Sunday, April 1, 2018

Acne in Adolescent

An 11-year-old boy in Boston developed gastroesophageal reflux disease (GERD). According to his mother, Cathy, it was the end of June of the year 2005 when her son developed a cough, which usually happens during sleep or even during the daytime. It is only a short-lived dry cough symptom. His pediatrician thought it was only an allergy. However, when his son was tested, the result showed that he had no allergy. According to her, it was her son’s asthma that was related to GERD.

Studies show that GERD is likewise normal in infants and children, as it is in adults, though this fact is oftentimes overlooked. The symptoms come in the form of continual sickness, coughing, and other respiratory trouble.

Children are vulnerable to GERD because of their immature digestive systems. The majority of infants grow out of GERD once they reach the age of one year old.

The medical specialists further stated that symptoms for children may come in the form of difficulty in swallowing foods or failure to grow. The doctors recommended that in a situation like this, it is best to reduce the amount of acid in the child’s stomach before it could lead to acid reflux, since this disease is not very curable in children.

However, the doctor suggested some approaches to avoid acid reflux in children; an example of these is burping the infant quite a few times during feeding or letting the infant stay in an erect position for 30 minutes after nourishing.

Although, for a child ages three and up, doctors suggest keeping them away from sodas that include caffeine, like soft drinks, carbonated drinks, spicy foods like peppermint, acidic foods like citrus fruits, too much chocolate, and fried and fatty foods. Ideally, establishing a healthy eating habit can really decrease acid reflux in children.

It is also suggested that children eat smaller meals before sleeping. If possible, do not allow them to eat two to three hours before bed. Also, elevate the head of their bed at least 30 degrees.

Further treatments include the use of H2 blockers; these are available in any drug store. Proton pump inhibitors, such as Prevacid, can also be used to treat acid reflux in children.

However, if these treatments fail to stop the symptoms, other treatment methods need to be tried. It is very atypical, but doctors recommend surgery. So far, this is the best treatment for persistent symptoms that do not respond to other treatments.

The esophageal reflux surgery for children is designated for children who have had unsuccessful medical treatments, and continuous surgery is essential as the child grows.

If you get confused, when is the time to consult a pediatrician regarding acid reflux? The answer is, you observe. Keep track of how much vomit the child produces.If it is already green or yellow or looks like blood or coffee grounds, if there is difficulty breathing after vomiting, and if there is pain when swallowing, see a pediatrician right away before the symptoms worsen.

So, to prevent the occurrence of this disease, stay away from the habit of leaning forward after eating, or worse, sleeping after taking a large amount of food.

Take note that advanced acid reflux disease has a high risk of causing serious medical complications and may necessitate hospitalization.

Be aware of potential symptoms so that you do not overlook them. Take care of your kids.

Nearly seventeen million people in the United States are affected by acne, one of the most prevalent issues afflicting adolescent teens. Acne is only a condition that affects sebaceous glands and hair follicles. Acne develops when sebaceous glands become clogged, causing cysts and pimples to appear. Usually, the onset of puberty marks the condition's beginning. According to the data, as adolescents approach puberty, androgens, also known as male sex hormones, are produced in large quantities, causing sebaceous glands to become overactive and create large amounts of sebum.

Sebaceous glands create sebum, which is simply oil, and release it onto the skin's surface via hair follicles. But because skin cells obstruct the follicles, oil also becomes blocked. When these hair follicles are obstructed, skin bacteria called Propionibacterium Acnes grow inside the follicles, which in turn causes skin swelling known as acne. Blackheads are the result of partially blocked hair follicles. Whiteheads are the result of fully clogged follicles. However, if these clogged follicles are not addressed, they can eventually burst, causing skin irritation and the development of pimples as the oil, bacteria, and skin cells flow all over the skin. Depending on the kind of skin and the amount of oil produced, acne can be shallow or deep in some people.


There are numerous reasons why acne can develop. In addition to increasing hormone levels brought on by puberty, this is also related to the use of lithium-containing medications, barbiturates, and corticosteroids. Additionally, extra grease and oil from the scalp, cooking oil, and the use of particular cosmetics can all contribute to acne. Additionally, acne issues are frequently inherited. If the pimples are squeezed or scraped too vigorously, the acne condition will worsen.


Although acne can develop anywhere on the body, it most frequently does so on the face, chest, shoulders, neck, and upper back, where sebaceous glands are found in large concentrations. Although the symptoms might vary from person to person, nodules, pus-filled lesions, blackheads, and whiteheads are the most commonly observed signs. It is usually advisable to see a doctor in this situation because acne symptoms can occasionally be confused with those of other skin conditions.


Today, there are many options for treating acne. The treatment's main objective is to reduce scars and improve the look. There are many different treatments, and your doctor will determine which one you require depending on your age, medical history, general health, tolerance to certain medications and procedures, expectations, and last but not least, your preferences.


Depending on the severity of the condition, topical and systemic medication therapy are used to treat acne. Combining the two approaches to curing acne may be the best course of action. For the purpose of treating acne, patients are given topical medications such as creams, gels, lotions, and solutions. Some examples of topical medications include Benzoyl Peroxide, which kills the Propionibacterium Acnes bacteria; antibiotics, which reduce inflammation while also slowing the growth of the bacteria; tretinoin, which prevents the development of new acne lesions; and adapalene, which lessens the development of comedones.


For the treatment of moderate to severe acne problems, systemic medication therapies typically entail the prescription of systemic antibiotics. Doxycycline, erythromycin, and tetracycline are some examples of antibiotics that have been recommended. Teenagers with severe acne issues may occasionally be prescribed the oral medication isotretinoin, which causes the oil-producing sebaceous glands to shrink. This oral medication is used successfully by nearly 90% of teenagers, which is quite good. However, the medication has potentially major adverse effects, so it is crucial to speak with a doctor before using it.

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