Hi XXXXXXX
Thanks for writing in.
The repeated baltod or folliculitis is a common problem. It is caused by a bacteria known as Staphylococcus aureus.
The reason why it is occurring repeated needs to be identified through a series of tests and the treatment needs to proceed accordingly.
First, we would like to run some tests like complete blood count, a fasting and post prandial blood sugar ( to be done 2 hours after the meal) and a liver function test.
As such the excessive weight also puts you at an increased risk of these infections. So weight management therapy ( with the help of dietary therapy and exercise) needs to be instituted.
Secondly, continue the amoxicillin-clavulanate tablets. Additionally, you should apply anti staphylococcal antibiotic cream like mupirocin or fusidic acid. It should be applied to affected area as well as to nasal cavity ( since the nose has carrier space for these bacteria) I would suggest that you apply the antibiotic twice a day for 5 days.
Additionally, washing your hands is amongst the most important precautions you can take to prevent the infection.
Once we have the reports, we can take this discussion ahead in a more fruitful manner.
I hope I have addressed your concerns. Let me know if you have any more concerns.
Regards

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Hi XXXXXXX
Thanks for writing back.

You can continue the oral medication for seven days. Topical cream application for 5 days is sufficient.

You need not pay again if you ask query within 3 days. Get the tests done and we can continue the discussion here.

Hope this helps.
Regards.

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Hi XXXXXXX
Thanks for writing back.

I've gone through your reports. All investigations are within normal range. Sugar levels are also normal.

You can continue the medications as advised previously.

Also you have to reduce your weight. Excessive weight puts you on risk of getting diabetes and predisposes you to infection.

Also you should keep good hygiene. Wash your hands regularly with antiseptic hand wash like Dettol. This simple but often neglected step of hand washing is important for avoiding infection.
Also you can use special soap like SOAPEX soap. This will also prevent recurrent infection.


Hope this helps.

If you need any further clarifications, do let me know.
Regards


If you are satisfied with the answer accept it and rate it at the end.


Regards.
Dr Sudarshan
Dermatologist

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Hi again,

Isolated elevation of SGPT is not significant. As other investigations are normal and other Liver function test are normal the SGPT value is not significant.

Recurrent boils or folliculitis occurs due to staph aureus. It recurs after treatment due to carriage of bacteria in nasal cavity. Due to transfer of bacteria by hands to other sites, infection keeps on repeating.
Hygiene maintenance is very important for avoiding repeated infection.

Hope I have cleared the matter.

Regards.
Dr Sudarshan.

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