Rosacea-Causes-Diagnosis-treatment-Best and top Homeopathic doctor in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur

Rosacea is a chronic skin inflammation mainly affecting the Centro facial region (cheeks, nose, chin, forehead) and in rear cases eyes. It’s a common, acne-like benign inflammatory skin disease of adults, with a worldwide distribution.

Rosacea is characterized by recurrent episodes of flushing or transient erythema, persistent erythema, phymatid’s changes, papules, pustules, and telangiectasia. Rosacea, although distinct from acne, does have some similarities. Unlike common acne, rosacea occurs most often in adults (30-50 years of age). Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically does not resolve after puberty. Rosacea strikes both sexes and potentially all ages. It tends to be more frequent in women but more severe in men. It is very uncommon in children and is less frequent in people with dark skin.

More than half of patients with rosacea have ocular features including dryness, foreign-body sensation, photophobia, conjunctivitis, blepharitis, and in rare cases, keratitis that may compromise eyesight.

Cause and risk factor

The exact cause of rosacea is still unknown. The basic process seems to involve the dilation of the small blood vessels of the face. Currently, health researchers believe that rosacea patients have a genetically mediated reduction in the ability to dampen facial inflammation that is incited by environmental factors such as:

  • Sunburn.
  • Demodicosis (Demodex folliculorum in the hair follicles).
  • Flushing.
  • Allopathic medications.

Rosacea tends to affect the “blush” areas of the face and is more common in people who flush easily. Additionally, a variety of triggers is known to cause rosacea to flare, including:

  • Emotional factors (stress, fear, anxiety, embarrassment, etc.) may trigger blushing and aggravate rosacea.
  • Changes in the weather, like strong winds or a difference in the humidity can cause a flare-up.
  • Sun exposure and sun-damaged skin are associated with rosacea.
  • Exercise, alcohol consumption, smoking, emotional upsets, and spicy food are other well-known triggers that may aggravate rosacea.
  • Many patients may also notice flares around the holidays.

Read also: Acne and Acne Scars 

SymptomsRosacea-Causes-Diagnosis-Treatment-Best and top Homeopathic doctor in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur

Typical signs and symptoms of rosacea include:

  • Facial flushing
  • Blushing
  • Skin redness (erythema)
  • Burning
  • Red bumps and pustules
  • Small cysts
  • Thickening of the facial tissue, especially the nose

The symptoms and signs of rosacea tend to come and go. The skin may be clear for weeks, months, or years and then erupt again. Rosacea tends to evolve in stages and typically causes inflammation of the skin of the face, particularly the forehead, cheeks, nose, and chin.

When rosacea first develops, it may appear, then disappear, and then reappear. However, the skin may fail to return to its normal color, and the enlarged blood vessels and pimples arrive in time. Rosacea rarely resolves spontaneously.

Rosacea generally lasts for years, and if untreated, it gradually tends to worsen.

How does rosacea affect the nose and the eyes?

The nose is typically one of the first facial areas affected by rosacea. It can become red and bumpy and develop noticeable dilated small blood vessels. Left untreated, advanced stages of rosacea can cause a disfiguring nose condition called rhinophyma (ryno-fy-ma), literally, growth of the nose, characterized by a bulbous, enlarged red nose and puffy cheeks (like the classic comedian W.C. Fields). There may also be thick bumps on the lower half of the nose and the nearby cheek areas. Rhinophyma occurs mainly in men. Severe rhinophyma can require surgical correction and repair.

Some people falsely attribute the prominent red nose to excessive alcohol intake, and this stigma can cause embarrassment to those with rosacea.Rosacea-Causes-Diagnosis-Treatment-Best and top Homeopathic doctor in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur

Rosacea may affect the eyes. Not everyone with rosacea has eye problems. A complication of advanced rosacea, known as ocular rosacea, affects the eyes. About half of all people with rosacea report feeling burning, dryness, and irritation of the tissue lining of the eyes (conjunctivitis). These individuals may also experience redness of the eyelids and light sensitivity. Often the eye symptoms may go completely unnoticed and not be a major concern for the individual. Many times, the physician or ophthalmologist may be the first one to notice the eye symptoms. Untreated, ocular rosacea may cause a serious complication that can damage the cornea permanently damaging vision, called rosacea keratitis. An ophthalmologist can assist in a proper eye evaluation and prescribe rosacea eye drops. Oral antibiotics may be useful to treat skin and eye rosacea.

Diagnose

Doctors usually diagnose rosacea based on the typical red or blushed facial skin appearance and symptoms of easy facial blushing and flushing. Rosacea is underdiagnosed, and most people with rosacea do not know they have the skin condition. Many people may not associate their intermittent flushing symptoms with a medical condition. The facial redness in rosacea may be transient and come and go very quickly.

Dermatologists are physicians who have special training in the diagnosis of rosacea. Generally, no specific tests are required for the diagnosis of rosacea.

In unusual cases, a skin biopsy may be required to help confirm the diagnosis of rosacea. Occasionally, a dermatologist may perform a noninvasive test called a skin scraping in the office to help exclude a skin mite infestation by Demodex, which can look just like rosacea (and maybe a triggering factor). A skin culture can help exclude other causes of facial skin bumps like staphylococcus infections or herpes infections. Blood tests are not generally required but may help exclude fewer common causes of facial blushing and flushing, including systemic lupus, other autoimmune conditions, carcinoids, and dermatomyositis.

While most cases of rosacea are straightforward, some atypical cases are not as easy to diagnose. Other skin diseases and rosacea look-alikes include:

Recently, there has been an association noted between rosacea and certain auto-inflammatory diseases, including diabetesinflammatory bowel disease, and cardiovascular disease.

Allopathic treatment for rosaceaRosacea-Causes-Diagnosis-Treatment-Best and top Homeopathic doctor in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur

In allopathic medicine, Rosacea is an incurable chronic condition. Some forms of rosacea may be significantly cleared for long periods using a laser, intense pulse light, photodynamic therapy, or isotretinoin (Accutane).

Although still not considered a “cure,” some patients experience long-lasting results and may have remissions (disease-free periods) for months to years.

In allopathy, there are many treatment choices for rosacea depending on the severity and extent of symptoms but none of them is a complete and permanent cure.

Available allopathic medical treatments include antibacterial washes, topical creams, antibiotic pills, lasers, pulsed-light therapies, photodynamic therapy, and isotretinoin.

  • Mild rosacea may not necessarily require treatment if the individual is not bothered by the condition.
  • More resistant situations may require a combination approach, using several of the treatments at the same time.

A combination approach may include a prescription sulfa facial wash twice a day, applying an antibacterial cream morning and night, and taking an oral antibiotic for flares. A series of in-office lasers, intense pulsed light, or photodynamic therapies may also be used in combination with the home regimen. It is advisable to seek a physician’s care for the proper evaluation and treatment of rosacea.

Topical medications

With the proper treatment, patients can control rosacea symptoms and signs. Popular methods of treatment include topical (skin) medications applied by the patient once or twice a day. Topical antibiotic medication such as metronidazole applied one to two times a day after cleansing may significantly improve rosacea. Azelaic acid is another effective treatment for patients with rosacea. Both metronidazole and azelaic acid work to just control the redness and bumps in rosacea.

Some patients elect combination therapies and notice an improvement by alternating metronidazole and azelaic acid: using one in the morning and one at night. Sodium sulfacetamide helps reduce inflammation. Other topical antibiotic creams include erythromycin and clindamycin. Topical ivermectin cream is also available.

Recently, a new topical prescription gel has become available designed to relieve the redness so characteristic of rosacea. Brimonidine gel and oxymetazoline hydrochloride cream (RHOFADE) applied once a day can produce a prolonged period of blanching of previously red skin in rosacea patients.

Oral antibiotics

Physicians commonly prescribe oral antibiotics to patients with moderate rosacea. Tetracycline, doxycycline, and minocycline are oral antibiotics commonly prescribed are presumed to work by reducing inflammation. A newer low-dose doxycycline preparation called Oracea (40 mg once a day) treats rosacea. The dose may be initially high and then tapered to maintenance levels. Patients should consider common side effects and potential risks before taking oral antibiotics.

Miscellaneous medications

In occasional cases, patients may use short-term topical cortisone (steroid) preparations of minimal strength to reduce local inflammation. Some mild steroids include desonide lotion or hydrocortisone 1% cream applied sparingly once or twice a day just to the irritated areas. There is a risk of causing a rosacea flare by using topical steroids. Prolonged use of topical steroids on the face can also cause irritated skin around the mouth (perioral dermatitis).

Some doctors may also suggest tretinoin, tazarotene, or adapalene, which are medications also used for acne. Rarely, do physicians prescribe permethrin cream for rosacea cases that are associated with skin mites. Permethrin also treats follicular Demodex mites if warranted.

Isotretinoin (Accutane)

Doctors infrequently prescribe isotretinoin for severe and resistant rosacea. Often physicians prescribe it after multiple other therapies have been tried for some time and have failed. Patients take a daily capsule of isotretinoin for four to six months. Typically, isotretinoin is most commonly used in the treatment of severe, common acne called acne vulgaris. Close physician monitoring and blood testing are necessary while on isotretinoin. Generally, at least two forms of birth control are required for females using this medication, as pregnancy is contraindicated while on isotretinoin.

Cleansers

In addition, prescription or over the counter (OTC) sensitive skin cleansers may also provide symptom relief and control. Avoid harsh soaps and lotions. Simple and pure products such as Cetaphil or Purpose gentle skin cleanser may be less irritating. Patients should avoid excessive rubbing or scrubbing the face.

Other recommended cleansers include:

  • sulfa-based washes
  • benzoyl peroxide washes.

Photodynamic therapyRosacea-Causes-Diagnosis-Treatment-Best and top Homeopathic doctor in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur

Photodynamic therapy (PDT) uses a topical photosensitizer liquid that one applies to the skin and a light to activate the sensitizer. Laevulin (aminolaevulinic acid) and blue light, commonly used to treat pre – cancers (actinic keratosis) and acne vulgaris, can treat some rosacea patients. The use of PDT in rosacea is off label since it is primarily designed for regular acne. PDT works at reducing inflammation; PDT is performed in a physician’s office. The treatment takes anywhere from one to one and a half hours to complete. Strict sun avoidance for approximately one to three days is required after the treatment. Mild discomfort during the treatment and a mild to moderate sunburn appearance after the treatment are common. Some patients have experienced remissions (disease-free periods) of several months to years from these types of treatments. Other patients may not notice significant improvement.

Glycolic peelsRosacea-Causes-Diagnosis-Treatment-Best and top Homeopathic doctor in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur

Glycolic-acid peels may additionally help improve and control rosacea in some people. Professionals can apply chemical peels to patients for approximately two to five minutes every two to four weeks. Mild stinging, itching, or burning may occur and some patients experience peeling for several days after the peel. Any peel can irritate very sensitive skin and cause flares for some people. Peels should be used with caution in rosacea as not everyone can tolerate these treatments.

Diet to avoid if you have rosacea

While not all rosacea patients are the same, there are some common rosacea triggers. Avoiding potential triggers may also help relieve symptoms and disease flares.

Smoking, spicy foods, hot drinks, sugar, bakery products, yeast, potato. eggplant, junk food, tobacco, broiler chicken, chocolate and alcohol may cause flushing and should be avoided.

Avoid allopathic medication especially cortisone or steroid medications on the face because they can promote the widening of the tiny blood vessels of the face (telangiectasis). Some patients experience severe rosacea flares after prolonged use of topical steroids.

Vasodilator pills can also flare rosacea. Vasodilators include certain allopathic blood pressure medications like nitrates, calcium channel blockers (such as nifedipine), and thiazide diuretics.

Homeopathic Treatment for Rosacea

In my experience combination therapy is best option in homeopathy practice among dermatologists and widely recommended. Homeopathy is big field, there are too many best medicines for rosacea curing not only the symptoms but cause of the disease too. Rosacea-Causes-Diagnosis-Treatment-Best and top Homeopathic doctor in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur

My (Dr. Qaisar Ahmed) experienced Homeopathic medicines for Treatment of Rosacea are:

China Officinalis (Hydroxychloroquine):

Sallow complexion. Face inflamed; red. Extreme sensitiveness to touch, but hard pressure relieves. Coldness; much sweat. Anasarca (Ars; Apis). Dermatitis; erysipelas. Indurated glands; scrofulous ulcers and caries. Blue color (skin) around eyes. Hollow eyes. Yellowish sclerotic. Black specks, bright dazzling illusions; night blindness. Spots before eyes. Photophobia. Distortion of eyeballs. Intermittent ciliary neuralgia. Pressure in eyes. Amaurosis; scalding lachrymation.

Agaricus muscarius :

Tearing in the face, twitching in the cheek. On waking, pain so violent, Itching, redness, and burning in the cheeks (like chilblains). Palpitations and pulsations in the cheeks. Bluish lips, Burning fissures in the upper lip. Herpetic eruption, principally on upper lip.

Spasmodic drawing in the chin and in the lower jaw. Needle-like pricking in chin; chin covered with minute blisters. Itching and titillation, which force the sufferer to scratch himself. Miliary eruption, whitish and close-grained with excessive itching.

Psorinum :

Congestion to head, cheeks and nose red and hot. Crusta lactea : Coppery eruption on face, Roughness of facial skin; eruption on forehead between eyes.

Swelling of upper lip. Dryness of lips; and brown and black color. Burning of lips; painful and seem swollen.

Pimple on upper lip. Vesicles around corner of mouth, and outwardly above them larger sore spots, exuding a fluid which seemed to originate from scratching the vesicles, and cause continual scratching, often ulcerated; sycotic condyloma, yellow vesicles on red edge of lower lip sore on touch. Clear vesicles on inner surface of lower lip.

Eyes: gummy; surrounded by blue rings; glassy, with pain in them; agglutination in morning. Swelling of lids and of face. Inflammation of r. eye, Pain as if it would burst.

Ophthalmia, with pain as from sand or foreign body in eyes, with nocturnal lachrymation. Biting in eyes.

Pimples: like hordeola on upper lid; red, like fresh hordeola on margin of upper lids, and sensation as if something were moving before the eyes, as if one were playing with his fingers before them.

Itching of r. lid from one side to other; of canthi; inner canthi, with heat. Vision of sparks. All objects in room appear to tremble. Dazzling in evening when walking in street vision blurred suddenly.

Carbo vegetabilis :

Swelling of the face of cheeks. Titters in the face. Furunculi before the ear, and under the jaw. Red pimples on the face (in young persons).

Swelling of the lips. Lips cracked. Purulent blisters on the lips. Fissures of the ulcerated lips.

Eruptions, like titters, on the chin, and on the commissures of the lips. Twitching of the upper lip. Burning sensation in different parts of the skin.

Eruption of small pimples like miliary scabies. Nettle rash, discharge of corrosive and bloody pus. Varices Plexus of the veins, formed by a dilatation of the capillary vessels, with violent hemorrhage, after the slightest injury.

Lymphatic swellings, with suppuration and burning pains.

Arsenicum Album :

Hard and elastic swelling of the face, chiefly above the eyelids, and especially in the morning, with fainting fits and vertigo.

Papule, pimples, scurfy ulcers Rosacea and mealy titters in the face. Blackish tint round the mouth. Lips bluish or black, dry and chapped.

Brownish band in the red part of the lips. Skin rough and titter round the mouth. Eruption on the mouth and on the lips, near the red part.

Cancer of the face and lips with burning pain.- Hard knots and cancerous ulcers, having thick scurf with lard like bottoms on the lips.

Lips excoriated, with a sensation of tingling, swelling and bleeding of the lips.

Swelling of the submaxillary glands, with concussive pain, and soreness on being touched.

Sulphur :Rosacea-Causes-Diagnosis-Treatment-Best and top Homeopathic doctor in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-Risalpur

Its action is centrifugal – from within outward; having an elective affinity for the skin.

Dry, scaly, unhealthy; every little injury suppurates. Freckles. Itching, burning; worse scratching and washing. Pimply eruption, pustules, rhagades, hangnails. Excoriation, especially in folds (Lyc).

Feeling of a band around bones. Skin affections after local medication. Pruritus, especially from warmth, is evening, often recurs in spring-time, in damp weather.

Burning ulceration of margin of lids. Halo around lamp light. Heat and burning in eyes (Ars; Bell). Black motes before eyes. First stage of ulceration of cornea. Chronic ophthalmia, with much burning and itching. Parenchymatous keratitis. Cornea like ground glass.

ALUMINA :

Feels as if albuminoid substance had dried on it. Blood-boils and pimples. Twitching of lower jaw. Rush of blood to face after eating.

Eyes – Objects look yellow. Eyes feel cold. Lids dry, burn, smart, thickened, aggravated in morning, chronic conjunctivitis. Ptosis. Strabismus.

P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).

For proper consultation and treatment, please visit our clinic.

None of above-mentioned medicine(s) is/are the full/complete treatment, but just hints for treatment; every patient has his/her own constitutional medicine.

To order medicine by courier, please send your details at WhatsApp– +923119884588

Rosacea-Causes-Diagnosis-treatment-Best and top Homeopathic doctor in Pakistan-Dr Qaisar Ahmed-Al Haytham clinic-RisalpurDr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.

  Senior research officer at Dnepropetrovsk state medical academy Ukraine.

Location:  Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.

Find more about Dr Sayed Qaisar Ahmed at:

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