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Cystic acne and effective treatment options
Skin and Hair Disorders
Question #8464
24 days ago
75,431

Cystic acne and effective treatment options - #8464

Anonymously

I have been struggling with cystic acne for the past few years, and no matter what I try, it keeps coming back. The breakouts are painful, deeply rooted under my skin, and leave scars that take months to fade. I’ve used over-the-counter creams, changed my diet, and even tried prescription antibiotics, but my cystic acne still flares up, especially around my jawline and cheeks. What causes cystic acne, and why is it so much harder to treat than regular acne? Are hormones the main factor, or can lifestyle and diet also play a role? I’ve read about treatments like isotretinoin, but I am worried about potential side effects—how safe is it, and when is it recommended? Also, does birth control help with cystic acne, or is it only effective for certain cases? Are there any long-term strategies to prevent cystic acne, like specific skincare ingredients or professional treatments such as laser therapy or chemical peels? I am tired of dealing with painful breakouts and scars, and I want to know the most effective approach for managing and preventing them.

Cystic acne
Severe acne treatment
Acne scars
Hormonal acne
Acne medications
Isotretinoin
Acne prevention
500 INR (~5.88 USD)
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Doctors’ responses

Dr. Bhavya Talukdar
I focus on treating common illnesses, general wellness consultations, and telemedicine services. Skills: - Strong diagnostic skills for viral infections, flu, and minor ailments. - Proficient in prescribing appropriate treatment for common diseases. - Experienced in preventive healthcare and general check-ups. - Provides telemedicine consultations for quick and convenient medical advice.
23 days ago
4.9
I understand how frustrating and painful frequent muscle cramps can be especially when they disrupt sleep or exercise routines. Muscle cramps often happen due to dehydration electrolyte imbalances or muscle fatigue. The most important minerals for muscle function are potassium magnesium calcium and sodium as they help regulate muscle contractions. Deficiencies in these can lead to frequent cramping. Stretching before and after exercise is essential but focusing on dynamic warm-ups before activity and gentle static stretching afterward can be more effective. If cramps persist poor circulation or nerve-related issues could be contributing factors. In some cases underlying conditions like nerve disorders or metabolic imbalances can make cramps more frequent or severe. To prevent cramps ensure you stay hydrated consume electrolyte-rich foods like bananas nuts and leafy greens and incorporate gentle stretching before bed if cramps occur at night. If they become persistent or worsen consulting a doctor for blood tests to check electrolyte levels or nerve function may help identify an underlying cause. Most muscle cramps improve with proper hydration balanced nutrition and a good stretching routine. If needed your doctor may suggest supplements or medications for chronic cases. Let me know if you need further clarification.
Accepted response

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Dr. Evgeny Arsentev
I am a highly qualified medical professional with over 15 years of experience in General Medicine. My expertise spans diagnosing and treating a wide range of conditions, providing evidence-based care, and mentoring junior doctors. I am dedicated to ensuring patient well-being through a combination of clinical skills and compassionate care.
23 days ago
Cystic acne is a severe form of acne characterized by painful, inflamed blemishes deep within the skin. It is often more challenging to treat than regular acne due to its multifactorial causes which can include hormonal fluctuations, increased oil production, bacterial involvement, and skin cell turnover abnormalities. It’s common for hormonal factors, especially in women, to play a significant role, particularly related to the menstrual cycle, polycystic ovary syndrome (PCOS), or other endocrine disorders. However, lifestyle factors such as diet, stress, and exposure to irritants can also contribute. For treatment options, isotretinoin can be effective for severe cystic acne and is often considered when other treatments have failed. It works by reducing oil production, decreasing inflammation, and promoting skin cell turnover. While it can have side effects (such as dry skin, photosensitivity, and potential liver impact), it is generally well-studied and monitored carefully. Regular follow-up appointments with a healthcare provider are essential to manage any side effects. Isotretinoin is typically recommended for individuals with persistent cystic acne that has not responded to other therapies. Regarding birth control, hormonal contraceptives can help regulate menstrual cycles and reduce androgen levels, which may be beneficial for some women experiencing cystic acne. They tend to be most effective for those whose breakouts are closely linked to hormonal changes. A healthcare provider can help determine if this is a suitable option for you. For long-term management and prevention strategies, consider the following: 1. Skincare Ingredients: Look for products containing salicylic acid, benzoyl peroxide, retinoids, and niacinamide. These ingredients help with exfoliation, oil control, and inflammation reduction. 2. Professional Treatments: Dermatological options such as chemical peels and laser therapy may help in reducing scarring and preventing future breakouts. Consult a dermatologist to discuss which treatments could be appropriate for your specific skin condition. 3. Lifestyle Modifications: Focus on maintaining a balanced diet low in processed sugars and dairy, which have been associated with acne flare-ups in some individuals. Keeping stress levels in check through mindfulness or relaxation techniques may also support skin health. 4. Regular Follow-ups: Establish a routine with a dermatologist to monitor your skin condition and adjust treatment as necessary. A professional can help tailor an effective skincare regimen specifically for your needs. It’s crucial to work closely with a healthcare professional to devise a personalized treatment plan. They can help assess your specific situation, guide you through potential side effects of treatments, and ensure any approach taken aligns with your overall health and lifestyle.

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