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Skin problems

 

What can you do about acne?
Acne can make teenagers' lives a misery, affecting confidence and self-esteem. Spots on your face, back or neck result when extra hormones cause the production of too much oily sebum. When these become more troublesome and difficult to clear up the condition is known as acne. It affects around 15 per cent of teenagers.

Girls may notice before their periods that their acne becomes worse. Squeezing spots may aggravate the condition, sunshine helps it (but not sun beds) and, interestingly, poor hygiene probably does not make it worse. Try and avoid stress as this may cause a flare up. Although, there is no conclusive evidence that diet affects acne, going for a low saturated fat, low-sugar diet with plenty of water, fresh fruit and vegetables promotes general good health and our skin often reflects this.

Treatments include topical applications, used directly on the skin, obtained either on prescription or from your pharmacist. Oral antibiotics, hormone and other treatments as well as preparations to deal with scars can be discussed with your doctor.

What can you do about eczema?

The word eczema, which is interchangeable with the term dermatitis, is derived from the Greek 'to boil over', a good description of this skin condition whose symptoms include inflammation, itching, redness, blistering and bleeding when scratched.

There are several types of eczema, but one of the most common ones is atopic eczema, triggered by allergens and often, but not always, linked to asthma and hay fever. There is frequently a strong genetic basis for atopic eczema and allergic triggers include pet dander (the dry flaky skin from cats and dogs), feathers, house dust mite and pollen. Food allergies sometimes go hand in hand with a contact allergy, so it's worth testing to see if you're allergic to dairy products, eggs, wheat and other suspect foods that seem to trigger reactions.

Moisturisers are particularly important in maintaining skin integrity. Use frequently and liberally at least twice daily. Depending on the type of eczema, different ointments, lotions and oils are available either on prescription or from your chemist. Ordinary soaps often have a drying affect, so opt for an alternative like aqueous cream, which is less of an irritant. Steroid treatment may be used, usually externally, directly on to the skin in the form of ointment, creams, gels and lotions. This treatment is often effective and because the steroid concentration is low there are usually minimal side-effects. Anti-histamine preparations may help to reduce itchiness, especially at night and if the eczema has become infected antibiotic creams may be applied.

If your eczema is dragging you down, go and have a chat with your GP and discuss these and other treatment options available.

What can you do about contact dermatitis?
There are several types of dermatitis. We have already considered the one triggered by allergic reactions, but this skin disorder can also be as a result of exposure to irritants. These include water, metal working fluids, petrol, solvents, fabrics, detergents and cosmetics. Symptoms are often noticed on individuals exposed to these, or who have their hands in and out of water regularly, such as hairdressers, mechanics and nurses. Irritants can break down the skin barrier, allowing other infections in.

Avoid known irritants and always dry your hands thoroughly after washing. Steer clear of chemicals where possible, including detergents, petrol and white spirit. Use gentle cleansing agents instead of soap and liberal amounts of moisturisers and emollients on a regular basis. Calendula cream is a good moisturiser, but occasionally may cause allergic reactions. Always dry your hands properly after washing.

What can you do about greasy skin?
Greasy skin is caused by overactive sebaceous glands. It tends to run in families but when you are a teenager the problem is usually worse.

Clean your skin first thing in the morning and last thing at night, using a mild cleanser that is not too drying. Choose non-oil based make-up, opting instead for non-comedogenic cosmetics. Always remove make-up before going to bed.

Try to have a stress-free life and maintain general good health through a balanced diet. This will also help to stave off infections - even physical stresses like influenza have been associated with outbreaks.

Remember that it is quite normal for menstruation to make symptoms worse.

What can you do about psoriasis?

Psoriasis is a non-infectious inherited skin condition in which the epidermis makes new cells too quickly. Flaking skin develops on the knees, elbows or behind the ears. Treatments that can be discussed with your doctor include steroids applied to the skin, emollients, tar baths, ointments and creams to remove scaling, and a cream called Dithranol. Warm bathing and moisturisers can help, as can a vegan or cleansing diet. Alcohol aggravates psoriasis.

What can you do about dry skin?
Pure olive oil or Calendula cream can be used in liberal amounts on the face and other dry areas of the body. Reduce the amount of showers and baths you have and only wash the affected area with soap once a day, using just water for other washes. Always rinse well to prevent leaving soap residues and instead of rubbing, pat your skin dry with a towel.

Keep the central heating down in your house and avoid saunas and steam rooms as these cause further dehydration. In the winter prevent chapped hands by wearing gloves in the cold weather and use rubber ones for washing up. For those allergic to rubber, cotton gloves may prevent reaction when worn underneath.

Try to include more essential fatty acids (from seeds and their oils) and plenty of fruit and vegetables in your diet. Drink plenty of water every day and cut down on alcohol, tea and coffee as these are also dehydrating.

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