Help me with my **possible** perioral dermatitis
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Hi Everyone.
I am at my wits end with my skin and wondered if anyone could suggest anything.
About eight months ago I went on a course of antibiotics for a wound that wouldn't heal. It did the trick, but a couple of days after I finished the course I began to get huge flakes of skin coming off each side of my nose and just under it. There was no real redness at first, just extremely flaky skin, which Ive never had before.
This then turned red on one side and was quite sore. This cleared up, but switched to the OTHER side of my nose and this is what I have had ever since.
It has come and gone in various degrees of severity, but generally, it is red and mildly flaky/dry with lots of little bumps which look like acne but never come to a head. Having said that, I have been getting cystic type acne right in the fold of the nose recently.
TREATMENT: I initially googled the problem and concluded it was perorial dermatitis. I didn't want steroids as I know that makes it worse, so I went to the doctor (who didn't know what it was and had to GOOGLE perioral derm!?)who gave me DUAC cream. That helped a bit but it just came back.
I have since been to numerous doctors who have given me everything which I have eventually tried.
I was advised to use an anti fungal cream,so used canesten (without steroid in it). This gave me some kind of allergic reaction and i got eczema all around the area where I used it. To treat this separate condition -ergh) i was prescribed a steroid cream, daktacort, which made the eczema go away but then the PD came back worse and now I'm back to square one.
I'm almost positive its a classic case of PD, and since I tried everything the only option is antibiotics. However, I am EXTREMELY reluctant to take any seeing as it would seem that anti biotics gave me it in the first place! It all started as soon as I finished a course of them, having never had it in my life before.
I have no idea what to do, and would appreciate ANY advice. Apologies for the huge post!
Note: I should also add that I have tried lots of home remedies like coconut oil, lemon juice, apple cider vinegar which have helped mildly but not gotten rid of it. In the past three months I've also cut out wheat, sugar, dairy and yeast (considering it may be candida overgrowth). I even switched to fluoride free toothpaste. Nothing has gotten rid of it! (except the steroid/anti-fungal, and only temporarily!)
6 likes, 441 replies
ruby-red emilyvb
Posted
1. STOP PUTTING ANYTHING ON YOUR FACE. No makeup, no face wash, no lip balm, no moisturiser, no essential oils, NOTHING. Especially avoid products such as Lucas' Pawpaw Ointment that has a hidden ingredient, Balsam of Peru (or myroxylon), and can trigger perioral dermatitis.
2. You seriously have to follow Step 1. Although it may be tempting and it might feel soothing to put something on the rash, but trust me, your pores can heal themselves. They need to breathe.
For about the first two days, it will seem like things are getting worse. Your dermatitis may get really red in your skin's attempt to release all the toxins. It will start flaking up, and this is a sign that it's healing. DO NOT SCRATCH/EXFOLIATE IT. Just leave it, and rinse only with water.
3. In three-or-so days your body will have detoxified its skin, and you will now see improvements with each day that goes by. My perioral dermatitis was cured in 3 weeks. Avoid touching it with your hands.
4. After the perioral dermatitis has subsided, try to stay as natural as possible with your skincare regime. Water is the best cleanser.
I can guarantee you, this is the most natural and effective treatment.
andrea13745 emilyvb
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faye36599 emilyvb
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lizzyrrose faye36599
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lizzyrrose emilyvb
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The first time of course took me months & months before I really knew what I was dealing with & by then I was desperate so I followed the prescribed 60 day course of (IIRC) doxycycline. This worked, but when it recurred the following year I wanted to avoid nuking my system with such a heavy course of antibiotics.
For reference, I was already gluten free before this started about 4 years ago & regularly took ACV & probiotics (I usually buy Jarrow EPS). I had been using no-sulfate shampoo/face wash/toothpaste since well before this started as well.
I have noticed it seems to happen every spring/summer after I have had to use even a short course of steroid inhalers/nasal sprays due to occasional allergy related asthma & inflammatory sinus congestion. Now I try to remember to start taking my allergy meds well in advance of peak allergy seasons. I take generic Allegra from about March until October, sometimes November (basically all year haha). From Costco nearly a year's worth (2 bottles) runs me $60, which I can swallow, so to speak! If symptoms still get really unmanageable I may add sudafed, mucinex and/or generic Astelin (non-steroid Rx nasal spray) as needed. Additionally, my doctor is usually able to set aside sample bottles of the Astelin when I don't have prescription coverage.
So long story short, here's what I do as soon as I notice the first telltale signs of this pesky POD business:
Mix 3 TBSP ACV w/ 1/4 tsp baking soda & heat in small saucepan over medium heat until starting to simmer & reduce slightly. In small dish, mix 1/2 tsp cornstarch w/ splash of ACV until dissolved & add to saucepan. Simmer about 1-2 minutes until mixture is a loose gel consistency. Keep in mind it will thicken a little more upon cooling. Transfer back to small dish before it gums up & dries in a thin layer in your saucepan. Let cool & then cover or transfer to small container. I usually end up with about 1 TBSP in the end product.
I apply this all atound the area every night after removing makeup/washing my face & leave overnight. Within a week of regular use my skin is usually clear & healed without any adverse reactions such as burning or peeling, since the baking soda buffers the acidity of the ACV & allows you to use it in a concentrated rather than diluted form.
If anyone tries this please let me know how it works for you! I would love to know if this helps anyone else. I am finishing using it successfully now for the third year in a row, so I felt it was time to share, especially since there is so little to lose. Give it a shot & good luck!!
-Liz
lizzyrrose
Posted
This batch wasn't quite doing the trick so when I ran out I reformulated to the following:
1.5 TBSP ACV
.5 tsp baking soda
.25 tsp corn starch
Mixture will bubble up a good bit so add the baking soda slowly.
Microwave in 2-3 10 sec increments to thicken. Keep a close eye on it as it can quickly bubble over.
Since I made this change a few days ago, my POD is nearly gone. Good luck!
sithulisiw57552 emilyvb
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My sister suffers from perioral dermatitis and to treat it she uses a blend of fresh mint and honey and applies to the affected area and leaves for 20min then washes the mix off with luke warm water. this normaly gets rid of the rash within 7-9days and the rash rarelly appears.
in the past it was alaways on her face and she used to use hydrocortisone but that didnt clear up her skin at all. i hope this helps you.
apryl155 emilyvb
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susan_74148 apryl155
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andrea13745 emilyvb
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andrea13745 emilyvb
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apryl155 andrea13745
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andrea13745 emilyvb
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I wash my face with castor oil...which sounds like it would make your face break out...but it does not...it's very clarifying.
Oh and I usually try to rub listerine on each side of my mouth and rinse it off before bed...mentally this makes me think it will keep it away....and I have maybe a bump every month or two...instead of weekly.
apryl155 andrea13745
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andrea13745 emilyvb
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Is it just with guys that this happens with...or in life in general? I'd seriously take a look at the toothpaste thing....it was definitely a cause for mine. But also some foods trigger it....for example any sort of pasta sauce or red salad dressing and my face breaks out immediately at the sides. So keep note of things you've used or eaten when this happens and just try cutting them out...which is sad
oh and maybe try adding a vitamin b complete to your daily routine...sometimes it can be from a vitamin b deficiency.
apryl155 andrea13745
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apryl155 andrea13745
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