HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Multiple Bumps With Pus And Without Pus(pain On Pressing) On

default
Posted on Thu, 4 Oct 2018
Question: Multiple bumps with pus and without pus(pain on pressing) on my cheeks and forehead.
Please refer photos attached to question.also having a little bit dandruff but washing my head daily with shampoo.and also please tell me about my skin type.
doctor
Answered by Dr. Asmeet Kaur Sawhney (34 minutes later)
Brief Answer:
Acne and its management

Detailed Answer:
Hi
Welcome to ask a doctor service
I have gone through your complaint and reviewed the attached photographs.
You are having a moderate degree of acne vulgaris.
I can appreciate multiple open and closed comedones along with erythematous papules on the face.
You need to take oral antibiotics along with topical medicines.
If I was your treating doctor I would recommend you to take tablet azithromycin 500 mg once daily for 3 consecutive days in a week for 6 weeks and apply benzoyl peroxide 2.5 percent gel on the bumps twice daily.
Also use a salicylic acid1 percent face wash twice daily and ketoconazole 2 percent shampoo twice weekly.
Besides this avoid oiling of the scalp, reduce the intake of sugary foods and dairy products, avoid using cosmetics on the face and don't go for facials, scrubbing or cleansing.
You can also consult a dermatologist and go for sessions of chemical peels.
It will hasten the clearance of acne lesions.
I hope to have answered your query and would be happy to answer any further queries.
Regards
Dr. Asmeet
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Asmeet Kaur Sawhney (37 minutes later)
Brief Answer:
Ketoconazole shampoo is for hair, use Neutrogena oil-free facewash

Detailed Answer:
Ketoconazole 2 percent shampoo is for hair.
You can continue with Neutrogena oil-free face wash.
Instead of retino 0.025 percent gel and Betnovate N cream use benzoyl peroxide 2.5 percent gel the pimples.
Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Asmeet Kaur Sawhney (4 minutes later)
Hello Doctor,
THanks for reply, i have following question.
ketoconazole 2 percent shampoo - need to apply on acnes or it is for hair?
and shall i continue "Neutrogena oil free face wash" twice a day. Retino-A .025% with betnovate-N sometime on pimple ?
default
Follow up: Dr. Asmeet Kaur Sawhney (20 hours later)
Thanks Ma'am.i have follow-up question.
how to take azithromycin with meal or without meal; and is it ok to take antibiotic for long time i.e 6 weeks?
doctor
Answered by Dr. Asmeet Kaur Sawhney (22 minutes later)
Brief Answer:
Azithromycin to be taken before dinner, azithromycin safe to use

Detailed Answer:
Take azithromycin half an hour before dinner. Its absolutely safe to take azithromycin for 6 weeks.
Acne is a chronic disease and medicines take time to act.
In acne antibiotics need to be taken for few months.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4993 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Multiple Bumps With Pus And Without Pus(pain On Pressing) On

Brief Answer: Acne and its management Detailed Answer: Hi Welcome to ask a doctor service I have gone through your complaint and reviewed the attached photographs. You are having a moderate degree of acne vulgaris. I can appreciate multiple open and closed comedones along with erythematous papules on the face. You need to take oral antibiotics along with topical medicines. If I was your treating doctor I would recommend you to take tablet azithromycin 500 mg once daily for 3 consecutive days in a week for 6 weeks and apply benzoyl peroxide 2.5 percent gel on the bumps twice daily. Also use a salicylic acid1 percent face wash twice daily and ketoconazole 2 percent shampoo twice weekly. Besides this avoid oiling of the scalp, reduce the intake of sugary foods and dairy products, avoid using cosmetics on the face and don't go for facials, scrubbing or cleansing. You can also consult a dermatologist and go for sessions of chemical peels. It will hasten the clearance of acne lesions. I hope to have answered your query and would be happy to answer any further queries. Regards Dr. Asmeet