squeeze the puss out of it and it just swelled up and wouldn't pop. It has now been over 2 months and It is still red, but doesn't look like a zit. It is still red and when I run my finger across it, I can tell that it is barely raised. I'm afraid that it is a scar, how do I hide this blemish?

Answer

Without examination it is not possible to guess the diagnosis. Consult a dermatologist or an ophtholmologist.


Question, 

hello dr,i hav alreay asked u some questions before which i got satisfactory answers.i hav some more doubts which iam sure that i will get good advice frm u.my first doubt is is hpv infection or genital warts cancerous to male?my 2nd doubt is what are the riska and complication that can happen if an infant is infected wth p0v that is in its larynx?is that cancerous and is there any treatment for that?my 3rd doubt is is cervical cancer treatable and how can we prevent development of cervical cancer frm hpv infection?who is doing papsmear test?is that dermotologo\ist or cancer speialist or gynecologist?how much it will cost?

Answer

HPV infection is one of the causes of penile cancer. There are chances that the child can develop HPV infection at the time of delivery if the mother has warts over her genital tract. Laryngeal warts can be removed by electric cautery through an endoscope. Cervical cancer is treatable. Detected early it is curable. Early treatment of cervical warts prevents development of cancer. Pap smear is taken by a gynaecologist and the test is done by a pathologist. The cost of pap smear varies from place to place and from lab to lab and it is not expensive.


Question, 

I am 14 years old, and I have these small bumps on my nipples, almost like pimples, when i squeeze them, they pop just like pimples, but do not go away, I was really scared for a few days that it was breast cancer, but then I looked it up, and I think it is most likely a begnigm cyst, because it has all the signs, is there a way to cure this without having to see a doctor?

Answer

Without a clinical examination it is not possible to know what exactly you have. Do consult a dermatologist.


Question, 

hello doctor, i've this embarassing ugly problem...instead of shaving my underarms, i pluck the hairs and gradually i noticed that they have turned unsightly! the hairs are gone but there are acne-looking pimples and bumps and when i squeeze them white pus comes out. often it hurts and i'm pretty worried as i've started to have more BO. how do you suggest clearning the bumps/acne-looking things under my arm? also, will using the product 'Ingrown Go' - removes ingrown hair work? your reply is greatly appreciated.

Answer

Do not pluck the hairs as this can injure the hair follicles and result in folliculitis. Use an electric shaver and pass it only once. Try an antibiotic cream locally for a few days and if there is no response consult a dermatologist.


Question, 

Hello. Im a 19 year old female. For a few years now ive noticed i have these red spots on my face, neck, and sometimes chest only after i shower, swim, or sweat... I can tell when i get them because they itch a little. The itching goes away after 15 minutes or so but the red spots can last an hour or more.... It happens every single time now ... When i was pregnant it was only happening maybe once or twice a week and wasnt as bad so I dont knwo if its something to do with my hormones or what... Plz let me knwo what u think..thx!

Answer

You are probably having an aquagenic urticaria. This is a mild type of urticaria and it responds well to antihistamines. Do consult a dermatologist.


Question, 

i am an indian.Both of my parents have fair skin. i too have fair skin all over my body except for my face. i had serious acne which lead to inflamation. my acne problem has gone for roughly a year but i'm left with a darker complextion. how can i get my original complextion. i've consulted a gp who ruled out diabetes n i'm in my ideal weight. he told something about post inflamatory hyper pigmentation. i really hope u can help as i'm a teenager and feel very deppresed because of being diffrent than the other members of my family

Answer

Use a sunscreen regularly. Post acne pigmentation fades in due course of time. Try a 2% hydroquinone cream for a couple of weeks. If this does not help consult a dermatologist.


Question, 

Hello, Dr my 3 year old child has had these dermatitis in his legs. They look like if something bit him or even like chicken poxs. They don't have pus at all. He scratches them and a little hole seems to form. He gets very itchey. I asked his Dr. if they could be flea bites and he told me maybe. I'm really concerned since I have diabetis. Is there any chance he might get it? Could those. Also I have a lot of scars of skin infections that I've had due to the diabetis. They are like purple in color and look ugly. I only wear pants I'm embarassed to wear something else. I'm 27 years old and I got the diabetis when I was pregnant with my child but it did'nt go away. Is there something I can use that will make the scars lighter or fade away?

Answer

You child probably has an insect bite reaction called papular urticaria. A topical steroid cream with systemic antihistamine syrup should clear this condition. Please do confirm the diagnosis with a dermatologist and take his or her advice. For you skin problem also take a dermatologist's advice.


Question, 

Sir, I have two questions

Q1. I have had a dark patch of skin on my right waist for a number of year (about 10 years) and recently I notice it is slowly spreading out. I have been applying anti fungal creams to it but it is not clearing up. It does not itch and seems to blend in with the skin. I would appreciate if you could identify the disease and recommend prescrition.

Q2. In Late 2002 , I went for a medical check, my Chest x-ray indicates a bit of abnormalty and I was put under medication for 2 weeks. After two week I went back for review and my chest x-ray was cleared by the Doctor. In June 2003 I went for another medical check and my chest x-ray was once again showing abnormalty. I was put on medication for two weeks and again after a a review I was cleared by the Doctor.[The medical examination I was doing was relating to my travel overseas.]In April 2003 I noticed one of middle right fingernails got infected and by end of the year my left ring finger also got infected. I have been to a doctor and was advised to put on antifungal cream/oinment for fingernails. The nails looks OK but they discoloured. I also have my two toe nails discoloured and looks solid (yeast)I have applied the antifungail solutions. The doctor advised that with nails it can take up to 6 to 12 months for results. I am 41 years old. I have been smoking for some 20 y!
ears before quiting in 2000. I weigh 103Kg and height 1.67m. My last Medical examination was in October 2003 and I was cleared of HIV and Hepetitis B.

Answer

You are probably having fungal infections of skin as well as nails. Get a microscopy and culture done from the skin scapings and nail clippings and take the appropriate therapy.


Question, 

hello dr..please tell me the window period for herpes igG AND IGm tests.what does the two tests indicate.i mean past infection ,present infection like that.what is the window period for hepatitis b surface antigen tests,vdrl tests.how uch accuracy is there for a pcr test for hiv?tell me dr what are the symptoms of genitl warts and after how many days after infection it will appear?and after how many days the treated warts can recur on the same spot and i there any similar dieseases which is like genital warts hich can cause due to vitami deficiency or wet cloths or unclean hygiene.is there any chance of rashes formation if the genitals r not cleaned properly after masterburation?i there any chance of genital warts like growth due to wearing of wet briefs?is there any chance of similar growths if someone is having kidney stone?doctor iam asking all these because i was been diagnosed to have herpes first by a doctor which was proved wrong by clinical igg and igm tests and second dr told me iam having genital warts.and he told me that i dont hav anyother problem as i seeing my blood test reports...all were negative and the test has been done at about 45 days after exposure.can hpv spread by touching warts wit hand and touching other parts of body with same hand?what are the chances that hpv that is infected sexully to b cancerous ie hpv 16 type.what is the type of hpv normally transmitted sexully?and if it is some other growth which u suspect please tell me any medication..thank u very much sir please reply me in detail clearing all my doubts

Answer

IgM test indicates the presence of viruse with active infction and IgG test indicates past infection. It takes at least two weeks for antibody tests to become positive after the appearance of active lesions. VDRL test becomes positive about 10 to 14 days after the appearance of a primary ulcer. PCR test positivity is confirmatory (95%) in HIV infection. Warts can appear after 2 weeks to three months after exposure. Type 16 HPV is the commonest type responsible for genital cancer. Do consult a dermatologist / STD specialist to confirm whether you have genital warts and take his advice and counselling.


Question, 

i believe that I have bromhidrosis. I went to the dermatologist and she gave me Drysol for hyperhidrosis. I used it for a couple of weeks, and I dont see a difference. It also irritated my skin, I felt a stinging under the arm area. Can you please give me some sdvice on products I can use to cure this problem? Soaps, creams, sprays, or deodorants would be very helpful? I saw in a post to use ketaconazole shampoo? Is there other products out there?

Answer

Bromhidrosis does respond to ketoconazole shampoo to a good extent. If this does not work try a topical clindamycin. You may have to use them repeatedly as there is no cure for bromhidrosis.


Question, 

My sister (Age 26 yrs) is having a big greyish black spot over her right cheeks cover under her eyes. At the time of birth it was on the head and now as she grown it comes on the cheek. I would like to know is it curable by any means. As i had seen the advertisements of Laser therapy, could u please suggest some good laser clinics in Delhi or any where in India.

Answer

Your sister has a birth mark called Nevus of Ota and it responds to Laser therapy (Q-switched ruby or Q-switched ND-Yag laser). I am sure such lasers are available in New Delhi and I do not have address of any such clinic. Do ask any practicing dermatologist in Delhi.


Question, 

hello, are you familiar with "steatocystoma multiplex"? if so, what herbal treatments can i use to treat this condition? a biopsy was done and i was told this diagnosis. i constantly get huge 'abcess' 'boil' 'cyst' if you will on any given day, week, month. these irritating things can and will get infected at random on my buttocks, back, chest, upper arms. my buttocks has a colony of small very light yellowish color'cysts' underneath the skin just sitting there waiting to get infected and turn into a huge or small painful, painful boil or abcess. there must be something that can be done for me. it has been a problem for me since the age of 20. when i visited various doctors or dermatologists, many of them attempt to treat it by guessing. they have no idea what it is much less know how to treat it. i really could use your assistance. thank you very much

Answer

From your description it appears that you do have steatocystoma multiplex (numerous sebaceous cysts). Systemic tetracyclines and azithromycin do help in controlling the condition. But the treatment of choice is systemic Roaccutane (Retinoid) for 6 to 7 months. Before this therapy you have to undergo certain blood tests. Do consult a dermatologist.


Question, 

IM 20 YR OLD MALE AND I HAVE THESE BUMPS MAYBE 5 OR 6 ON MY PUBIC AREA THEY HURT AT FIRST THEN THEY STOP HURTING THEN DRY AND TURN HARD AND START TO ITCH. THIS IS SECOND TIME THIS HAPPEND, THE FIRST TIME IT WAS ONLY 2 BUMBS. I DO TRIM MY PUBIC WITH CLIPPERS. THEY HAVE BEEN THERE FOR ALMOST WEEK AND HALF. I ALSO HAVE THIS LITTLE BUMB ON MY INNER THIGH, ITS NOT HARD OR ANYTHING BUT CAN I HAVE A STD?

Answer

Without examanation it is difficult to guess what exactly you have. Do consult a dermatologist.


Question, 

I have dark patches on my toes. They look like big scars. I juut want to remove them but i do not know how.

Answer

Dark patches can be treated. Do consult a dermatologist.


Question, 

hi a couple of months ago my foreskin became quiet tight and i noticed that there was a smell and white stuff over my penis gland. a couple of weeks later, after being more hygienic with my penis it cleared up. however now the colour of my penis ( the gland ) is turning blue underneath. there is no smell and no white stuff anymore. i think i had a mild case of banlantise which i researched on the net, i was not offical told by a doctor, its just my guess. since then i have become more hygeinic, i.e after sex, clean my penis and after unrinating.but the blue discolouring is stil there. maybe its nothing but i would like to know if you have ever heard this before and what should i do? i am in a steady relationship and am carefull when having intercourse with my girlfriend.

Answer

A slight bluish discoloration is common over the lower part of glans penis. As long as ther is no pain or any other symptom you do not have to worry. Nevertheless do consult a dermatologist to know exactly what it is.


Question, 

I believe that I have bromhidrosis. I went to the dermatologist and she gave me Drysol for hyperhidrosis. I used it for a couple of weeks, and I dont see a difference. It also irritated my skin, I felt a stinging under the arm area. Can you please give me some sdvice on products I can use to cure this problem? Soaps, creams, sprays, or deodorants would be very helpful? I saw in a post to use ketaconazole shampoo? Is there other products out there?

Answer

Bromhidrosis is a difficult condition to treat. Antiperspirants and deodorants do have transient effects. Ketoconazole shampoo used regulary can be helpful. Topical clindamycin is also beneficial.


Question, 

how can we prevent reccurance of genital warts?what are the chances of cancerous genital warts i mean the percentage wise?how can cervical cancer due to hpv infection prevented and how can infant infection prevented?i there any ayurveic or homeopathic medicine for avoid reccurances available in india?

Answer

Get the existing warts treated well and see that there is nothing left. If by chance there is any recurrence get that also removed. Have a regular check up and this will prevent transmission to infants. If the warts are not treated and remain for a long time their chances of turning malgnant are more and its exact incidence is not known, but it is known that about 75% of cervical carcinomas are positive for HPV virus. Ayurvedic and Homeopathic doctors do claim that they have remedy for warts.


Question, 

Iam a black woman who is concerned about pigmentation. I have darker pigment on my neck, undermy arms,and my knees what can i use to even out my color that works? I have heard about skin lightening pills are they safe? please help!

Answer

Frankly I have no idea about skin lightenig pills, but I am sure they are not safe. If you are overwight reduce your weight and with this alone the pigmentation will fade in due course of time. Try a 2% hydroquinone for a few weeks and if this does not work consult a dermatologist


Question,

I have hyperpigmentation on my upper inner thighs caused from friction and wanted to know if this usually goes away with weightloss or should I be using some kind of cream, laser, or acid?

Answer

With the reduction of weight pigmentation over inner thighs do fade gradually. Try 2% hydroquinone for a few weeks and if this does not work do consult a dermatologist.


Question,

I have psorasis and have gotten it on parts of my body before but they have gone away. Now I have these red spots that aren't very big but are itchy. at first I only have one on my stomach and then it spread so that i have 5 little spots formed in almost a circle but aren't connected, and I have the same thing on the other side and a few spots like this on my legs. They are itchy and red, slightly bumped up and some of them are scaly but they aren't the white scales like psoriasis. Could this be psoriasis? It has just been spreading for the past couple of days. I also just noticed another rash on my shoulder that is tiny little red spots that aren't bumped up but are all over my sholder.

Answer

Those lesions are probably psoriasis only but without examination it is difficult to guess what exactly they are. Do consult a dermatologist.


Question, 

I have a 49 year old patient that has been developing severly cracked, dry, and itchy skin, often into blisters on her hands. We have noticed that this is occuring immediatley before and during menstration, any ideas or directions you could point us in?

Answer

Your patient probably has pompholyx. This condition usually responds to topical steroids and systemic antihistamines. Severe episodes require systemic steroids in addition. Rule out contact allergic dermatitis, psoriasis and tinea infection before statring therapy.


Question, 

I have a probelm that i've noticed in other overweight african males. The sides of my face, from the temple to the cheekbone has become darker than the rest of my face. How can i solve this problem?

Answer

Use a sunscreen regularly while going out in the sun. Try a 2% hydroquinone cream for a few weeks and if this does not work do consult a dermatologist.


Question, 

I have one slightly red bump on my upper inner thigh, the size of a pencil eraser.It looks and feels very much like a mosquito bite. The bump does not itch nor is it painful. However I have had it for close to a year. Any ideas what it could be?

Answer

You are probably having a soft fibroma (benign condition) or an epidermal cyst. Both can be removed. Do consult a dermatologist to confirm the diagnosis and advice.


Question, 

I woke up one morning 2 weeks ago and i was itching everywhere. my scalp, and then body. at first i thought it was just a weather change or dry skin itch. the next day it kept itching, only this time, parts of my skin first tingled, burned, and then developed a mosquito lookign bump. the more i scratched it, the more worse it got. it looked like tehre was a devil in me and it wanted to come out of my body-it made scratch marks that bumped up like mosquito bites. i went to doctor and they gave me allegra, thinking i just had allergies. it wouldn't go away so i went to chinese doctor. he said i probably have liver problem so they gave me chinese herbs and acupuncture. it wouldn't go away. now it's been 2 weeks and its still there. i get these itch attacks, the cycle of tingle, burn, and itch and bumps that look like mosquito bites come out everywhere, like hands, back, neck, shoulder, arms, legs...what on earth is wrong wiht me? no one can help me. the itch is driving me crazy and i don't know whether i should go to dermatologist or what. seems like no one knows what's wrong with me and no one is reliable. the bumps go away after 5 or 10 minutes. and comes back later depending on the days. it's irritating me and i cannot concentrate on anything. please help.

Answer

You are having an acute urticaria. Urticaria is usually secondary to food allergy, any infection in the body, drugs, insect bites or intestinal infestations. Besides this there are a some rare causes. Do not panic. Once the cause is eliminated the condition clears. Do consult a dermatologist and take the appropriate advice.


Question, 

Hello, I'd like to ask if contractubex can treat atrophic scar. I am looking forward to hearing from you soon.

Answer Contractubex is not of much use in atrophic scars. There is no complete cure for atrophic scars. Depending on their depth they can be treated and made less prominent by chemical peeling or microdermabrasion or dermabrasion or laser resurfacing.


Question, 

I have bumbs filled with yellow puse, they are so pain full. I have one on each knee. They have been on my legs butt and arms. please help

Answer

You have folliculitis. Consult a dermatologist and take a course of appropriate antibiotics


Question, 

I have been diagosed with lichen planus and I am taking oral steroids and a using topical cream. I have severe hyperpigmentation all over my body and as a result I feel confined to long sleeve clothing. Will the marks ever fade or is there any safe treatment to remove them?

Answer

When lichen planus lesions clear they do leave residual pigmentation called post ichen pigmentation and they take a few months to a couple of years to clear on their own. If they are extensive leave them alone. If there are a few lesions a mild topical steroid application for a couple of weeks can reduce the pigmentation to some extent. Do not use the steroid preparation for a long time.


Question, 

I have cellulitus and i can't use regular sunscreen due to burning of my skin i was wondering if there is some sort of cream that will block the sun and not burn me? thanks

Answer

Newer sunblocks with an SPF of 30 and above do prevent sunburm to some extent and none of them give 100% protection either for sunburn or suntan.


Question, 

I am a 26 year old white female. I have had red bumps on my lower bottom since my elementary school years (around 7 years old). Sometimes I will get these red bumps on my upper back thighs, but not nearly as often as on my bottom. They can really hurt sometimes and will sporadically fill with puss. I have been to the doctor and have been told that it is a heat rash. I do not feel that it is a correct diagnosis. The doctor told me that there was nothing that I could do about these "pimple like" bumps. They are embarrassing and hurt for I am constantly sitting. What do you think it is? Is there anything that I can do to prevent them? I have tried using body acne wash as well as over the counter acne medications such as 'clean & clear persa-gel', but to no avail. (I do live in a rather hot and humid climate, but when I do go to cooler and dryer ones, the "pimples" do not cease). Please help. Thanks so much.

Answer

You are probably having a superficial folliculitis. Get a culture and sensitivity done from its pus and take a course of appropriate antibiotics.


Question, 

I am a 20 yr old white female and I have had blotchy patches of pale skin on my face since I was about 2 yrs old. I have naturally red cheeks. When I go out into the sun the patches do not burn but VERY slightly (only a very minimal change that only I notice), when I blush, the splotches stay white. I did some research and it all seems to point to one thing: Nevus Anemicus. But there is one thing that is different, the fact that if I scratch it, or annoy that area of my face, it will turn a light red (though light, still a significant difference). I know there is no cure for Nevus Anemicus. But I was wondering maybe I was wrong in my conclusion that it is Nevus Anemicus. Thank you


Answer


From your description it appears that you have a nevus anemicus only and there is no treatment for it. Do consult a dermatologist to confirm the diagnosis.


Question, 

from net icame to know that u r giving informaion guidence and advices to people who r depressed and who r suffering with stds.let me tell my story.on jan 17th 2004 i had a protected sex with a commercial sex worker.iam a male.frm 6th of feb i noticed some rashes in foreskin of my penis.it looked like hotboils.i went to a dermotologist on 15th of feb.he told me im suffering frm herpes and gave me acyclovir(superviran 2oomg)tablet for 5 days five times a day and zovirax cream for 5 days to b applied in 4 hr duration.also he gave me 2 injetions also.even after tese medication there was no improvement.on 5th of march that is after 45 days of the exposure i tested my blood.the result is as explained below.
hiv antibody test...negative
hiv pcr....negative
vdrl.....negative
hsv1-igG value was around 0.02 where the reference was written between 0.0-0.9
hsv-2 igG value was around 0.037 where the reference was between 0.0 to 0.9
hsv 1 &2 igM value was 0.30 and 0.36 with the same reference value.
hepatitis surface antigen value was 0.009 where the cutoff value was .068
i went to some other dermotologist ,he told me that iam ok with all these values an he told me iam suffering frm genital warts.before that in june 2002 i had anexposure which was with out intercourse but i pierced my finger inside her vagin and with that hand i might hav touched my genitals.now the worst thing is iam going to marry and i hav told abt my hpv infection to my fiancee and tried to avoid her.but she is not ready to cancel the marriage.the 2nd doctor treated my warts if it was warts by eletro cauterisation. and after that he gave me medicines which was meant for bacterial and fungal infection.in my last exposure which i had it was perfectly safe the only loop hole was i just pierced my finger inside her for 2 or three seconds and my finger was having a small cut which was dry and her vagin was also dry.i want to know is it possible to check the type of hpv which i hav been affected now without any warts and i wanted to know the reliabilities of the above test.my would e is telling me that she can forgive me if iam hiv infected also but i dont want to do that.pls advice me the accuracy of pcr test for hiv,HbAg test,igG,igM,test for hsv1&2,and vdrl test after 45 days of exposure.will there b any windo period for these tests?and i got frm net that hpv infection can reoccur and it can cause cervical cancer to females and it can pass to the throat of infants..how can it b prevented.is there any medicine for that ..i wanted to know these as early as possible as marriage is nearing and she is not ready to quit.is ther any ayurvedic meicine which u can tell me the name to avoid prevention of reoccurences and how i can prevent cervical infection of m wouldbe wife and infection to my infant?what r the chances of sexully transmitted genitalwarts to b cancerous.giv me details regarding all those test results and medicines for hpv prevention and prevention of cervical cancer and infant infection.will i b able to lead a better married life??pls giv me details since iam in a position whether to live or die..i dont want to giv my identification if u dont mind...pls tell me the accuracy of above tests results and their interpretation and risk in hpv with my wife and pregnancy and cervical cancer.can i kno the type of hpv now without visible warts.i think iam now having some small warts like in my penis..thanking u


Answer
 

The tests you have undergone for HIV, HSV 1 & 2 and HB ASg are all negative and hence thee is no need for concern. Nevertheless repeat the HIV test after 2 months.
Now that the genital warts have disappeared after electric cautery and have not recurred so far the chances for recurrence are less and even if they recur they can be got rid of by electric or chemical cautery.
There are about 30 types of HPV viruses causing genital warts. HPV antibodies can be detected in a small percentage of infected persons and the other way to know the type is to do a viral culture from the wart. Both these tests are expensive and are done only in a few reference labs.
There are chances for the new born child to develop HPV infection if the mother has warts in the genital tract at the time of delivery.
Chronic and recurrent cervical HPV infection can result in malignany. In a study it was shown that 75% of the women with cervical cancer reacted positive for HPV virus.
The only way to prevent getting genital warts or for that matter any other STD is to have sex only with a spouse or a regular steady partner and abstain from premarital and extramarital sex and if it is inevitable use a condom without fail.


Question,

I am writing in regards to my 7-year-old son. For the past 2 months, maybe even 3, he has had wind burn around his mouth from constant licking, and he even stretches the sides of his mouth (due to itching, I presume). After just a short amount of time, the "wind burn" turns into sores/scabs, one of which has caused scarring on one side of his mouth and is now working on the other because we just CANNOT get rid of it. We started out using Chapstick, then Neosporin, then Cortisone, and then a doctor at an urgent care facility prescribed some type of yeast medication. None of this seems to make it go away "forever!" It would normally develop after a cold day and he would lick his lips outside. Over the weekends it would almost clear up, as my husband and I were constantly applying Cortisone, but then he would go to school and by the time I picked him up, it would already have spread at least 1/2 inch or more about the corners of his mouth. Finally, I took the Cortisone to the school nurse and asked that it be applied 3 times a day. I applied before school, around dinner time, and then again before bed. It would almost go away, and then come right back after a perhaps just a day or two. Today was not a particularly cold day, however, the "wind burn" has just returned. My husband and I are getting very worried that this could be a sign of something more serious going on. I am really becoming very scared. Just in case this may be related, I would also like to say that the other day as I was taking him to school, he began to have diarrhea and vomiting. This lasted only one day and then he was fine (this has happened another time, as well, approximately 5 months ago). No one else got this...which leads me to believe it was not a "bug." Also, for the past 2 weeks, he has began to complain about his leg and hips hurting. There has not been an injury that we (or he) can recall. This symptom is strangely intermittent. I did some research online, and came up with a disease called Legg-Perthes. I am going to make appointments tomorrow with both a dermatologist and an orthopedist, however, I am sure these will be weeks away. I just want to know what your thoughts are after reviewing the above.?? Have you ever heard of "wind burn" that will almost be totally gone, and then one lick brings it back??
I completely understand that you are limited to what you can say, however, any help you could give me to perhaps just ease my fears would be GREATLY appreciated.
Sincerely,


Answer


From your description it appears that your son has a condition called perioral dermatitis. This is a chronic condition and is a little recalcitrnat to treat, but it can be cured and it takes a couple of months to clear completely. Ask your son to use only a mild toothpaste (junior tooth paste) and keep telling him never to moisten his lips with his tongue as the saliva worstens it. Let him avoid soap in the affected areAnswer Avoid smudging the perioral region with food while eating and let him use a straw while drinking fruit juice. Never use a strong topical steroid. These are all the precautions and besides this take the advice of the dermatologist.


Question, 

Hello Doctor, I think I was bitten by something about 6 years ago, and I can still remember how my whole body started itching for like an hour. It was so painful, like being poke with hundreds of needles at the same time all over my body. Ever since, my body still itches some times, most of the time it happens when I get nervouse, or excited, and there is no redness or anything. Can you please tell me what might be wrong? Thanks alot.

Answer


What you had six years ago was a generalized insect bite allergic reaction. What you have now is probably a stress induced pruritus. Try to relax and take a nonsedating antihistamine whenever you have severe itching. Do consult a dermatologist for further advice.


Question, 

i got a rash on my inner thighs. its a brownish color and seems to itch and sometimes really bad. its been there for a year but i thought i would go away but it spread and is from one leg to the other. when i itch it, it gets more itchy and gets red linesof bumps. i was wondering if a std or a rash or what??

Answer


You are probably having a ring worm infection called tinea cruris or an intertrigo or a frictional dermatitis and all these conditions require different treatment. Do consult a dermatologist and take the appropriate treatment.


Question, 

I'd like to ask if Contractubex can heal atrophic scar. Thank you very much for your help.

Answer


There is no satisfactory treatment for atrophic scars.


Question, 

My daughter is 8 and still sucks her thumb at the bottom of her thumb she has white point pimple like bumbs and I see she is now getting a few on her face, one on the tip of nose, near the corner of her eye and one on her cheek. Is this a bacterial problem? She does have a doctor's appt. but not for about a week. Thank you.


Answer


Your daughter probably has closed comedones or retention miliAnswer They can be treated. Consult a dermatologist.


Question, 

From what I hear very often,acne scars are caused by picking and sqeezing,which I don't do,but it seems like some of my pimples leave behind scars.They are those yellow type pimples that pop out by themselves after about 2 days,especially after I take a bath.Of course a blood clot forms.And after the blood clot forms,a reddish mark is left behind.When I look at it in sunlight,I see a little crater!Can a scar gel like contractubex help in my case,or will this fade in time?thanks for answering my question


Answer


Deep nodular and cystic acne lesions do leave depressed scars. They do improve with time to a small extent. Contractubex is of little help. Acne scars require dermabrasion or microdermabrasion / chemical peeling depending on the depth of acars.


Question,

I'm 16 yrs old and ever since puberty i have started to shave my underarm hair. Since puberty, my underarm skin is darker than the rest of my skin. Some days it's lighter than other days, but the dark patches are still noticable. I have also sweated a lot, I don't have odour, but i sweat a lot, and no natural treatment seems to stop my sweating. My mum thinks this could be the reason...how do i treat my the dark patches under my arms...? And/or how do i prevent my body from sweating so much. Pls write back.


Answer


Excessive sweating can be treated with topical aluminium chloride applications for many months. Nowadays some are also using botox injections and this requires a good deal of experience. Axillary pigmentation is difficult to treat. Avoid close shaving. Antiperspirants and deodorants can some time cause allergic dermatitis and result in darkening. Try 2% topical hydroquinone once a day for a few weeks. If there is no response do consult a dermatologist.


Question, 

i have had these lumps on the inside of my thighs for almost a year now, they are not pimples, they are hard, raised from the skin, lumps.They have a pinkish color to them, and they leave purple scars, i have so many scars on the inside of my thighs... and no matter what i do the lumps just keep comming back. I punctured one and squeezed it and this whiteish liquid came out of it, but it still left a scar afterwards, isnt there anything i can do? please help.

Answer


You are having folliculitis over your thighs. Get a culture and sensitivity of the pus done and take a course of appropriate antibiotics.


Question,

i have been getting these bumps on my but,thighs, and vaginal areAnswer They are filled with white puss, and they kinda hurt after you pop them. They leave scars and they also peel. My boyfriend had this problem at first, and i'm thinking i got it from him. Please help me out. Tell me what to use and how to get rid of these scars i have, already. And also how to prevent it from happening again. THANK YOU


Answer


You are probably having recurrent folliculitis. Get a culture and sensitivity from the pus done and take a course of the appropriate antibiotics. Besides get your urine routine test and a fasting blood sugar done. If your scars are superficial they usually fade in due course of time. If they are deep do consult a dermatologist.


Question,

About 5 or 6 years ago I had lichen planus and I still have the spots on my lower legs and ankles and they are very noticable. I just wanted to know if there was any way that I could lessen them or even get rid of them. I am dark skinned so I was told that lasers wouldnt do anything for me except make those areas of my leg lighter then the rest of my leg. What can I do?


Answer


You have post lichen pigmentation and it ususlly takes a few years for these marks to fade. A mild topical steroid like hydrocortisone cream once a day for a couple of weeks may hasten the fading to some extent. If it is persisting consult a dermatologist.


Question,

dear doctor, i am a fourteen year old female, and lately, i have been noticing these lumps on my inner thighs, i punctured one and a pearly- white pus emerged. Since then, they have kept comming back, they have grown to be very large lumps, and if pressure is applied on any part of them, it hurts very badly. The ones before have gone away, but they leave huge, ugly rashes. The rashes have absolutely covered the inner outside of my thighs, and the lumps keep comming back, in different spots on my thighs.
I am not sexually active in any way. Up untill now i have ignored them, but the problem seems to be getting worse. They have a purplish color to them and they are raised above the skin. Could you please tell me what they are and possibly a way to prevent/cure them? Thank You


Answer


You are probably having folliculitis (bacterial infection of hair follicles) over your thighs. Get a culture and sensitivity of the pus done and take a course of the appropriate antibiotics. Besides get your urine routine test and a fasting blood sugar done.


Question,

Hi I am 29 years old. I am using roaccutane since 4 months. My question is after finish my treatment how many months later is better for pregnancy? Thanks


Answer


As per the pharmaceutical company's recommendation you are supposed to guarantee that you do not conceive while on treatment with roaccutane and for one month after completion of treatment, but I always advise my patients to extend this period for three months.


Question,

i have this rash around my mouth it is this really dry,peely skin. it always comes back once a month. what is it and how do i get rid of it. i have already been on antibiotics.


Answer


As you are getting recurrent attacks of these rashes it is better that you consult a dermatologist and take his or her advice.


Question,

I had a few pimples that popped out by themselves when they became ripe. But they still resulted in bleeding. I usually dab a piece of cotton with alcohol for about 5 minutes to the area. 3 weeks have passed and I can see red marks with some little dents not really deep,but are seen in sunlight. Will they result in scars? And in case they do, is contractubex advisable?


Answer


Superficial scars usually fade within a couple of months. Contractubex is of little use in acne scars. If they are deep do consult a dermatologist.


Question,

It has been almost a year since i got my naval pierce and everything was fine for the first three months. Then the skin around the piercing had started to turn red and become flaky. Now there is a small bubble type bump right below the piercing and it is still red. My friends and sister who got the same piercing but after me have no infections. My question is- Is there anything i can do to cure the redness and bump. i really don't want to take the piercing out. Thanks.


Answer


You have probably developed secondary infection over the pierced area. You may require a topical as well as a systemic antibiotic, depending upon the severity of infection. Do consult your family physician.


Question,

My 16 month old baby has a scar on her nose. Is there anything I can apply to get rid of it or reduce it?
Thank you,


Answer


Without knowing how wide and hwo deep the scar it is not possible to advise treatment. Please consult your dermatologist.


Question,

I am suffering from lichen planus and the worst part is that it has left brown pigmented marks on almost 50% of my body. These marks seem to be horrible. IS there any way that these marks can be cured and normal pigmentation restored?


Answer


You have post lichen pigmentation and it ususlly takes a couple of years for the marks to fade on thei own. A topical hydrocortisone cream once day for a couple of weeks may hasten its fading, but as these marks are present over large areas it is not advisable use a steroid cream on such extensive areas as it can get absorbed and cause systemic complications. For cosmetic reasons you can use it once a day on small exposed areas like hands for a about two weeks.


Question,

I have white bumps around my nipple on my breats, and i have started to develep a hard white, round one , (really harD)it doesnt hurt unless i irritate it. what could it be? i dont think it is cancer, as when i geta breast exam, none of the docters have said anything, as it isnt inside, but bumps out. is this normal?


Answer


You probably have small epidermal cysts and they can be curetted or excised. Consult a dermatologist.


Question,

I am 19 years of age and have had gas problems all my life. My mother told me recently that I am lactose intolerant, I figerd that this may be the problem. so I have tryed to change my eating habbits acordingly, but nothing seems to be working. Is there anything I can do to prevent this? Maybe there is a drug which makes gas oderless.


Answer


For your gas problem please consult your physician.


Question,

Hello, doctor. I developed what looks like fever blister on my lip and i used breva and went down. however, after i ate lunch 2days ago, my lips started to feel tingle and ichy & dry. I noticed pin drop size white bumps were present on my lips. And day later it spread to my upper lip and upper area of my mouth near nose. What can this be??? What can I use to reduce these bumps? Can this be allergic reaction?


Answer


You have probably developed herpes simplex labialis (type I herpes).This usually develops secondary to some stress and is self limiting and heals in about a week's time. Use a topical antiseptic cream to prevent any secondary bacterial infection. If the lesions are extensive you may have to take a course of acyclovir or famcyclovir tablets.


Question,

I have an ichy red rash with watery clear like pimples. It is on various parts of my body, between my fingers, palms of hands, stomach, legs, feet. Any suggestions of what this might be? Possible treatment?


Answer


From your description it is not possible to guess the diagnosis as there are over a dozen conditions with similar rash and their treatment varies. As your rash is quite extensive do consult a dermatologist as early as possible.


Question,

i am 47 and about 3 months ago i got this rash on both sides of my face..which is from my lower cheeks down to my neck and behind my ears....kinda looks like these tiny little pus bumps..it doesn't itch at all.no fever either...i wear my hair up all the time..just wondering what it could be....thank you


Answer
 

Without a clinical examination it is not possible to arrive at a diagnosis from your description alone. Consult a dermatologist.


Question,

I went running today outside it was a mild temp around mid 60's in Florida, and when i got done jogging I noticed that all over my body I was red and on my arms and legs and hands there were tiny little bumps?

Answer


You are probably having a heat urticaria or cholinergic urticaria (secondary to sweating) and this is not a serious condition. These lesions usually clear within a few minutes of appearing. Severe and extensive rash requires systemic antihistamines.You may have to undergo some investigations. Do consult a dermatologist.


Question,

It started with two small bumps on my ear that itched like hell. They dried up and my ear was covered with dry skin that just flaked off. Then my nose was itching really bad and a store developed in my nose and went away after about 1-2weeks. Now I have these little red pimple like bumps appearing everywhere the itch really bad then they disappear leaving dark marks almost like a small stretch mark,but it doesnt itch after. They keep coming and going its been about three-four weeks. The doctor said it might been hives but she is not sure what do you think. I have never had trouble with my skin NEVER not even as a adolescent, and I am 32 now!!!


Answer


You condition requires a clinical examination as with your description it is not possible to guess the diagnosis. Do consult a dermatologist.


Question,

I have very tiny bumbs on my upper lip. What is this?


Answer


You are probably having Fordyce's spots ( these are ectopic sebaceous glands ). They are harmless and asymptomatic and they can be left alone. Some of them clear on their own. If the lesions you have are extensive, large and painful they may be something different and it is wise to consult a dermatologist.


Question,

I have this itchy dry rash/zit type of thing that just appeared like two days ago right below my lower lip, if I itch at it it spreads immediately. But if I wash it it lightens up, but never completly goes away. What is it and how can I treat it?


Answer


From your description it is not possible to arrive at a diagnosis as an itchy rash below the lower lip may be due to various different conditions. Consult a dermatologist.


Question,

I have an itch on only the right side of my upper thigh area where my underwear or brief line is. There are no rashes or redness. I have been having it for about 2 months now.


Answer


You are probably having a ringworm infection called tinea cruris or an intertrigo or a friction dermatitis. Use a topical antifungal cream twice a day with a systemic antihistamine like cetrizine or loratidine for a week. If it improves continue the topical therapy for one more week. If there is no response consult dermatologist.


Question,

i have literally hundreds of sebaceous cysts literally all over my scrotum and many of them are reaching the size of around half a centimetre across. is surgery possible to remove quite so many (over repeated visits?), or could laser surgery remove the cysts in their entirety instead? thanks.


Answer


You have a condition called steatocystoma multiplex. They are benign, but they can become large and sometimes get infected and become painful. They look quite ugly and it is better to get them removed. Larger ones can be excised and the smaller ones can be cauterized or removed by laser therapy.If you just do not bother you can leave them alone.


Question,

As contractubex is just like liquid, skin gets dry after 2-3 min. Can I use Flucort-C after that or after 1-2 hrs. Becz wound not ne open as there is my skin loss. Can I use them after a gap of 1-2 hrs. Pls suggest


Answer


Do not use any steroid preparation on a wound. Use a topical antibiotic with daily dressings till the wound heals and after this you can use contractubex twice a day for treating the scar.


Question,

Due to the nose skin loss in road accident 3 months earlier, I have been suggested "CONTRACTUBEX GEL" by plastic surgeon, earlier I was using "FLUCORT-C" suggested by surgeon who operated me.
1) I think "CONTRACTUBEX" is to remove scar, but still some portion of skin has to come...whether "FLUCORT -C " is right or contractubex. Pls suggest.


Answer


I would suggest you take the plastic surgeon's advice.


Question,

Doctor, I am working in California and got Poison Oak contact on my legs. Most of it quickly went away as I seem to be resilient whenever I contact it. However, the tender skin at the back of my knee was very sensitive and itchy. IS this area often very sensitive or thinner than other skin?
I am worried that scratching the poison oak rash might have introduced some infection leading to a second problem.

My second problem is that the next day I had a slight fever. The day after that, my knee was stiff and sore before bed. In the morning (today), my whole thigh is stiff and sore. I am worried that I have a Staph or Streptococcus infection in my leg, like cellulitus perhaps.
Of course, the more I read about this online, the worse I feel due to reading about flesh-eating viruses and amputation.
I will seek antibiotics today, but everything is closed for holiday, so I will actually go to a Chinese doctor if this fails because they are open and my friend offered to translate.
Is this cellulitus?
There are Chinese herbs that claim to cleanse the blood, stir the immune system, and kill microbes, and I am sure that there is some truth to this, but if my health care provider is closed today, should I try this approach?

Also I was wondering what you think about the use of Tea Tree Oil, and what safe guidelines exist for its external use. I am told that it kills tinea and ringworm by absorbing into the skin instead of just burning the top layer.  Is Tea Tree Oil safe for application to the sensitive crotch, armpits, and back of knees?

Answer

You have probably developed severe bacterial infection and you have to take a course of systemic antibiotics without any further delay. Consult your family physician at the earliest. I would sincerly advise you not to experiment with anything else when there is sever infection


Question,

Dear doctor I am fourteen years old. I am african american. I have had acne scars ever scince the sixth grade. When i first got my skin checked on they said it was just freckles( do black people have freckles anyways? i am full nigerian and i am pretty dark like cocoa) I used to think i was so very beautiful but the acne scars went away then came back and even spread to the forehead and cheeks now i am embarrassed to leave the house without makeup on i always wash my face before i sleep and i always rub lotion but i have small wrinkles and bags and im only 14 i don't like to wear makeup but when i tried using creams to bleach my scars they lightened my natural face color and left the scars i look at old pictures just like 3 years ago and i look at how pretty i was i dont like to hide my face under makeup and i dont liuke the wrinkles that are forming how can i restore my natural skin color remove the scars and make the wrinkles dissapear please please help me than!
k you much


Answer


For the removal of your scars and wrinkles and for restoration of the skin color you may have to undergo microdermabrasion or chemical peeling. Consult your dermatologist and take his advice.


Question,

the heels on my feet are cracked and often hurt the cracks go pretty deep. I have had pedicures and even use a pumice stone and have tried several different creams for cracked heal relief and nothing seems to work can you please help

Answer

You can use a cream containing 5% urea after washing your feet at bed time and wear a socks and sleep. As the condition becomes better you can gradually switch over to any moisturiser once a day or on alternate days.


Question,

I am 19 years old. I just got off my menstrual cycle yesterday (feb. 10,2004). And have a sunburn like rash on my vaginal areAnswer I also use tampons. And i recently have had muscle pains in my calf and lower back. I am worried that it might be TSS(toxic shock syndrome) but i don't have any other symtoms. what should i do? please help soon.

Answer 

Without examination it is not possible to guess what you have. Do consult your gynaecologist or dermatologist without any further delay.


Question,

I have had this problem for some years now. During the first year of my teenagehood, I noticed these small pimple looking things at the bottom of the shaft of my penis. I didn't think much of it at the time because I thought that they would just go away. They dont hurt, they are just emberassing. I dont think that its an std because I am a virgin. I noticed the bumps after I first began to masterbate. I want to know if there is some sort of cure or anything to help my situation

Answer

You are probably having prominent follicular orifices only. Wothout examination it is not possible to arrive at a diagnosis. Consult a dermatologist.

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