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Conditions: Acne

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Overview:
Acne is an inflammation of the skin that can have a devastating effect on a person's self-esteem. Left untreated severe forms of Acne can cause scarring and pitting. However, there are many treatment options that can make this condition little more than a nuisance.

Signs and Symptoms:
Acne is characterized by blemishes, such as: pimples, black heads, and white heads. These blemishes occur when sebum (an oily skin lubricant) is produced faster than it can move through the pores. The excess oil then traps bacteria.

Blackheads form when sebum, combined with pigments, plugs the pores.

Whiteheads appear when scales under the skin fill with sebum. In severe cases, whiteheads build up, spreading under the skin, and rupture. This rupture then spreads the inflammation even further.

Diagnosis:
Diagnosis is typically made by a visual inspection of the inflamed skin tissue and by general health questions.

Treatment Options:
Doctors typically treat acne with a combination of any of the following: topical ointments, drug therapies, nutritional supplements, dietary changes, lifestyle changes, herbal and homeopathic treatments.

Traditional Treatments:
Mild forms of acne can be treated with the following topical medical products:

Benzoyl peroxide ­ available in lotion, cream and gel forms. The gel form is considered the most effective but also the most irritating. Benzoyl peroxide can cause redness and scaling. If this occurs try applying it only every other day.

Tretinoin (Retin-A, or topical retinoic acid) ­ a naturally occurring derivative of vitamin A that thins the outer layer of the skin and opens up clogged pores. It is available in gel, cream and liquid forms. You should avoid prolonged exposure to the sun with this product as it makes it easier to sunburn.

Topical preparations of the antibiotics erythromycin, clindamycin, and tetracycline ­ available by prescription only. As with any antibiotic, allergic reactions are possible.

In more severe cases dermatologists prescribe oral antibiotics such as tetracycline, minocycline, doxycycline, and erythromycin. These work to decrease the amount of bacteria on the skin. Often improvement can be seen in one to three months with this form of treatment.

An extremely effective drug therapy is Isotretinoin. This synthetic compound resembles vitamin A but has severe side effects. Some of these side effects are arthritis, elevation of blood fats, liver toxicity, nosebleeds, cracking at the corners of the mouth and extreme dryness of the eyes. Isotretinoin should not be used if there is any possibility of pregnancy, as it is known to cause a very high percentage of birth defects.

Another therapy that's often recommended for extremely severe cases of acne is steroid injections that are introduced directly into a cystic acne lesion. This treatment does help reduce scarring and pitting. The injections are painful, however, and have potentially severe side effects.

Complementary and Alternative Therapies:

Eating a nutritious and well-balanced diet is very important to the general health of the skin. A good anti-Acne diet includes plenty of raw and lightly cooked vegetables, with an emphasis on fresh green vegetables. It is also generally recommended that you limit your intake of animal fats, hydrogenated oils, and iodine. Other foods to avoid are foods that contain additives or preservatives, alcohol, sodas, chocolate, and fried foods. If you find that a certain food seems to increase breakouts, try removing it from your diet for a month or two.

Nutritional Supplementation:The following nutritional supplements have been shown to be very effective in the treatment of acne: (Follow the directions on the labels except where noted here.)

Acidophilus and bifidobacteria ­ replenishes essential "friendly" bacteria in the intestines, thus helping to keep the body clean and reducing outbreaks. Probiotics are particularly important if you are taking antibiotics, as these drugs destroy both good and bad bacteria.

Chromium picolinate ­ aids in reducing infections of the skin.

Colloidal silver ­ Works best when taken orally and applied to the affected area with cotton. Acts as a natural antibiotic.

Essential fatty acids (flaxseed oil and primrose oil are good sources).

Potassium ­ 99 mg daily will protect against deficiency, which has been associated with acne.

Beta-carotene ­ used by the body to manufacture vitamin A (which helps to heal the skin). While vitamin A can be toxic in large doses, beta-carotene is considered extremely safe. Take 25,000 IU of beta-carotene and 5,000 IU of vitamin A, twice daily, five days a week, for one month. If you are pregnant, or intend to get pregnant, or have liver disease, consult your doctor before taking vitamin A supplements. Pregnant women should not ingest a total of more than 25,000 IU of supplemental vitamin A per week from all sources.

Calcium and magnesium can help calm nerves and reduce cravings for sweets. (Both of which should be avoided)

Vitamin B complex ­ 100 mg of each major B vitamin 3 times daily, plus an extra 100 mg of vitamin B3 (niacinamide). Do not exceed this amount. Vitamin B complex is important for healthy skin tone and stress reduction. The extra B3 improves blood flow to the surface of the skin. Warning: Do not substitute niacin for niacinamide. Do not take additional niacinamide if you have a liver disorder, gout or high blood pressure.

Vitamin C with bioflavonoids ­ 1,000 ­ 1,600 mg 3 times daily will support immune function and reduce inflammation. After healing, reduce to 500 mg of each, once daily. This supplement is really essential for callagen repair of the skin.

Vitamin D3 ­ 400 IU daily of this antioxidant enhances healing and tissue repair. Use d-alpha-tocopherol form.

Zinc ­ 30-80 mg daily (Do not exceed a total of 100 mg daily from all supplements). Aids in the healing of tissue, helps to prevent scarring and is a necessary element in the oil-producing glands of the skin. Take with meals to avoid stomach upset. If you take over 30 mg of zinc daily for more than a month, you should also take 1 to 2 mg of copper each day to maintain a proper mineral balance.

Garlic (Kyolic or comparable product) ­ 2 capsules 3 times daily, with meals will destroy bacteria and enhance immune function.

Alternative Therapies:
A good place to begin an acne program is with an herbal cleansing of the blood which includes burdock root, dandelion leaves, milk thistle and red clover. Burdock root and dandelion leaves also contain inulin, which can improve the quality of the skin by removing bacteria.
An herbal combination of gotu kola, yellow dock, dandelion root, bilberry, red clover blossoms, kelp and sarsaparilla is being used in Europe to treat skin conditions and may be a big help in the treatment of acne.

A poultice using chaparral, dandelion, and yellow dock root can be applied directly to the areas of skin with acne.

Refresh oily skin with sliced cucumber by placing cucumber slices on your skin for five to ten minutes daily.

Chaste tree berry (Vitex agnus-castus) extract can aid in preventing premenstrual acne breakouts. (See label for instructions)

A steam sauna for the face of lavender, strawberry leaves and red clover will stimulate new cell growth and help kill germs. Place herbs in steaming water and sit with your face at a comfortable distance over the steam for fifteen minutes. (Use a towel to trap the steam if you wish) After fifteen minutes splash your face with cold water. Warning: If acne is extensive or badly inflamed, do not use steam treatments, as this may worsen the condition. Do not use steam treatments if you have Rosacea.

Lavender essential oil is a good antibiotic and antiseptic that can be applied directly to the individual acne blemishes.

Tea tree oil, applied at full-strength (sparingly), is a natural antibiotic and antiseptic. Tea tree oil soap also has beneficial effects but is not as harsh. For use on acne only.

A Bach flower remedy (developed by Dr. Edward Bach and available in many health-food stores) of Crabapple can be taken internally and/or applied directly to the skin twice daily to clear acne. Since Bach flower remedies work on the emotional as well as the physical level, an individual that feels "dirty" or feels a desire to "get rid of something bad" in his or her body will often improve with this form of remedy.
Use a mixture of organic apple cider vinegar and quality water to balance the skin's pH.

Hydrotherapy can work wonders. Try gently rubbing the arms, legs and trunk of the body with cold water and a natural sponge to promote healing through enhanced stimulation.

The homeopathic remedy, Rhus toxicodendron, is helpful for skin that is swollen and puffy, with itchy, painful red spots. Take one does of Rhus toxicodendron three times a day for up to three days.

There are many homeopathic combination skin remedies that may be helpful for acute symptoms. Take as directed on the product label.
Calming aromatherapy oils such as chamomile and lavender can help reduce stress, which often exacerbates acne.

General Recommendations:

  • Drink at least eight glasses of water a day.
  • Do not pick at or squeeze blemishes.
  • Avoid wearing makeup if you suffer from acne. Especially, do not use oil-based formulas or products that contain harsh chemicals, dyes, or oils. Shampoo hair frequently to prevent excess oil production.
  • Avoid medications that contain bromides and sulfides.
  • Clay masks are very beneficial for combating oily skin.
  • Regular exercise help skin cells to stay healthy.
  • Keep your skin clean but do not scrub too-vigorously or you will irritate the area and contribute to the spread of the acne.

Warnings:

  • If left untreated, severe forms of acne can lead to scarring and pitting.
  • If using Tretinoin (Retin-A, or topical retinoic acid), avoid the sun, as this product intensifies the effects of the sun and tends to promote burning.
  • Isotretinoin should not be used if there is any possibility of pregnancy, as it is known to cause a very high percentage of birth defects.
  • Pregnant women should not ingest a total of more than 25,000 IU of supplemental vitamin A per week from all sources.
  • If acne is extensive or badly inflamed, do not use steam treatments, as this may worsen the condition. Do not use steam treatments if you also have Rosacea.
Acne

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Keywords: Rosacia, zits, pimple, puberty, abscess, sebaceous glands, comedo, comedones, pustules, corticosteroids, sebaceous cyst, puss
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