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How can I tell if my skin problems may be related to perioral dermatitis? What symptoms and signs does it present?

"…I am 25 years old. A few months ago, I noticed that I had a few small pimples appearing on my chin. I began to wash my face with soap more often and use a special anti-acne product, but this does not help - over time, the acne becomes more and more, and the skin on the chin and around the mouth has become constantly red, with dark spots that remain from acne that heal . I can't figure out what it is. I had acne in my youth, but it went away quickly and hasn’t appeared for a long time...”

This is usually how people who experience perioral dermatitis describe the problem.

Most often, perioral dermatitis develops in young women, much less often in men and children.

You can assume that your skin problems are related to perioral dermatitis if you notice the following symptoms:

  • You have a lot of small pimples on your chin (or generally on the skin around your mouth);
  • The skin around pimples looks inflamed and irritated (red);
  • Looking at the skin around the mouth, you notice that although the inflammation spreads to the skin around the mouth, directly around the lips (a strip of several millimeters wide) the skin looks healthy (normal color, without pimples) and that there seems to be a clear boundary between non-inflamed and inflamed skin.

Localization and prevalence

Perioral dermatitis is localized on the face, in the area of ​​the nasolabial triangle (chin, nose, skin around the lips). In this case, there is a thin strip of healthy skin directly next to the oral cavity. In rare cases, changes affect the neck, forehead and area around the eyes (periorbital dermatitis).

This problem affects 1% of the world's inhabitants. As we have already said, most patients are women of reproductive age; very rarely the disease affects men.

What do pimples in the nasolabial triangle mean?

By where the pimples appear, you can tell, for example, which organs need special attention. Rashes are often not a cause, but rather a consequence of more serious health problems.

3 signs that rashes may indicate:

  • First of all, your pores are clogged. The sebaceous glands in the area of ​​the nose and lips are especially active, so they require special care.
  • The second sign is the presence of harmful bacteria. They consume sebum. Usually, it is difficult to deal with them. Simple prevention will not help here; an examination is necessary.
  • The third sign is that there is an internal disease in the body. And acne is just an external sign and a side effect. Find out the causes of the rash, and this will greatly simplify the treatment process.

In most cases, inflammation in the lip area indicates viral diseases, such as herpes, a viral skin disease characterized by the formation of blisters.

When it is determined that the inflammation is not the fault of herpes, it means that it is necessary to examine the endocrine and digestive systems. This especially needs to be done if there are stool disorders, flatulence, pain and colic in the abdomen.

The most common cause of acne on the nose is hormonal imbalance. In case of rashes during a period unusual for hormonal imbalances, first of all you need to check the endocrine system and gastrointestinal tract. In addition, acne in the area of ​​the nose and lips can be a marker of trouble in the cardiovascular system and liver.

Perioral dermatitis in children

Recently, cases of perioral skin inflammation in young patients have become more frequent. This is mainly due to long-term treatment with moderate to strong corticosteroids (eg, Lorindene, Flucinar, Dermovate, etc.). The side effect occurs due to the uncontrolled use of such drugs without the knowledge of the doctor for several months or even years.

Perioral dermatitis in children

Often, perioral dermatitis is associated with teething in a child, diathesis and allergic reactions. The fight against this disease should only be done under the supervision of a specialist in combination with general therapy. With age, the problem may disappear on its own.

Causes of a rash under the nose in an adult

Causes of rashes under the nose

The causes of a rash near the nose can be different. Rashes in the nasal area can be caused by:

Important! Errors in diet can lead to the appearance of rashes, especially if you have gastritis or oily skin. Most often, the causes of a rash under the nose are associated with factors that do not pose a danger to the body and can be easily corrected.

Rash under the nose in adults

Poor hygiene or improper skin care often causes a rash under the nose in adults. Thus, alcohol-containing products irritate the skin and cause irritation. To cleanse the skin and remove excess sebum, products with antibacterial and anti-inflammatory effects should be used. Also the reason may be:

Please note: bedding and towels must be changed weekly, otherwise they accumulate pathogens that cause rashes and pimples.

Important! Chronic diseases cause serious deviations in the functioning of the skin. However, rashes and pimples disappear after the acute phase of the disease is over.

Recommendations for rash around the nose

To prevent rashes in the area of ​​the nasolabial triangle, general recommendations should be followed:

Attention! Do not squeeze or scratch rashes and pimples in the nose area. The nasolabial triangle is the most vulnerable area of ​​the face, which has no physiological protection. Infection of the rash in the nasal area can cause serious abnormalities and leave scars. In addition, the infection can enter the bloodstream.

Important: if you regularly experience a rash under your nose that is not related to your cycle, you should consult a doctor. You should not only conduct an examination by a dermatologist, but also check the internal organs for pathology.

Causes of perioral dermatitis

  1. It is believed that the inflammatory process around the mouth is caused by certain components of decorative cosmetics and frequent skin irritation.
  2. Excessive use of facial care products is also a common cause. Constant use of fatty creams and oils causes swelling and increases the fat content of the epidermis. The result is pimples and redness.
  3. The appearance of perioral dermatitis is facilitated by the abuse of toothpastes and other oral care products that contain sodium lauryl sulfate and fluoride.
  4. Another cause of the problem is the chronic use of topical glucocorticoid drugs.
  5. Hormones also play a role in the development of the disease. Therefore, patients often become women taking oral contraceptives
  6. Other risk factors are solar radiation, a genetic tendency to develop vasomotor reactions, and the presence of other dermatological diseases (for example, acne).

Cause rashes

  • Hormonal imbalance.
  • Inflammatory processes.
  • Disturbances in the gastrointestinal tract.
  • Allergic reaction to cosmetics or food.
  • Subcutaneous mites.
  • Stress, depression and immune disorders.

Important!

A change in the condition of the skin in the form of the appearance of pimples on the face of an adult always has certain reasons. Some of them may be harmless, but often they are a sign of a serious problem.

Symptoms of perioral dermatitis

Perioral dermatitis causes changes that may resemble acne—papules, pustules, and blisters on reddened skin. As we have already said, the rashes occupy the area of ​​the chin and nasolabial triangle, leaving the area around the mouth free. The epidermis in these places is tense, there are signs of peeling. Sometimes the patient complains of itching and burning in the affected areas.

Perioral dermatitis

The disease has a chronic course, lasting from several weeks to several months.

Important! Perioral dermatitis can easily be confused with acne and rosacea! The difference is that with dermatitis there are no comedones (as is the case with acne), and the redness is localized strictly in the mouth area (unlike rosacea, which affects the cheeks).

Causes of a rash under the nose in an adult

Causes of rashes under the nose

The causes of a rash near the nose can be different. Rashes in the nasal area can be caused by:

Important! Errors in diet can lead to the appearance of rashes, especially if you have gastritis or oily skin. Most often, the causes of a rash under the nose are associated with factors that do not pose a danger to the body and can be easily corrected.

Rash under the nose in adults

Poor hygiene or improper skin care often causes a rash under the nose in adults. Thus, alcohol-containing products irritate the skin and cause irritation. To cleanse the skin and remove excess sebum, products with antibacterial and anti-inflammatory effects should be used. Also the reason may be:

Please note: bedding and towels must be changed weekly, otherwise they accumulate pathogens that cause rashes and pimples.

Important! Chronic diseases cause serious deviations in the functioning of the skin. However, rashes and pimples disappear after the acute phase of the disease is over.

Recommendations for rash around the nose

To prevent rashes in the area of ​​the nasolabial triangle, general recommendations should be followed:

Attention! Do not squeeze or scratch rashes and pimples in the nose area. The nasolabial triangle is the most vulnerable area of ​​the face, which has no physiological protection. Infection of the rash in the nasal area can cause serious abnormalities and leave scars. In addition, the infection can enter the bloodstream.

Important: if you regularly experience a rash under your nose that is not related to your cycle, you should consult a doctor. You should not only conduct an examination by a dermatologist, but also check the internal organs for pathology.

Treatment of perioral dermatitis

So, you have been diagnosed with perioral dermatitis. How to treat this disease? This decision must be made by the doctor.

Therapy is difficult and lengthy. The first step is to stop taking corticosteroids - this technique is called “zero treatment”. If the cause of inflammation lies precisely in these drugs, there is a high probability that the rash will disappear spontaneously. The patient should also temporarily stop using cosmetics - lipsticks, lip balms, face creams, etc. It is recommended to carefully wash with clean water without soap.

Why do pimples crush?

During adolescence (up to 14 years) and simply with problematic facial skin, pimples, blackheads and comedones (purulent wounds) periodically appear on the epidermis. These formations represent a clogged pore, which due to the large amount of sebum, dirt and oil begins to become inflamed.


Is it possible to squeeze pimples?

Next, a specific area is infected. At the site of the injury, redness, itching, inflammation appears, and pus begins to actively secrete. After this, the process enters the active stage, when abscess formations penetrate deep into the skin. Depending on your immunity, the condition of your face, and your lifestyle, the process of cleansing pus lasts from one day to a week. It is during this period that we begin to crush ripened pimples.

Treatment with folk remedies

Since ancient times, our ancestors fought against any rashes with the help of herbs, roots and plant seeds. They have an astringent and antibacterial effect, soothe irritation and itching, and, most importantly, do not cause side effects. You can successfully combine traditional pharmacotherapy with home techniques.

Facial lotion

Wipe your skin or wash your face with this lotion, and over time all rashes will disappear. Here is the prescription:

  • 4 tablespoons dried sage;
  • ¼ teaspoon of borax;
  • 4 tablespoons of alcohol;
  • 3 tablespoons witch hazel extract;
  • 10 drops of glycerin.

Infuse the sage herb in alcohol for 2 weeks, then strain. Dissolve borax in witch hazel extract, mix with strained sage tincture, then add glycerin. Pour the lotion into the bottle and cap tightly. Shake the product before use.

Herbal mask Make herbal masks for yourself every three days. They heal affected areas much faster than pharmaceutical ointments. We give a recipe for one of the most effective masks for your illness:

  • a teaspoon of chamomile flowers;
  • a teaspoon of linden blossom;
  • a teaspoon of lavender;
  • teaspoon of sage.

Preparation: Place all ingredients in a glass or porcelain bowl and pour in a small amount of boiling water to form a thick paste. Cover the bowl and set aside for a few minutes to thoroughly wet the herbs. After this time, add a little more boiling water. Apply a warm mask to the affected areas (but you can treat the entire face - this will only bring benefits). After 20 minutes, wash with warm water.

Oils Herbalists recommend lubricating the nasolabial triangle area with natural oils 2-3 times a day. This can be sea buckthorn oil, almond oil, argan oil, flaxseed oil, peach oil, and grape seed oil. Patients notice the therapeutic effect already in the second week of regular use of this technique.

Why is it dangerous to squeeze pimples?

This activity is dangerous to engage in not only during pregnancy, but also in the normal state of the body:

  1. If the pressure is incorrect and the vessels are close together, you can block the blood flow, which can create additional suppuration;
  2. If you squeeze pimples with unwashed hands, there is a very high risk of infection. Many “experts” squeeze out the pus until it bleeds, in which case you can become infected with a truly dangerous disease;
  3. The biggest problem after squeezing out pimples is the formation of scars, this is especially noticeable in places where the skin is thin and delicate (under the eyes, on the lips, temples). To avoid this, use special devices for squeezing pimples and work only with clean hands.

Many experts, when asked whether it is possible to squeeze out pimples, answer that it is possible, especially pustules on the back and face. This is not only unaesthetic, but also dangerous; it can break out at an unexpected moment, putting your health in danger. But before starting the process, make sure that acne is not a signal of a serious disease of the internal organs.

Video: how to treat acne https://www.youtube.com/watch?v=Z9Xd2lEBNZo

Prevention of perioral dermatitis

To prevent recurrence of pathology, it is necessary to use local corticosteroid ointments with caution. Do not exceed the duration of their use and dosage, but it is best to completely abandon such drugs.

People with increased vasomotor sensitivity should sunbathe moderately and avoid saunas and hot baths. It is best to wash your face with soft gels that do not contain sodium lauryl sulfate. Choose organic, fluoride-free toothpastes. After washing, it is necessary to lubricate the skin with creams with a light texture (without overusing cosmetics).

Psychological techniques

Psychotechnical specialists and doctors have noticed that squeezing pimples, like biting nails, indicates the presence of a neuropsychic disorder accompanied by certain behavioral manifestations. This is observed during a long wait, an exciting event, or the resolution of a difficult dilemma.

Of course, simple outside advice to eliminate anxiety will do little for a neurotic. Most likely this is a hint to calm down. But is it possible to relieve irritation if a huge eel is looking at you from the mirror?

Then it will help to get rid of the habit of squeezing out pimples by taking psychotropic drugs with a calming effect: valerian, bromides, motherwort, healthy long sleep, or remove all mirrors out of sight. It will be enough to leave only one large one, located in front of the exit door of the apartment. You will get tired of constantly running to the hallway, but in the meantime the skin will rest without squeezing and heal. After a few days, your face will have clear, acne-free skin.

If you want to put your hands somewhere, do something that interests you. It’s unlikely that you’ll ever have time again to prepare a culinary dish that’s been constantly put off, find an abandoned embroidery hoop, or tighten up your sagging tummy by pumping up your abs. Believe me, after the last one there will be no strength left to decorate your forehead with squeezing. This way, perhaps, an old habit will be forgotten and a new one will appear.

Following the advice of the same psychologists, it takes two weeks to acquire a new hobby, then it will look as if your new weakness was born with you.

Motivation

Those experienced in psychology are familiar with the term motivation. Come up with something that will allow you to even forget about the pimple. For example, how beautiful, smooth, soft skin I will have if I stop putting my hands on my face. The result will appear soon. A white or red lump the size of a match head that appears on the face will disappear on its own in two to three days.

The subconscious mind remembers all actions, starting from our birth in the womb. With its help, you can remember the reason that prompted you to squeeze out pimples and purulent cavities. The result will tell you where it all started, the very first source of nervousness. To do this you will need a pen and a sheet of paper. We need to remember what our brain was telling us at that moment. Of course, the latter is not suitable for being watched, but it’s worth a try. Perhaps solving this problem will allow you to stop squeezing acne on your body and lead to other unexpected discoveries.

For those who are not interested in their own digging, we suggest you read, or re-read, the information about the dangers of independent mechanical removal of growths. Remember that the pus coming out of the wound affects neighboring hair follicles and begins to infect a healthy follicle. The consequences that will appear after you try to get rid of them seem much more serious and deplorable. Scars, ulcers that do not heal for a long time, remaining pigment spots. Removal in the area of ​​the eye sockets leads to acute diffuse purulent inflammation and blindness.

Still don’t know how to stop squeezing pimples? If you wish, you can improve any everyday monotonous activity; this also removes unnecessary thoughts, for example, about acne breakouts. When washing the dishes, cleaning the apartment or embroidering, you need to comment out loud on your every action. It roughly looks like this: I wash the front side of the plate, turn it over, wash the back side of the plate, set it aside, take the next plate. And so on until you wash, in this case, all the dishes. Speaking out the manipulations will allow you to stop the flow of obsessive thoughts, temporarily forget, or calmly tolerate the red balls that have chosen your cheeks and back.

Supporters of physical improvement of healthy skin are recommended to prepare a medicinal compress, a cosmetic mask from the infusion of pharmaceutical camilla, medicinal calendula flowers, and other plants that have an anti-inflammatory effect.

It is advisable to discuss the use of ointments and liniments with your doctor; perhaps he will tell you how to wean yourself from squeezing pimples.

Nuances

The use of psychological techniques will give the desired result only in conjunction with the rules of skin care.

For example:

  • avoid excessive moisture, drying,
  • Beware of direct sunlight;
  • replace soap with soft hypoallergenic foam, cosmetic milk;
  • makeup not removed before a night's rest causes damage that is also difficult to repair;
  • take vitamin complexes saturated with nicotinic, folic acids, cyanocobalamin, which have a beneficial effect;
  • temporarily exclude fatty, salty, pickled foods from your daily diet, stick to a diet of pale-colored plant foods;
  • alcoholic, carbonated, sweet drinks should be temporarily forgotten;
  • When cleansing your face, use neutral gels and foams with the addition of organic oils;
  • Avoid using foundation powder, it clogs pores and the openings of the sebaceous holocrine glands;
  • if the desire to squeeze out the pustules is overwhelming, it is necessary to perform an operation using a sterile napkin, antiseptic, and alcohol.

It should be remembered that strong psychological stress and experiences also do not impart beauty, which makes it difficult to wean yourself from putting your hands on the acne area. Fresh air without car exhaust saturates the body with oxygen and improves cellular metabolism.

Pharmacy cosmetics

Pharmacy cosmetics help to activate the cellular metabolism of damaged areas - spot-on creams, dispersive micellar aqueous solutions. The best of their kind are Bioderma, Avene.

The latter is a leader in the fight against acne and small pustular rashes, and contains some essential acids. The products remove makeup, maintain moisture balance, remove redness, and form a barrier to external influences. Regular use of medications will reduce the number of rashes, which will eliminate the habit of picking formations.

Question for a psychologist:

Good afternoon. Help me.

I pick at pimples, blackheads to a very bad condition, on my arms and shoulders. I haven’t been able to overcome myself for about 15 years.

I don’t like myself, I wake up in the morning and see no reason to start the day like that and sleep all the time. That's why I don't like myself either. I have the main reason to live - my daughter. I love her and enjoy spending all my free time with her, I’m on maternity leave. But I can’t find an internal incentive in myself to make every day a joy and want to do something new, learn something new. I'm an apathetic lazy person and I think this is bad. I don't want to be like that.

Stop picking pimples is important for me, I don’t feel free and confident, it prevents me from feeling like a girl.

Everything is fine in my life, there are some little things, but overall I have everything to be happy. And I love life, but I just don’t know how to live.

During my 27 years, I had periods when I gained a lot of weight (pregnancy), then I smoked a lot and drank often. But I removed all this from my life, I decided that I didn’t need it. And I really don’t need it, but I turn acne into wounds and scars. Help.

I feel like a teenager popping pimples, not a grown woman who started a family. After all, my daughter will grow up soon, I don’t want her to see me like this, to know me. I want to be an adult, confident woman, and not pretend that I am like that.

I've thought a lot about my problem and I think it's just a habit. I feel great pleasure when squeezing pimples and I don't care what happens next. I can’t even imagine what it’s like not picking pimples.

I always pick pimples, in the university toilet, secretly at work. Sometimes 10 minutes is enough to turn yourself into a freak. I don’t know how to punish or limit myself. Am I too kind to myself, or maybe it’s the other way around, I don’t know?

Relatives are used to it. People around me are perplexed, how am I doing this badly to myself?! Now I’m home alone, on maternity leave, I pick pimples for half the day, the rest half the day I’m angry with myself and I promise I won’t do it again. I promise 15 years.

But I know for sure that I won’t accept myself like that. Help.

I need advice, or better yet, recommend literature, please. I won’t go to psychologists in my city (it’s a small town, everyone knows each other), there’s no money for a long online consultation

Psychologist Victoria Vladimirovna Unterova answers the question.

Good afternoon, Elena! Your habit is a neurotic behavior that helps you calm down, relieves tension, and that’s why you experience pleasure. This habit can also be called unconscious auto-aggression, i.e. aggression that you direct at yourself, as if you are punishing yourself for something. You yourself wrote that you cannot love and accept yourself.

Therefore, the first step in order to stop harming yourself can be the step of accepting yourself (I recommend literature that will help you with this at the end of the answer).

The next step is to identify those areas of life that worry you most and start working on them. How to do this: draw a circle, divide it into 8 parts. Write in each part one name of the life sphere: health, personal life, motherhood, sex, finances, appearance, relationships with parents/relatives, recreation (you can change any names based on which areas are most important to you).

Think about how satisfied you are with each of the areas of life and rate the degree of your satisfaction on a scale from 0 to 10 points.

At the same time, pay attention to whether you are harming your face when performing this exercise, whether you are touching pimples. When thinking about which area of ​​life does the desire to touch your face intensify?

When you understand which area of ​​life is the cause of your greatest concern, then think about how you can change it for the better, what actions you can take for this. Make a plan and take action. Remember that any problem is like a disease. If you don't treat it, if you don't do anything, it will only get worse. Nothing will change on its own, or it will not change at all the way you want.

The most important thing when getting rid of a negative habit is awareness of actions. Every time your hand reaches out to your face, fix your attention on this action, stop yourself with an effort of will.

But if you don’t find another way to relieve stress and anxiety, then you won’t be able to “get rid of” the habit. This method is different for each person. You can, for example, try to occupy your hands with a massage ball for the hands or an expander (available in pharmacies). Squeeze and unclench until it calms down, carry it with you all the time. Rating 4.67 (6 Votes)

Dirt, sweating, etc.

Everyone has dealt with this problem. And he solved it individually: fighting for the cleanliness of his face with all kinds of lotions, procedures, and medications. And some people crush acne. We address this group of “carriers” of acne – this should not be done under any circumstances. However, they themselves know this. But they press. Regularly.

The short answer is the cause, origin and spread of acne.

. A pimple is not only an externally unpleasant rash on the skin. This is an inflammatory process of the skin, a dermatological disease, complicated by other diseases of the body, often the intestines. Therefore, an illiterate fight against them can turn out to be a fight against your body. Don't be fooled by your morning victory over a couple of fresh eels!

Everyone understands why you can’t squeeze pimples - and everyone does!

  • do not squeeze pimples;
  • cleanse your face with neutral gels and facial foams, or better yet, chamomile decoction and natural cucumber juice;
  • do not overdry the skin (alcohol-containing lotions are therefore not suitable, only neutral ones);
  • do not use cream (they contain oils that worsen acne and can clog pores and ducts of the sebaceous glands);
  • if it is completely “unbearable to suppress the pimple” - then only with a sterile napkin, without “smearing the contents”, immediately treating it with alcohol.

When you can't do without a doctor's help

If the situation is only getting worse, you are literally tearing apart your pimples, then you cannot do without the help of a doctor! Here the problem lies much worse, namely in your mental state. Most likely, you are going through a difficult period in your life.

Therefore, only a doctor can help you and give further instructions. You also need to sound the alarm if:

  • You got an infection, there are a lot more acne. This is caused by the fact that, having disrupted the structure of the skin on the face, all the bacteria and dirt penetrated into other pores. It may end up with much more rashes than there were before.
  • Squeezing a pimple inside leads to blood poisoning! All the pus that should have come out, if squeezed out incorrectly, can penetrate inside, which will lead to dire consequences, including surgical intervention.

You should absolutely not squeeze out pimples with your bare hands, especially dirty ones. You damage the inner layer, where the pus begins to spread rapidly, which leads to infections.

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