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What To Do If You Have Perioral Dermatitis


I had skin problems for a few years before I realized it had a name. I would have a terrible lump around my mouth, under my nose and in the outer corner of my eye. I'll put hydrocortisone on irritation and it'll go away for a while, then reappear a day or two later. Eventually it got to the point where I used hydrocortisone cream almost daily.

It wasn't until I started reading a book by a dermatologist named Dr. Jessica Wu called FEED YOUR FACE until I realized it had a name for perioral dermatitis. In the book, he describes this situation and it matches my symptoms exactly.

To my surprise, one of the causes of perioral dermatitis was something that seemed to combat: hydrocortisone cream! Ugh. I did some research and found that using hydrocortisone cream on face is not recommended for some reason. One - it glows skin. Alternatively, it can cause perioral dermatitis, which is a chronic condition. "Unfortunately, if you continue to use hydrocortisone cream, it will be a terrible cycle and the rash will reappear, again and again and again and again.

This is a sad thing to learn, because hydrocortisone cream seems to be the only thing I find that will help soothe my skin so that I look normal.

Even more scary in my opinion is that according to Dr. Another cause of perioral dermatitis is DEMODEX MITE. Apparently, these pests live on our skin be healthy skin, but with perioral dermatitis it is worse. According to PubMed a study found that mollusks occur in larger amounts of skin that have been exposed to topical steroids (hydrocortisone). Eek! If thin skin and rash aren't enough to get me out, the idea of ​​skin mites is certain. I haven't put hydrocortisone cream on my face since, and I don't plan to. Never.

A few years ago, a good doctor, an intern, suggested I use hydrocortisone on my acne. However, this doctor is not a dermatologist, so he does not realize that hydrocortisone is thinning the skin, and can cause skin pests. In the doctor's defense, though, my dermatologist suggested hydrocortisone, in rare cases, in the face. There is a laser procedure that removes red spots on the skin and when I had this procedure, my dermatologist gave me a small sample of hydrocortisone to soothe the redness. He didn't tell me to use it on acne, and he never recommended using it for a long time, nor did he warn me about the potential risks of further use.

I am do it use it for a long time, because the intern has recommended it and I mistakenly assume it's safe.

When I stopped using hydrocortisone, the situation became very unbearable and unbearable. I look so bad I don't want anyone to see me.

I went to my dermatologist and told her what I learned in Dr Wu's book. She looked at my face and said that I did have perioral dermatitis and that it was a chronic condition. He told me that the drugs he chose would work, but they would not "cure" the condition; it is likely to light up periodically. Great.

He prescribed Minocyline, oral antibiotics, and Protopic as topical antibiotics. Protopic is very expensive. My insurance does not cover and costs more than $ 100 per tube.

I met both prescriptions, but was concerned about the side effects and decided not to use them immediately. Instead, I kept it as a last resort and did some internet searching for some "natural" alternatives. I prefer not to take antibiotics unless necessary, because they kill good bacteria that keep candida (yeast) in check. If you've ever had yeast infections you definitely don't want to.

Therefore, I tried all the things suggested in articles and forums dedicated to perioral dermatitis. Some suggestions are: stop using toothpaste with Florida, stop using anything with Sodium Laurel Sulphate, stop consuming sugar and other high glycemic foods, and take omega 3s.

So, I brush my teeth with baking soda. I wash my hair with vinegar and baking soda, as most shampoos have SLS and I use "natural" soaps. I was on a low glycemic diet, but I stopped allowing myself a little honey or coconut sugar.

I also tried some of the non-toxic topical drugs I read, including aloe vera gel directly from the plant, and apple vinegar used for rash. I also drink some vinegar in the water several times a day, which is also recommended.

The result is just that. ACV applied directly to the rash is helpful, but not reliable. Sometimes the rash will react well and disappear after using it, and sometimes it won't.

After three weeks of anti-dermatologist medications, I finally went ahead and tried Minocycline and Protopic. I eat lots of regular yogurt to avoid yeast infections. Minocycline hits the rash for a few days and my skin looks great.

Protopic also seems to work, but doesn't like it at all. It's greasy and I find it messy. Also, it creates a burning sensation on my skin. No actual burning. It is just an uncomfortable sensation that occurs after using the product. This burning will continue after the mediation is removed, and will be exacerbated by sunlight.

So the bad news is that I need antibiotics internally. The good news is that in two years I won't have to repeat the antibiotics. This condition improved, however, not as bad as when I stopped using hydrocortisone to treat it.

I find that when I start to get a few bumps from perioral dermatitis I can fight if I take ALOE VERA JUICE, which kills bad bacteria in the digestive system. I recommend pure aloe vera juice, a type of sugar-free supplement. You don't need much, about 4 oz added to a glass of water (6 to 8 ounces) daily seems to keep it in check for me. The juice doesn't taste very good, I'm sorry to say, but the decision is good. If you have acne and perioral dermatitis you may find that this juice helps with acne as well. You can buy aloe vera juice in a jug at Trader Joe's. They also sell the jars at Wallmart, in the pharmacy.

Another thing that seems to help keep the condition under check is the small amount of 5% benzoyl peroxide used for the rash. In the past, I have avoided benzoyl peroxide and acne tea tree oils, but I have not found tea tree oil to be effective in perioral dermatitis. Dr. Wu warned that acne medication worsens perioral dermatitis, but this is not my experience with benzoyl peroxide. These are topical antibiotics and dermatologists will prescribe some types of topical antibiotics for this condition, but they are likely to be stronger and more expensive than benzoyl peroxide. If you read this before visiting your doctor, you may want to try aloe juice and some benzoyl peroxide to see if it helps you first. For me, the smallest amount, benzoyl peroxide that spreads thinly in rash works really well. And if I drank a little aloe juice every day, I seemed to avoid the flare at once.

I should also mention that I can use toothpaste, shampoo and regular soap, no problem. I am not sure that florida or SLS is the cause of perioral dermatitis. They may, but it's not known exactly what caused the situation. It is is, However, it is known that hydrocortisone makes it worse.

If you have this situation, I hope my suggestions help. I know how miserable it is to have a rash on your face that doesn't seem to get any better. Although I'm not a supporter of medicine, especially antibiotics, after all this, I recommend that if your flare is out of control, and your doctor prescribes it, take it and tighten it. Then keep your skin clear as I suggest. Hopefully, you don't have to take antibiotics anymore.


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