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@skinkatha
#blackarmpits or #darkunderarms are a common #cosmetic problem. Particularly for #female it can be a cause of embarrassment. Dark under arms can be due to - . 1. #fungalinfection . 2. #acanthosisnigricans . 3. #contactdermatitis . So visit our #dermatologist to get diagnosed and treated for dark underarms. (at SKINstitute) https://www.instagram.com/p/CErLVJ7p8Nt/?igshid=1fj4dq9nxa7aq
With an aim to spread awareness about skin health, we promote our YouTube channel. Follow Dr.Kumar Abhishek and know more about your skin and skin conditions. . . . #skinawareness #skincare #haircaretips #haircare #skinstitute #skinspecialist #dermatologist #youtube #youtubechannel (at SKINstitute) https://www.instagram.com/p/B_UjvkblDbB/?igshid=zx7gjhte35vp
ACNE- WHAT & WHAT NOT TO EAT !!!
By Dr. Kumar Abhishek. MD.DNB
Food is the most central part of Indian culture. Many events in the Indian tradition revolve around food. Food not only provides us with nutrition but also people involved in making it are also dependent on it. As far as skin diseases are concerned, the are many instances of food fads. This blog is devoted to dietary advices which should be practised in acne. Acne is a common yet distressing skin problem affecting mostly the teen boys and girls. It’s not that adults don’t get affected. Some adults with underlying endocrinal problems may develop acne. But a common question that every individual suffering from acne asks, ‘what I should eat to reduce acne?’ To answer those questions and dispel some myths, here are some tips.
WHAT NOT TO EAT ?
1. HIGH GLYCEMIC INDEX DIET
Chronic consumption of high glycemic load carbohydrates may cause long-term hyperinsulinemia and insulin resistance. This in turn affects the keratinocyte proliferation which results in formation of acne. It also affects the other mechanisms of acne genesis. IGF-1 is central to the mechanism of formation of acne. High glycemic index foods lead to hyperglycemia, reactive hyperinsulinemia and a resulting increase in insulin like growth-factor 1 (IGF-1) formation, increased androgens and an altered retinoid signaling pathway related to acne. Studies show that restriction in high glycemic index diet reduces the severity of the acne and also the sebum production of the skin. Hence this is the most important dietary alteration that can be advised to the patients, particularly for those who suffer from severe and inflammatory acne.
Avoid- white bread, donuts, boiled white potatoes, french fries, and white rice, rice pasta, table sugar, soda .
2. OMEGA-6 POLY UNSATURATED FATTY ACID
A typical western diet has a significantly higher concentration of w-6 PUFAs at the expense of w-3 PUFAs because of the predominance of ω-6 PUFAs in most vegetable oils and processed foods made with these oils. Where as a typical traditional Indian diet has a lower ration of Omega- 6 fatty acids. Omega 6 fatty acids are pro-inflammatory and they promote inflammatory acne. Hence food items rich in Omega-6 fatty acids should be consumed with caution in individuals having acne.
Avoid- soybeans, corn, safflower and sunflower oils, nuts and seeds, meat, poultry.
3. AVOID MILK & DAIRY PRODUCTS
There are so many scientific papers which explore the correlation between milk acne. But none have been able to conclusively prove that it is the cause of acne flares. Still many dermatologists advise to avoid milk and dairy products in those patients who have severe acne. Several studies do show that there is improvement in acne on restricting the dairy products. Milk contains both casein and whey, which stimulate either IGF-1 or insulin in the body. IGF-1 has central role in the causation of acne. Hence milk, particularly skimmed milk & cottage cheese are known to be acnegenic.
Avoid- Milk and dairy products.
WHAT TO EAT?
1. OMEGA-3 POLY UNSATURATED FATTY ACID
Increased relative consumption of omega-3 polyunsaturated fatty acids may suppress inflammatory mediator production, thereby exerting a therapeutic effect on acne. Because omega-3 fatty acids inhibit synthesis of the inflammatory molecule leukotriene B4, and blockage of leukotriene B4 leads to reduced inflammatory acne lesions, it has been postulated that increased consumption of omega-3 polyunsaturated fatty acids may reduce inflammatory acne. So eat food items which are rich in omega 3 PUFA.
Eat- Salmon, flax seed, walnuts, soybeans, chia seeds, eggs, mustard seeds, spinach
2. GREEN TEA & RESVERATROL
A catechin found in green tea, epigallocatechin-3-gallate, has been heralded for its antioxidant properties. It has been found to reduce sebum production in animal models. In an uncontrolled trial study, consumption of green tea has been found to be effective. So it is advisable to add green tea to the diet menu for those who are suffering from inflammatory acne.
Resveratrol, a phytoalexin found in the skins of red grapes, red wine, peanuts, mulberries, spruce, and eucalyptus, may be another promising antioxidant therapy for acne. In vitro, resveratrol has been shown to be bactericidal against P. acnes. It helps in reducing the infection component of the acne.
Eat- green tea, red grapes, red wine, peanuts, mulberries.
3. VITAMIN A
Vitamin A analogue/ derivatives, isotretinoin and tretinoin, are well established treatment modalities in acne. But the same cannot be said about the vitamin A. It can have beneficial effects, so should be used in a controlled manner.
Eat- Mango, papaya, carrots, brocolli.
The author is the consultant dermatologist at SKINSTITUTE, Bhubaneswar.
Visit - https://www.theskinstitute.in/
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8 skin & hair care tips for winters
Dr. Kumar Abhishek, MD.DNB
Skin undergoes several changes with changing seasons. The one season that brings about significant environmental changes and hence affects our skin in the winter. As the winter has already ushered in, here are some skin and hair care tips so that you can keep your skin healthy and beautiful.
1. Moisturize your skin
This is the most necessary and the bare minimum step for good skin care in winters. The lack of moisture in skin in the winters leads to dry, flaky skin. It can lead to eczema, itching and other skin problems. Hence it’s imperative to use a good humectant or a barrier moisturizer. Humectants retain moisture in the skin hence prove to be effective in winters. In children, use bland moisturizers or barrier moisturizers to maintain their skin moisturizer. People belonging to certain groups like children, old age, patients suffering from long term diseases are more likely to develop dryness of skin. Hence they need special attention and moisturizer is a must for them. The moisturizer should be applied in a thick layer and should be applied repeatedly to ensure continuous hydration of the skin.
2. Exfoliate & cleanse
Cleansing the face regularly is also very vital for a clear and healthy skin in the winter. Don’t use soaps on the face and avoid using them on the hands too frequently. One should choose gentle cleansers to cleanse their face. Ideal would be to use a fragrance free or bland, cleansing agent. Exfoliation is also an important component of skin care regimen. But in winters due to lack of moisture in the skin, exfoliation is not that important. But still people who don’t have much of skin dryness can use glycolic acid based exfoliants for exfoliation.
3. Protection from sunlight
Summer may be behind you but not the sunlight. Yes, the effects of the sunlight is still on even though it’s the winters. So use of good sunscreen in winters is as imperative as that in the summers. Use the sunscreen thrice a day to protect yourself from the ultraviolet rays of the sun. Any sunscreen with SPF >30 is good enough to provide you complete protection from the sunlight. Use caps or hats in case you are travelling to beaches or hilly areas as the sunlight in these locations have the higher propensity to cause skin tanning and damage.
4. Hydrate the body & skin
Applying moisturizer is half the job. Hydrating the skin & body internally is the other half. As such the thirst to drink more fluids goes down as the winters arrive. But it’s essential to maintain the fluid intake to the body. It can be in the form of juices or water. Drink plenty of fluids or even take fruits which are high on fluid content or that may help retain fluids in the body.
5. Avoid licking the lips
Chapped lips is the most common change that occurs on the onset of the winters. Lips become dry, cracked and may even bleed sometimes. But some of us try to manage it by applying our own saliva on our lips using our tongue. NO!!! Don’t do that. It can lead to lip lick dermatitis and eventually leave a black band like pigmentation below your lips, which may be tough to treat later on. Instead use a good lip balm, ideally a barrier lip balm which will prevent further drying and help in correction of the lip.
6. Seal the cracked feet
In winters another common change that is noticed is that of the cracked heels. Usually it can happen otherwise too but the dry weather exacerbates the problem. In order to overcome this issue, regularly use a good urea based moisturizer. Application of the moisturizer 2-3 times a day keeps your heels soft and crack free.
7. Don’t wash your hair frequently
Repeated head baths and particularly with that of hot water should be avoided. Not only they damage the hairs also the hot water takes away the moisture of the hair and skin making it even more dry and lusterless. Hence use a gentle shampoo and also a conditioner to keep your hairs smooth and lustrous. Also don’t comb the hairs when they are wet as there is a higher chance of breakage of hair.
8. Dandruff
Lack of moisture in the air affects the scalp too. The dry winters dry up the usual sebum secretions from the scalp as well. Hence the dried up sebum along with the exfoliating scalp skin falls off our scalp, which we call dandruff. Its a common problem in the winters with nearly every individual experiencing this problem. Solution to this is regular oiling of hair & scalp. Also use salicylic acid based shampoos which help in reducing the oily secretions from our scalp and there accumulation. If severe, you may need to take the advice of your dermatologist.
The author is the consultant dermatologist at SKINSTITUTE, Bhubaneswar.
Visit - https://www.theskinstitute.in/
Follow- https://www.facebook.com/SKINstitute-1940781866037040/?modal=admin_todo_tour
8 skin & hair care tips for winters
Dr. Kumar Abhishek, MD.DNB
Skin undergoes several changes with changing seasons. The one season that brings about significant environmental changes and hence affects our skin in the winter. As the winter has already ushered in, here are some skin and hair care tips so that you can keep your skin healthy and beautiful.
1. Moisturize your skin
This is the most necessary and the bare minimum step for good skin care in winters. The lack of moisture in skin in the winters leads to dry, flaky skin. It can lead to eczema, itching and other skin problems. Hence it’s imperative to use a good humectant or a barrier moisturizer. Humectants retain moisture in the skin hence prove to be effective in winters. In children, use bland moisturizers or barrier moisturizers to maintain their skin moisturizer. People belonging to certain groups like children, old age, patients suffering from long term diseases are more likely to develop dryness of skin. Hence they need special attention and moisturizer is a must for them. The moisturizer should be applied in a thick layer and should be applied repeatedly to ensure continuous hydration of the skin.
2. Exfoliate & cleanse
Cleansing the face regularly is also very vital for a clear and healthy skin in the winter. Don’t use soaps on the face and avoid using them on the hands too frequently. One should choose gentle cleansers to cleanse their face. Ideal would be to use a fragrance free or bland, cleansing agent. Exfoliation is also an important component of skin care regimen. But in winters due to lack of moisture in the skin, exfoliation is not that important. But still people who don’t have much of skin dryness can use glycolic acid based exfoliants for exfoliation.
3. Protection from sunlight
Summer may be behind you but not the sunlight. Yes, the effects of the sunlight is still on even though it’s the winters. So use of good sunscreen in winters is as imperative as that in the summers. Use the sunscreen thrice a day to protect yourself from the ultraviolet rays of the sun. Any sunscreen with SPF >30 is good enough to provide you complete protection from the sunlight. Use caps or hats in case you are travelling to beaches or hilly areas as the sunlight in these locations have the higher propensity to cause skin tanning and damage.
4. Hydrate the body & skin
Applying moisturizer is half the job. Hydrating the skin & body internally is the other half. As such the thirst to drink more fluids goes down as the winters arrive. But it’s essential to maintain the fluid intake to the body. It can be in the form of juices or water. Drink plenty of fluids or even take fruits which are high on fluid content or that may help retain fluids in the body.
5. Avoid licking the lips
Chapped lips is the most common change that occurs on the onset of the winters. Lips become dry, cracked and may even bleed sometimes. But some of us try to manage it by applying our own saliva on our lips using our tongue. NO!!! Don’t do that. It can lead to lip lick dermatitis and eventually leave a black band like pigmentation below your lips, which may be tough to treat later on. Instead use a good lip balm, ideally a barrier lip balm which will prevent further drying and help in correction of the lip.
6. Seal the cracked feet
In winters another common change that is noticed is that of the cracked heels. Usually it can happen otherwise too but the dry weather exacerbates the problem. In order to overcome this issue, regularly use a good urea based moisturizer. Application of the moisturizer 2-3 times a day keeps your heels soft and crack free.
7. Don’t wash your hair frequently
Repeated head baths and particularly with that of hot water should be avoided. Not only they damage the hairs also the hot water takes away the moisture of the hair and skin making it even more dry and lusterless. Hence use a gentle shampoo and also a conditioner to keep your hairs smooth and lustrous. Also don’t comb the hairs when they are wet as there is a higher chance of breakage of hair.
8. Dandruff
Lack of moisture in the air affects the scalp too. The dry winters dry up the usual sebum secretions from the scalp as well. Hence the dried up sebum along with the exfoliating scalp skin falls off our scalp, which we call dandruff. Its a common problem in the winters with nearly every individual experiencing this problem. Solution to this is regular oiling of hair & scalp. Also use salicylic acid based shampoos which help in reducing the oily secretions from our scalp and there accumulation. If severe, you may need to take the advice of your dermatologist.
The author is the consultant dermatologist at SKINSTITUTE, Bhubaneswar.
Visit - https://www.theskinstitute.in/
Follow- https://www.facebook.com/SKINstitute-1940781866037040/?modal=admin_todo_tour
DOES YOUR FAIRNESS CREAM HAVE STEROIDS ?
By DR. KUMAR ABHISHEK
DOES YOUR FAIRNESS CREAM HAS STEROID ?
Fairness is something that is desired by each and every individual. Irrespective of gender, social status, profession etc. The fascination for fairness has been well described in our ancient scriptures where Lord Krishna seems to puzzled while questioning his mother, ‘Yashomati maiyya se bole Nand lala, Radha kyun gori, main kyun kala’. This happened much before the “whites”/Britishers invaded the Indian mainland. So much so that this fascination has taken gigantic proportions with the Indian cosmetic industry expanding at nearly 20% per year. But beneath these large and spectacular figures lies the malady of modern medical practice. The race to look good and fair has led to numerous skin related complications. Most important among them is the topical steroid abuse. This blog is dedicated to create awareness regarding the potential damages caused due to abuse of topical steroids.
Why steroids are used as fairness cream ?
Medical science has come a long way in treating various skin conditions. One such landmark contribution was made by Dr.Albert Montgomery Kligman, when he developed a steroid based concoction to treat various pigmented skin conditions. But little would he know that his invention would wreck such havoc in times to come. Steroids, which still are part of widely prescribed Kligman’s formula for pigmented conditions, act by inhibiting the pigment formation and thinning of the upper skin layers. Kilgmans formula has been modified several times and stronger steroids have been added which give faster results. But no one know the dangers while they use it. Not only this, the knowledge that steroid creams help in becoming fairer has led to a boom in the sales of steroids, which are sold mostly without the prescription of a qualified dermatologist.
How is it abused ?
Lack of information about the potential side effects of the topical steroids is one of the major causes of its abuse. Rampant over the counter sales to people who want to bypass the routine procedure of medical treatment. Uninformed or partially informed individuals passing on their advices to their near and dear ones to use certain steroid based fairness creams to gain instant results. Sometimes the lure of instant gratification can spell catastrophe.
What are the complications of steroid abuse ?
Topical steroids are intended to restrict the cellular activity hence providing relief in the respective conditions. That only explains that if its used in an unsupervised manner, it can lead to complications. Complications can be like thinning of skin, excessive unwanted hairgrowth, acne, visible blood vessels, sensitive skin, dry and irritable skin, excessive lightening of the skin, stretch marks etc. It also puts your skin at an higher risk of damage due to sunlight and pollution. Chances of infection become lot higher on a steroid abused skin.
How to correct the skin damaged due to topical steroids ?
First and foremost, visit your nearby dermatologist. Your skin needs urgent attention. This damage needs some expert handling and treatment. So don’t visit just another doctor in your neighborhood and rather look for a board certified or a well qualified MD/DVD – DVL degree holder dermatologist. The next most important thing to do is stop using topical steroid preparations. Start using some good moisturizing creams and also some skin repair creams as per the advice of the doctor. Also use a good sunscreen which some anti-pollution properties. Take plenty of fluids in your diet and increase the intake of vitamins to help repair your damaged skin. Let the doctor treat whatever complications that have arose due to the abuse of steroids.
How to prevent further damage in future ?
Always use creams or preparations on your face only after getting a proper advice from your dermatologist. Never use medications on face on the advice of people who are less likely to have knowledge about the problems of the skin. Regularly use a moisturizer on your skin.
The author is the consultant dermatologist & cosmetologist at SKINSTITUTE.
Visit us- https://www.theskinstitute.in/
https://www.facebook.com/SKINstitute-1940781866037040/?modal=admin_todo_tour
DOES YOUR FAIRNESS CREAM HAVE STEROIDS ?
By DR. KUMAR ABHISHEK
DOES YOUR FAIRNESS CREAM HAVE STEROID ?
Fairness is something that is desired by each and every individual. Irrespective of gender, social status, profession etc. The fascination for fairness has been well described in our ancient scriptures where Lord Krishna seems to puzzled while questioning his mother, 'Yashomati maiyya se bole Nand lala, Radha kyun gori, main kyun kala'. This happened much before the “whites”/Britishers invaded the Indian mainland. So much so that this fascination has taken gigantic proportions with the Indian cosmetic industry expanding at nearly 20% per year. But beneath these large and spectacular figures lies the malady of modern medical practice. The race to look good and fair has led to numerous skin related complications. Most important among them is the topical steroid abuse. This blog is dedicated to create awareness regarding the potential damages caused due to abuse of topical steroids.
Why steroids are used as fairness cream ?
Medical science has come a long way in treating various skin conditions. One such landmark contribution was made by Dr.Albert Montgomery Kligman, when he developed a steroid based concoction to treat various pigmented skin conditions. But little would he know that his invention would wreck such havoc in times to come. Steroids, which still are part of widely prescribed Kligman’s formula for pigmented conditions, act by inhibiting the pigment formation and thinning of the upper skin layers. Kilgmans formula has been modified several times and stronger steroids have been added which give faster results. But no one know the dangers while they use it. Not only this, the knowledge that steroid creams help in becoming fairer has led to a boom in the sales of steroids, which are sold mostly without the prescription of a qualified dermatologist.
How is it abused ?
Lack of information about the potential side effects of the topical steroids is one of the major causes of its abuse. Rampant over the counter sales to people who want to bypass the routine procedure of medical treatment. Uninformed or partially informed individuals passing on their advices to their near and dear ones to use certain steroid based fairness creams to gain instant results. Sometimes the lure of instant gratification can spell catastrophe.
What are the complications of steroid abuse ?
Topical steroids are intended to restrict the cellular activity hence providing relief in the respective conditions. That only explains that if its used in an unsupervised manner, it can lead to complications. Complications can be like thinning of skin, excessive unwanted hairgrowth, acne, visible blood vessels, sensitive skin, dry and irritable skin, excessive lightening of the skin, stretch marks etc. It also puts your skin at an higher risk of damage due to sunlight and pollution. Chances of infection become lot higher on a steroid abused skin.
How to correct the skin damaged due to topical steroids ?
First and foremost, visit your nearby dermatologist. Your skin needs urgent attention. This damage needs some expert handling and treatment. So don’t visit just another doctor in your neighborhood and rather look for a board certified or a well qualified MD/DVD – DVL degree holder dermatologist. The next most important thing to do is stop using topical steroid preparations. Start using some good moisturizing creams and also some skin repair creams as per the advice of the doctor. Also use a good sunscreen which some anti-pollution properties. Take plenty of fluids in your diet and increase the intake of vitamins to help repair your damaged skin. Let the doctor treat whatever complications that have arose due to the abuse of steroids.
How to prevent further damage in future ?
Always use creams or preparations on your face only after getting a proper advice from your dermatologist. Never use medications on face on the advice of people who are less likely to have knowledge about the problems of the skin. Regularly use a moisturizer on your skin.
The author is the consultant dermatologist & cosmetologist at SKINSTITUTE.
Visit us- https://www.theskinstitute.in/
https://www.facebook.com/SKINstitute-1940781866037040/?modal=admin_todo_tour
SKINkatha. A fusion of science and information. This is the space created by the owner of the renowned and the most advanced skin care clinic in Bhubaneswar, SKINSTITUTE. Led by Dr.Kumar Abhishek, MD.DNB in Dermatology, SKINSTITUTE is the most advanced and the latest skin care centre in Odisha. It aspires to provide high quality of skin, hair, nail & cosmetic care to the people of Odisha. SKINkatha is an endeavour by Dr.Kumar Abhishek to spread awareness and knowledge regarding his exploits and advancements in the field of dermatology.
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