From olden days people
give much importance to complexion and personality. The skin problems of the
face are the first offender of a teenager’s personality causing physical and
psychological stress. Teenage people feel pimples as a sign of adolescence and
feel happy initially, but later get worried with its suffering. To get rid of
it, teenagers often do mask their face with cream, lotions and makeup’s
obstructing the breath of the facial skin. Hence adolescent age person often
faces the facial complaint of pimples. It
also produces an inferiority complex to the person when he/she has marks over
the face and makes them feel it as an effect of sin and a clear, smooth, fair
and beautiful skin as a blessing.
Acne is a term commonly
used for numerous pimples and complexion
problems. Acne is only a skin problem and
does not affect general health unless otherwise get complicated. Pimples are the
mild form of Acne which is a sebaceous gland disorder, mostly occurring in
teenage people due to hormonal changes. It may occur in children and adult
rarely. The pimples usually subside after the age of 23. It is a superficial
infection of the skin forming blisters (papules) which may vary in size, shape,
colour, course and effects. Pimples usually occur on the face involving the
neck, chest, back and upper arms sometimes. It
is usually caused by the blockage of skin pores or
obliterated inflamed duct of sebaceous glands in the skin. So pimples are a
combination of dead skin cells, sebum and bacteria. It
later involves sebaceous glands and hair roots or follicles.
Stages of Acne
Acne
progresses as inflammatory red spots (papule), blackheads (comedones) or
whiteheads, and if it gets deeper, produces boil-like lesions called nodules or
cysts. Bacteria are the common culprit to all forms of pimples. Skin produces
excess sebum (for lubrication) during hormonal changes or bacterial infection, which
may be felt as oily material in the face. This excess sebum attracts dust and
forms plug which closes the pores of the skin. After this lesion heals, scars
will form as permanent marks of the pimples occurrence in the skin.
The preliminary
stage of a pimple is the Comedone- Blackheads which are open and dark in colour. These are caused by blockage of
pores and get their dark colour through skin debris containing excessive melanin
pigment
Whiteheads are dangerous form of pimple
and contains pus. If we neglect this condition, the inflammation goes into the
sebaceous gland and hair follicles, forming cystic mass which may be very
painful. These cysts may rupture and become scar.
Types of Acne-
There are several forms of Acne
Acne-Vulgaris (Acne-Simplex-
pimples)– most common in adults with papule, comdones, nodules, and pustules.
Acne Indurata – deep
seated infection which occurs mostly in back.
Acne-Fulminans –
highly inflammatory pustule usually accompanied with fever
Acne-Cosmetica –
low grade acne in teenagers who continously uses cosmetics
Acne-Rosacea- an extensive
form occurs in hot climate especially in the nose. It mostly occurs in old people
with hypertrophied tissue
Acne-Varioliformis-
deep seated reddish leision which leaves a depressed or puckered skin like
variola
Acne-Artificialis-which
occurs due to intake of salts of iodide or bromide or drugs which contain these
substances or contact with tar or petroleum products.
Symptoms of
Pimples- Initially it appears as red eruptive blisters or like rashes
in face, neck, chest and back, but mainly in cheek, chin, temples and forehead,
which turns to black or white heads. During this period, slight burning, soreness or pricking pain and redness may
be present. It will approximately take 5-8 days to heal, if resolves early. But if it goes deeper, it will
take nearly 15- 20 days to resolve. Later
if infection spreads, it becomes a painful pustule and involves near by glands also forming coalescence of
many papules or pustules leading finally to a scar. Usually
it gets more with rubbing, stretching, pressing, pinching, and scratching. In
most infective form, fever may also occur.
Causes of Pimples - Science
is not so much developed to pin point the exact cause and to rule out the same.
But it is noticed in various circumstances why pimples erupt favourably. They
are as follows
A) Hormonal changes- occurring during puberty, menstrual
periods, pregnancy, and while start using and stop using birth control pills will
mostly aggravate the pimples. The male sex hormone testosterone (also found in
women) triggers the sebaceous glands to produce excess sebum, making the skin
greasy which in turn causes pimples.
- Period of
Puberty- Is Pimple a sign of puberty? It occurs in both sexes due to
excess sebum production, but predominately occurs in females.
- Premenstrual
symptom- Is Pimple an indicator of periods? Mostly in women, pimples are more
frequently worsened at the time of menstruation.
B) Bacteria - The most
common Bacteria’s which causes pimples are Propionibacterium acne, Corynebacterium acne, Staphylococcus
albus & Pityrosporon ovale
C) Foods and intakes - Oily, fatty, pastry,
spicy and fast foods, chocolates, nuts, and milk produces more sebum, leading to
more pimples.
Bromine and iodine salts intake or
medicines containing these substance, which are mainly used for cold, sedative,
and analgesic will also cause pimples.
D) Environment - Increased
exposure to ultraviolet rays (sun exposure) and also environmental irritants
such as pollution and high humidity will also cause pimples.
E) Hereditary factors - it
is often found to be run in families
F) Physical and mental stress- may
aggravate the condition for a flare up.
G) Cosmetics-Greasy cosmetics
stick to the skin and form a plug in pore causing pimples
H) Infection- Dental
sepsis and Sinusitis sometimes cause pimples.
Effects of the Acne- Acne
may cause black marks or discolourations
or permanent scar and sometimes psychological depression when attending any
gathering.
Diagnosis of acne: Appearance of the skin itself
indicates the diagnosis. Normally no tests are required for pimples.
PREVENTION- The secret lies in keeping the skin clean from dirt,
allergens, bacteria or viruses. Simple washing usually helps in maintenance of
skin by removing germs.
Do’s
·
Clean Skin by washing at least 3 times a day
·
Cleaning Skin by steaming is the best to open
the pores of skin and to keep it fresh
·
After exercise wash sweats immediately to wipe
of salty deposition
Take
·
Lot of water to
keep Good Body Hydration
·
Fresh fruits and vegetables for healthy skin
·
Vitamins A, C and zinc in the diet for better
healing and healthy skin
Always Use
·
Gentle and mild cleanser for facial wash
·
Use soft water for washing the face.
·
Use mild moisturizers and makeup’s
Use Carefully - Some will feel better with application of
·
Egg yolk since it is rich in Vitamin A
·
Sandal since it gives a pleasant cool feeling
·
Lemon extract since it clears the pores by its
cleansing or bleaching effect
Avoid
·
Washing face with strong chemical soap
·
Picking or squeezing or peeling the papule since
it will cause scar by damaging skin.
·
Hot sun (even though pimples tend to less prevalent
in the summer, but very hot sun may give dehydration & cause cracks and out
breaks). Also UV rays can intensify acne by stimulating oil production, which
cause clogged pores.
·
Excessive applying of powders directly to face
(it is better to rub the powders in the hands and apply gently and mildly.
·
Cosmetic beauty products and make up’s
·
Over moisturizing the skin
·
Oil application to face since it absorbs the
dirt and hold with it
·
Greasy cosmetics or creams, which aggravate
acne.
·
Food with high content of fat like chocolate,
nuts, cheese, chips, oily foods, fast-foods
Surgery- If the size of the pimple is more
with pain and if symptoms do not respond with drugs, removal or drainage of
cysts is done. This often produces scars.
Medication- in Allopathy,
mostly medicines are not prescribed, but in extreme cases antibiotics are
used to control the infection. But prolonging the course of antibiotics, often
manage the situation temporarily and usually recurs after stoppage.
External applications
·
Antibacterial
cream –acts as a bactericidal, germicidal and also opens pores
·
Cleansers- a mixture of oil and
water which cleans and moisturizes dry skin
·
Cortisone (steroid) cream- temporarily vanish
the symptoms of the pimples
·
Exfoliating
cleansers of salicylic acid peels the outer layer of the skin as flakes
to open pores. This will cause redness and soreness.
·
Skin toner of diluted alcohol, water and
glycerine will be useful in oily skin.
·
Applying Vitamin A – retinol – helps in promoting
skin peeling. It often produces hypersensitiveness to
sunlight
Hormone treatment – Birth control pills (containing an oestrogen
and a progestrone) can improve acne symptoms. Dryness of the skin and headaches
may come as adverse effects
Homeopathic approach -
Treating the skin disorders is very tough, since it is the outer most part of
the body and also often exposed to irritants or pollutants or frictions which
hinders with the action of the drugs. Also recurrence is common in skin
disorder, giving no exception for Pimples. Recurrence often produces permanent
scarring. In case of pimples, habit of picking, pinching, rubbing also hinders
the cure process and adds infection. Also when the cure is not in the proper
way, disease often repeats and become tendencies.
Homoeopathic
treatment can give permanent relief to recurrent pimples. The early you treat,
you get speedy and complete cure with out any scar. All forms of pimples are due to an internal
disorder, so the usage of external application does not yield permanent results,
since it usually suppress the condition and prone for skin thickening. Tendency
to eruption or pimples is in the body, not in face itself to cure with
ointments, so always it is better to avoid topical applications as much as
possible. You can notice this with people often using face fair creams which
maintains the skin during the time of use only. If they discontinue the usage,
it will become worse than before.
Some people relate pimples with heat cause, sleep, hairy
constitution, more sweat, more sebum secretion and they try to eliminate it and
treat for that. But What ever may be the reason or reaction, if we get
energized or immunity, disease will not affect us.
The Internal Homoeopathy
Medicine is often the best natural option to stop the recurrence of acne by
raising natural resistance towards acne without side-effects. The correct
direction of cure is not like shutting off. It will slowly come down in
occurrence, size, intensity and duration. If we suppress it with ointments or
external applications or steroids, it goes off immediately but will again flare
up after gaining force. After taking homoeopathic medicine, the disease will not
go off, all of a sudden, but recurs with less intensity and short duration with
out pain and much disturbance. It will also heal fast and finally fade to cure.
This is Right direction of safest and permanent cure.
Medicines commonly used for acne
–Belladonna, Beri Beri Aq, oleum jac, Acid nit, Pulsatilla, Sulphur, Hepar
sulph, Bacillinum, Kali Brom,
Pyrogen, Art Vul, Calc phos, Lycopodium,
Staphysagria, Carbo animalis, Thuja, Anti crud, Calc carb, silicea, Graphites,
Sulphur, Nat mur, etc. These medicines should be taken under the advice and
diagnosis of a Qualified Homoeopath.