Doctor insights on:
How Can I Get Help For My Hyperpigmentation
Go away dark spots: Hyperpigmentation may be caused by chronic inflammation. I al ways imagine that any time there is inflamm, the melanocytes (pigment cells) flock to the area thinking there is a party going on and just dont leave. I like rx hydroquinone and retinoids plus sunscreen. Sunscreen and hats are the most important thing. I love obagi nuderm for this and there are botanicals too but don't work as well. ...Read more
Need Rx: Over-the-counter preparations do not work well. I start with topical Clindamycin with or without a retinoic acid derivative. If needed after a few weeks, consider adding an oral antibiotic such as Erythromycin or tetracycline / Minocycline as suitable for the individual. Dermatologists have the big guns -- accutane, lasers. Freedom from acne should be a person's right. Good luck. ...Read more
Lots of resources: Start with family members who have allergies. I like to say that "noses run in families" (allergy joke). So who's helping them with their allergies? Next your primary care physician - a trustworthy, knowledgeable resource. You can call your county medical society for names or find an allergist at www.Aaaai.Org & www.Acaai.Org. Think twice about those who advertise. ...Read more
See a dentist: See your dentist. The dentist will do a thorough exam to determine the cause of your sensitive gums. The issues you are having sounds like gingivitis or more advanced periodontitis. The dentist along with the hygienist can treat these gum issues for you. ...Read moreSee 1 more doctor answer
See a podiatrist: Smelly feet are caused by bacteria, fungus, or both. It is best to allow your feet to air dry. Avoid shoewear that traps the moisture in the shoes. Often times cheap shoes do not breath and be made of plastic or simulated leather. Try soaking your feet in tea to dry the eccrine glands, use foot powders, ie zeasorb, and allow your feet to catch sunlight and air. See your podiatrist. ...Read moreSee 2 more doctor answers
Proper assessment: There are many causes of sleep disorders, some physical, others psychological. You first need to be assessed by a qualified md: a primary care physician (pcp), sleep disorder specialist (internist or pulmonologist), or psychiatrist. There may be some diagnostic studies; treatment may involve medication, cpap, psychotherapy - depending on the source of the problem. ...Read more
Encourage her: Encourage her, gently, to seek consultation with a psychiatrist or psychologist. There are good therapies for OCD -- both medications that help this particular form of anxiety, and psychotherapy to help the obsessions & compulsions. You could offer to go with her to the first appointment if she's frightened. Speak from your own heart and loving concerns for her, and not from a blaming position. ...Read moreSee 2 more doctor answers
Start w a med: Eval. It may uncover underlying medical problems that need to be addressed. Cognitive behavioral therapy can be quite effective. Psych meds may be indicated. Aim for daily exercise, 8 hours of sleep /night ; good nutrition w 5 servings of veggies ; 4 of fruit per day. Try tai chi, yoga, qi gong, progressive muscle relaxation, deep breathing exercises ; meditation. Take care. ...Read moreSee 1 more doctor answer
See a psychiatrist: A psychiatrist can help you with depression -- both in evaluating possible causes and in treating it. Psychotherapy is an important part of this treatment, whether or not medications are necessary. Some psychiatrists do psychotherapy as well as prescribe medications -- but psychologists can provide psychotherapy without the medications. Be well. ...Read more
See below: You might want to start with your primary care provider to find out if there are medical reasons for your depression. You can ask your primary care provider for a referral to psychiatrist and/or psychologist. You can call your insurance company or go on their website to find providers in your area, or you can call your local health department for the info. There are options. Good luck! ...Read moreSee 1 more doctor answer
See podiatrist: Or dermatologist. The question is what is the discoloration from. Sometimes, it is from a fungus but not always, sometimes it can be from bacteria under the toenail or from trauma. Sometimes, it can occur from dried blood under the toenail, or from nail polish. Once, a doc determines the etiology they can offer a treatment plan. ...Read moreSee 1 more doctor answer
Rash: This can't be diagnosed with the information that is available. A history, physical examination & other studies may be needed to determine cause/causes. Once accurately assessed a treatment plan can be developed. ...Read more
Research: Look online or in the phonebook for area mental health clinics. If there are none in your town, look in a town nearby. I found the following link for texas mental health treatment: https://www.Dshs.State.Tx.Us/mental-health/. This may be a start. Help is available, you just got to find it. ...Read more
No easy answer: And the best treatment options depend on the type, severity and distribution of your acne. There is no one size fits all. You may want to address this with your PCP as now there are so many options out there to manage/control acne. You may also want to consider a formal HealthTap consultation for more specific guidance. ...Read moreSee 1 more doctor answer
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