Question 1

Hey, so I noticed this red spot on my foreskin a couple of weeks ago. It wasn't itchy at first, but now it seems like it's spread around my penis and it's started itching. I'm really worried it might be an STD or something. Any idea what this could be?

Accepted Answer

Telsartan 50 to Amlip 5:_

The change from Telsartan (an angiotensin receptor blocker) to Amlip (Amlodipine, a calcium channel blocker) might be due to:

1. Different mechanism of action
2. Potential side effects or intolerance
3. Dosage adjustments

_Possible Reasons for Uncontrolled BP:_

1. Inadequate dosage or frequency
2. Resistance to medication
3. Lifestyle changes (diet, exercise, stress)
4. Underlying medical conditions (kidney disease, sleep apnea)
5. Secondary hypertension (e.g., adrenal gland issues)

_Recommendations:_

1. Schedule a follow-up appointment with her doctor.
2. Monitor BP regularly (home monitoring or clinic visits).
3. Encourage lifestyle modifications:
    - Balanced diet (low sodium, high potassium)
    - Regular exercise (walking, yoga)
    - Stress reduction (meditation, deep breathing)
    - Adequate sleep (7-8 hours)
    - Smoking cessation (if applicable)
4. Consider additional testing:
    - Electrocardiogram (ECG)
    - Echocardiogram
    - Kidney function tests
    - Hormone level checks (e.g., aldosterone)

_Potential Adjustments:_

1. Dosage increase or decrease
2. Combination therapy (adding another medication)
3. Alternative medications (e.g., beta blockers, diuretics)
4. Lifestyle coaching or counseling

Question 2

Doc, I'm 37 and dealing with oily skin that has pits. I've got my acne under control now, thankfully. I've been applying vitamin C serum for about 21 months, and it's helped a lot with the pits. For nine months now, I've also been using Retino A 0.05 as an anti-aging treatment, and it's been going pretty smoothlyno irritation, redness, or peeling.

Here's my routine: 
- Morning: face wash, Cetaphil, vitamin C serum, and then sunscreen.
- Night: Plum aloe vera face wash, pea-sized Retino A 0.05, Olay serum, and ending with Sebamed Q10 cream.

So, could you tell me if my routine's good as is, or if I should change or add anything else? How safe is it to use tretinoin for extended periods? And I'm looking for a good sunscreen recommendation that works for oily skin. Appreciate your insight!

Accepted Answer

Your routine looks good, but consider these adjustments:

1. _Face wash_: Cetaphil is gentle, but you may benefit from a foaming face wash for oily skin, like Neutrogena Hydrating Facial Cleanser.
2. _Sunscreen_: Switch to a lightweight, oil-free sunscreen (see recommendations below).
3. _Nighttime routine_: Consider replacing Olay serum with a niacinamide serum to enhance skin brightness and reduce inflammation.

*Tretinoin Long-Term Use*

Tretinoin (Retino-A 0.05) can be used long-term, but:

1. _Monitor skin_: Regularly assess your skin for signs of irritation, dryness, or sensitivity.
2. _Adjust frequency_: If you experience irritation, reduce the frequency of application or switch to a lower concentration.
3. _Sun protection_: Continue using sunscreen with at least SPF 30 to prevent UV-induced damage.

*Sunscreen Recommendations for Oily Skin*

1. _Neutrogena Sheer Zinc Dry-Touch Sunscreen_: SPF 50, zinc-based, and non-greasy.
2. _La Roche-Posay Anthelios Melt-In Sunscreen Milk_: SPF 60, lightweight, and oil-free.
3. _EltaMD UV Clear Broad-Spectrum SPF 46_: Fragrance-free, oil-free, and suitable for sensitive skin.

Question 3

I've been struggling with acne-prone skin and came across Mama Earth's tea tree face wash and oil-free moisturizer. They say they're chemical-free, but I'm a bit skeptical. Are these products really good for someone with acne-prone skin, and do they truly avoid harsh chemicals? I'm curious if I should give them a try.

Accepted Answer

See a specialist for accurate diagnosis and targeted treatment.

I'm really trying to figure out if Deriva BPO gel or Deriva CMS is better for my acne-prone skin. I've got a lot of marks on my face and I'm not sure which one would help more. Can you please guide me?

Deriva BPO gel is advised to the patient.Side-effects include rash,redness,itching etc.

More Dermatology Health Queries

Hey, so I noticed this red spot on my foreskin a couple of weeks ago. It wasn't itchy at first, but now it seems like it's spread around my penis and it's started itching. I'm really worried it might be an STD or something. Any idea what this could be?

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