Skin Treatment in Delhi @ TheSkinCentre

As a Dermatologist in private practice for several years, it breaks my heart every time I see a young girl or boy with scars due to acne. The scars undermine their self confidence and self esteem and sometimes also reduce their performance in life (academics and work). I often see many teenagers and young adults with severe acne, very often under treated for fear of side effects of medications. What one forgets is that the side effects of not treating the pimples i.e. the scars are much more disastrous and have a lasting impact on the individual.

I prefer to treat acne early and aggressively as this gives one the best chance of a scar free face. Acne is not a simple problem, it can be quite a tricky issue and needs a detailed assessment of the individuals skin type, the kind of pimples, the lifestyle being followed and the skin care routine. Some people may also need to get some blood tests and ultrasound to rule out an underlying hormone imbalance.

Based upon all the above the management may include one or more of the following.

Cleanser: depending upon the extent of oiliness of the face and the other medication which is going to be given, we may recommend either a pH neutral cleanser or a salicylic acid based cleanser to be used 2 times a day. Cleansing should be done with either lukewarm water or cold water. Hot water should be avoided. Frequent cleansing of the face should also be avoided.

Medicated Creams: Depending upon the type of pimples, we may prescribe some medicated creams. Most people usually get a cream to be used overnight which unplugs the acne and helps it drain out freely on the skin surface. In addition, we may prescribe an antibiotic cream to be used during the day if one has red, angry looking pimples.

Tablets: Oral antibiotics may be used with benefit in some people. They need to be used over a long duration to be effective. They are usually a safe option with very few side effects. Some people may get prescribed hormonal supplements especially if they have a hormonal imbalance. Another very commonly used medication is a synthetic analogue of Vitamin A. This is a very effective medication but may have some side effects and hence needs to be used cautiously and under medical supervision. For the right candidate, this is the most effective medication to reduce the chances of scars.

Chemical peels: We usually combine them with other acne treatments like medicated creams or tablets to drain out the pimples early and minimize the chances of scarring.

LASER: We use the Intense Pulsed Light. This is very effective in killing the bacteria responsible for pimples. It is also very effective in people who have some redness after the acne has cleared.

These are the various skin treatment options. We usually combine these with lifestyle advise for optimal benefit. To summaries, Get your acne treated early and effectively to reduce the chances of scars and the pain associated with a scarred face.

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How Can High Blood Pressure Be Prevented?

You can take steps to prevent high blood pressure. These steps include:
• Keeping a healthy weight
• Being physically active
• Following a healthy eating plan, such as DASH, that emphasizes fruits,
vegetables, and low-fat dairy foods
• Choosing and preparing foods with less salt and sodium
• Quitting smoking
• Drinking alcohol in moderation if you drink

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High Blood Pressure Treatment

What is High Blood Pressure?

High blood pressure or hypertension means high pressure (tension) in the arteries. The arteries are the vessels that carry blood from the pumping heart to all of the tissues and organs of the body. Hypertension does not mean excessive emotional tension, although emotional tension and stress can temporarily increase the blood pressure.

High blood pressure is a blood pressure reading of 140/90 mmHg or higher. Both numbers are important.Nearly 1 in 3 American adult has high blood pressure. Once high blood pressure develops, it usually lasts a lifetime. The good news is that it can be treated and controlled.

High blood pressure is called the silent killer because it usually has no symptoms. Some people may not find out they have it until they have trouble with their heart, brain, or kidneys.

Sign and Symptom of High Blood Pressure

High blood pressure is called the silent killer because you can have it for years without knowing it. The only way to find out if you have high blood pressure is to have your blood pressure measured. Using a blood pressure cuff and stethoscope or electronic sensor, your doctor or nurse can take your blood pressure and tell you if it is high.

A diagnosis of high blood pressure is given if repeated readings are 140/90 mmHg or higher, or 130/80 mmHg or higher if you have diabetes or chronic kidney disease.

High Blood Pressure Treatment

High Blood pressure Treatment work in different ways to lower blood pressure. Often, two or more medicines work better than one. Some medicines lower blood pressure by removing extra fluid and salt from your body. Others affect blood pressure by slowing down the heartbeat or by relaxing and widening blood vessels.

High Blood Pressure Treatment Medicine

• Diuretics (di-u-RET-iks) are sometimes called water pills. They work by helping your kidneys flush excess water and salt from your body.
• Beta blockers help your heart beat slower and with less force. Your heart pumps less blood through the blood vessels, and your blood pressure goes down.
• Angiotensin converting enzyme (ACE) inhibitors keep your body from making a hormone called angiotensin II, which normally causes blood vessels to narrow.
• Calcium channel blockers (CCBs) keep calcium from entering the muscle cells of your heart and blood vessels.

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