What is the Best Way to Treat Acne?

I’m doctor Mike Evans my question
is work is the best way to treat acne acting vulgarities a skirt a clue your auger send bad but in fact it’s an
old word that means common which acne certainly is acne is
fascinating in the pantheon of diseases many ways trivialize it is simply part
of teenage life that faith and and really doesn’t have any health
consequences but what if I framed in a different way
acne is a disease that makes people feel bad often very bad about themselves just
when it was critical that they feel good about themselves it’s a disease that can scar for life
but that could have been prevented a disease that research shows this is
damaging the quality of life is chronic distressing condition such as
as per epilepsy or diabetes and the timing is so unfortunate just as
we start to be more where her parents oil geyser center located near upper
chest back neck and face all highly visible areas begin pumping
out skin Greece adults can get acne about 10 percent
still have a 25 but almost all teenagers do get acne
which 15 having a more severe case it tends to come on earlier in women but
do to get a little bit works unlike most likely resources on the
internet I’m not gonna offer you 100 percent here there really is no cure for acne most to
the therapies and gonna discuss have about a 40 to 70 percent success rate getting to a higher success rate really
depends on you finding your own special recipe that often requires you combine different agents what we
call step up their p okay the first piece advice is to talk
to a doctor about it repeat after me my doctor has see more
embarrassing things and whatever I show him or her so bring acne up and go back if your
team isn’t working now I bet I can guess the current approach
them if you’re taking who are suffering from acne perhaps you wash your skin vigorously to
keep like it to a minimum maybe put people claim or
whenever you have an outbreak any made even avoid certain foods you
think worsen your me well actually the black and black
kids is really just melanin in oxidized
lipids not there so cleaning vigorously or picking can
actually inflamed pimples washing once daily with the mild soap
for so close Kinder’s fine pretty people came under existing
actually doesn’t actually make much a difference a key key learning is that when you
treating acne you’re actually not doing much for the current pimple you’re preventing the next round so if
you are playing the cream NEC going where you get pimples for most
people this is in what we call the T-cell it takes 60 weeks and sometimes longer
to see if acne treatment is working diet and acne is interesting most research shows no connection but
the trial quality is generally poor for example studies trying to provoke
acne with large amounts of chocolate show expect but the trials for to
shorten too small to be definitive a small trial using a low-glycemic diet
showed some improvement but I I’d say there’s not enough evidence at
this kinda recommend one way being over another the answer is likely just eating
healthfully and if a patient find a big difference with a food I say if I so that food that understand
the best treatment for acne we need to start with the biology lesson than a mere test then step up their p I
think if you comprehend the biology Lackie it makes treatment a lot easier
to understand when you hit puberty many things happen
but two things in particular at your skin
first we get more plugging this is because the hormonal changes
appear ready cause more oil production what we call see them and
the surface of the skin becomes a bit more crusty what we call karen is a sin the second
thing that happens as we get more information this is mostly because the bacteria to
colonize is our skin called P acnes the P acnes mixes with this evil man oil
and causes an inflammatory reaction which gives redness and swelling now acne confuses as I think because
there are so many treatments 1 review indicated a hundred and forty
different treatments in into engine 50 combos so kicker for the mall but we can ask
what the clinical research says is the most effective all these treatments and I think it follows our biology
lesson it’s developing a strategy to a reduce plugging Mb minimize
information we just have acne treatment is to start
with one therapy if it works great if if it only works
personally or not at all then you need to step up to the next level by changing
or adding a therapy okay let’s take a bit of a detour into a
topical 101 total cals are r medicine see you apply
your skin like a cream or gel or lotion jails had to be stronger and more drying
cream so if you have oily skin and a gel might be a good idea if you
have less oily skin the cream would be better and we all
react differently to different topic or so it’s a good idea to experiment with a
topical in one area before you apply everywhere mister with a lower strength and then
ramp it up if you need more effectiveness now let see look in the mirror and now
by the way is a good time to take a picture of yourself pre-treatment leader for comparison
let’s see you see mostly red and inflamed pimples then you need to do something about the
information which means you need to try to reduce the bacteria P acnes benzoyl peroxide or BP is first line
here and it’s available over the counter at any pharmacy it’s good to go graduate bps as he
didn’t seem to be much difference with the different strengths I tell people to
start with los drinks like 2.5 percent and and start putting on for
two hours for four nights in for four hours for four nights and then the whole
night and then wash it off in the morning if
you tolerate that well but you want more fact than you can try switching to a
stronger version remember you have to give it a few
months to see if it works alright back to the mir look in your
face if you see plugin on your skin which would be small bumps blackheads or
whiteheads then you need to focus on unplugging the classic can plug in agent
in acting cares called the retinoid retinoids work by making your skin less
Christina and you need a prescription to get this treatment sometimes you can make your skin a bit
red and dry so again experiment dryness can be helped with a moisturizer
so if you look in the mirror and see both red spots and black or white heads on your skin
they need to both unplugged and reduce information by
using a combination of both retinoid NPP but I suggest you start with one to see
how your skin reacts there’s some debate about which one
should be first but usually most people start with BP as its over
the counter okay if these first-line agents have
worked it’s time to look at the NEX options for step up therapy if your women you can consider using a
birth control pill as it reduces the hormones that cause plugging in the
first place this is an especially effective approach
if you can have flare-ups have acne around your period you can also consider a topical
antibiotic to reduce P acnes and information these can be prescribed to pre mixed
with BP or retinoid if you already know you tolerate these
next we often step up to antibiotics take by mouth now we do you worry a bit about over
using antibiotics so it’s good to take a break every few
months to see if you still need it if your step up their peers not worked
after all these treatments your doctor has other options that you can discuss
finally if you’ve exhausted all your options there is a very strong
right now I taken by mouth called isotretinoin it is the supreme employer and and it’s
incredibly effective for severe acne been a mixed message here though
isotretinoin has some potential side effects and and a powerful drying
effects are you really need to pack your lip balm and moisturizer and so on and including the fact it absolutely can
not be taken by women that is pregnant so you need to be monitored closely when
you’re on this medication having said that I have seen
isotretinoin change the lives of more severe acne sufferers in and if you think scarring is likely
then this may be a reason to consider it a try no in some sense acne treatment a simple
reduce plugging information but it’s all so complicated
as there are many many agents that do these two things treating acne is a bit like basketball
have to experiment with various players in combinations the score can fluctuate initially and it
takes a little while to figure out who will win but you can win if you stick with I made a card to help you sort out all
the different treatments it’s free at my favorite medicine DICOM I really hope this helps take care just


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