Acne vulgaris

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Written by Lin Yang
Breast Surgery
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Is it normal for adolescent boys to have nipple pain?

Nipple pain during puberty is generally likely due to unstable hormone levels in the body, causing a condition called gynecomastia in males. Gynecomastia is caused by hormonal stimulation, and any factors that disrupt the balance of sex hormones, growth hormones, prolactin, etc., can lead to the development of male breasts. However, in clinical practice, most patients do not have a found cause, so the etiology is divided into two categories: primary, which means there are no abnormalities in reproductive organ development or other organic changes, and hormone levels are normal with no obvious causes found clinically; and secondary, which refers to cases where a clear cause is evident in clinical practice.

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Written by Liu Gang
Dermatology
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Can acne be squeezed?

Acne, commonly known as acne vulgaris, is somewhat related to the vigorous secretion of one's own sebaceous glands. Spicy and irritating foods or staying up late can also cause it. If the acne is in the inflammatory phase and is very red and painful, try not to squeeze it, as this can easily lead to scarring or pits later on. If an individual acne lesion has become purulent and feels soft to the touch, you can prick it with a needle and squeeze out the pus, which can speed up recovery later. However, it is still recommended to use standard medications and combined red and blue light therapy, as this is less likely to cause skin damage and the recovery effects are generally better. It is also advisable to develop good dietary and lifestyle habits. (Doctor's answer is for reference only, administer medication under the guidance of a professional physician, do not blindly medicate.)

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Written by Liu Gang
Dermatology
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How to treat acne on the face?

Acne on the face, medically known as acne, is primarily related to vigorous sebaceous gland secretion, consumption of spicy and stimulating food, or frequently staying up late. There is also some relation to familial genetics. When this condition occurs, it is essential to treat it with standard medications. A combination of oral medications and topical treatments with blue and red light therapy generally yields good results. If the symptoms are mild, treatment can also include glycolic acid skin peeling. For cystic acne, one can visit a dermatology department at a standard hospital to undergo minor minimally invasive surgery to clean out the pus and blood locally, followed by oral medication treatment. It is important to regulate diet and lifestyle habits, avoid spicy and stimulating foods, refrain from staying up late, enhance physical exercise, and avoid the misuse of cosmetics on the face.

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Written by Zhu Zhu
Dermatology
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Dietary precautions for acne

Acne, a skin condition that troubles many young people, requires special attention to diet. Patients with acne should avoid overly spicy and stimulating foods. For example, they should not smoke or drink alcohol, and they should avoid drinking strong tea, eating barbecue, and spicy hot pot. Additionally, they should avoid high-sugar foods such as chocolate, ice cream, and cakes, etc.

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Written by Liu Gang
Dermatology
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How to treat acne scars and keloids

In general, acne patients do not easily develop scar nodules after proper treatment. The occurrence of scar nodules is mostly related to one's constitution, such as a scar-prone constitution. Some patients have larger, more severely infected acne, and improper treatment can lead to further infection, resulting in hypertrophic scarring after healing. Treating scar nodules can be quite troublesome; the most common approach is still local medication and injections, usually two to three sessions, after which the scar nodules gradually shrink, soften, and become smaller, but they do not completely disappear. If the hypertrophic scarring is not very prominent, one can visit the dermatology department of a reputable hospital and use fractional laser treatment for repair, but no matter which method is employed, it is not possible to perfectly resolve the issue.

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Written by Wang Shuai
Urology
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What should I do if nocturnal emissions are too frequent during adolescence?

It is a normal physiological phenomenon for adolescents in puberty to experience nocturnal emissions. If the frequency of nocturnal emissions does not exceed twice per week or eight times per month, it is considered normal. If the frequency of nocturnal emissions exceeds the above numbers, and symptoms such as physical fatigue, weakness, lack of concentration, and decreased memory occur, pathological causes should be considered, such as balanoposthitis, phimosis urethritis, and seminal vesiculitis, all of which can lead to frequent nocturnal emissions. Additionally, frequent nocturnal emissions might also be caused by strong sexual fantasies during the day and frequent interactions with the opposite sex. In such cases, it is advisable to promptly visit the urology department of a hospital for a detailed examination. If the condition is caused by a urinary system infection, antibiotics should be used timely to control the infection. If conditions like phimosis are present, early surgical treatment is recommended.

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Written by Li Cui
Dentistry
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How to Manage Bad Breath During Adolescence

There are various causes of bad breath, generally, it might be due to an accumulation of dental stains, plaque, and tartar in the patient's mouth, which are not cleaned in time, failing to develop a good habit of brushing teeth morning and night. It could also be due to the patient staying up late frequently, leading to internal heat in the body and gastrointestinal dysfunction, which might result in bad breath. Or it could be irregular eating habits, often consuming spicy and irritating food, causing the patient's body to have excessive internal heat. In such cases, dietary adjustments can be made, adopting a light diet and regular living habits. If the patient has a lot of dental stains, they can visit a formal dental hospital for treatment and teeth cleaning. Removing dental stains, tartar, and plaque can eliminate bad breath and also provide good protection for the health of the teeth themselves.

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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Can moxibustion be used to treat acne?

In the case of acne, it can be treated by moxibustion, as moxibustion can activate blood circulation, remove obstructions in the channels, dispel wind, and dissipate cold. It can effectively help regulate the body. The occurrence of acne is mostly caused by excessive fatigue, habitual staying up late, and consuming stimulating foods. Therefore, first and foremost, while undergoing moxibustion, it is also necessary to improve everyday life aspects, such as maintaining a regular schedule, ensuring adequate sleep, avoiding staying up late, and engaging in more physical exercise to enhance the body's immunity. Diet should mainly consist of light meals.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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What does normal vaginal discharge look like during puberty?

Normal vaginal discharge during adolescence is a mixture of vaginal mucosal exudate, cervical canal secretion, and endometrial gland secretion. Its formation is mainly related to the action of estrogen. Normal vaginal discharge is white, transparent, thin or egg white-like, highly viscous, odorless, and generally in small amounts. If inflammation occurs in the female reproductive tract, especially vaginitis and cervicitis, or in cases of cancer, the amount of discharge significantly increases, and its characteristics change. It is crucial to actively seek medical attention in such cases. Additionally, a type of discharge that appears similar to normal but is significantly more abundant and viscous should prompt consideration of chronic cervicitis, ovarian dysfunction, vaginal gland diseases, or highly differentiated adenocarcinoma of the cervix. Other types of discharge, such as frothy, curd-like, fishy, purulent, bloody, or watery discharges, also require active hospital visits for systematic examination, as these are pathological discharges. It is advisable to consult a doctor at a hospital for specific guidance.

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Written by Qu Jing
Dermatology
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Is there a difference between acne and pimples?

The difference between acne and pimples is that actually, they are of the same type. Acne is commonly known as ordinary acne, and can occur at any age stage, but is most prevalent among teenagers, hence the term "acne." It is actually a chronic inflammatory disease of the hair follicle sebaceous gland, and pimples are one type of acne. The various types of lesions in acne are caused by inflammation at different depths of the hair follicles and subsequent reactions. This includes pimples caused by blockage of the hair follicle sebaceous gland duct, as well as superficial pustular inflammation at the hair follicle opening, papules, nodules, cysts, and scars, all of which are categorized as acne. Pimples are the initial form of acne; the lesions are cone-shaped papules consistent with the hair follicles, and are divided into whiteheads and blackheads. Whiteheads are also known as closed comedones, while blackheads are called open comedones. Inside whiteheads, there is a yellow-white tofu dregs-like substance, while blackheads are oxidized whiteheads that have been exposed over time.