HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Recurrent Small Painful Bumps For Over Two Months

Posted on Wed, 16 Feb 2022

Question: Hi, I am getting small bumps as shown in the picture for last two months. I have tried duac gel and tea tree oil with no success. Sometimes, after the use of duac gel, it gets improved a little, but then it returns back. These bumps are painful sometimes when they grow up. Any suggestions?

Answered by Dr. Ilyas Patel (33 minutes later)

Brief Answer:
Acne vulgarise most probably

Detailed Answer:

Hi,

After reading history and seeing the photo, I conclude that most probably you are having acne vulgaris.

I would suggest:

- Clindamycin gel apply at night
- Cap Minocycline 50 mg daily in morning on empty stomach (Prescription based medicine).
- Cleanse the face with Cetaphil lotion
- Avoid stress and anxiety

Take treatment for few months till the cure.. if it recurs, repeat the treatment.

It's recommended to take the treatment under observation of a Dermatologist.

Hope I have answered your query. Let me know if there are any other queries.

Regards,

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ilyas Patel (12 hours later)

Took a recent photograph.

Can you please confirm if you still stick to the same diagnosis and treatment plan?

And how long should I take the following antibiotic:

- cap Minocycline 50 mg daily in morning on empty stomach (Prescription based medicine).

I also can see Minocycline is not available in our country. Any other alternative drug?

I can see the following forms are available from Tetracycline class:

Tetracycline 250mg & 500mg/capsule

Please suggest. Thanks.

Answered by Dr. Ilyas Patel (10 hours later)

Brief Answer:
Acne vulgaris

Detailed Answer:

Hi,

It seems acne vulgaris.

Yes, you may take Tetracycline cap 500 mg daily twice a day for about 6 months or till you get a good response.

Hope I have answered your queries.

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ilyas Patel (22 hours later)

I have similar kind of itchy and red bumps on head too. Do you think these are same and acne vulgaris?

Answered by Dr. Ilyas Patel (20 hours later)

Brief Answer:
Follicuitis most probably

Detailed Answer:

Hi,

It seems that the lesions on scalp may be follicultis. The lesions are not related with acne. Take levocetirizine 5 mg daily till itching is relieved.Take a course of antibiotic.

Cleanse the scalp with savlon liquid. Avoid stress and anxiety.

Hope this helps you.

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ilyas Patel (59 minutes later)

Is this antibiotic the same as tetracycline?

I have uploaded some pictures, if you could take a look. I am sorry to bother you, hope you consider, thanks a lot.

Answered by Dr. Ilyas Patel (13 hours later)

Brief Answer:
Acne vulgaris and folliculitis on scalp

Detailed Answer:

Hi,

Yes. you start tetracycline cap 500 mg twice a day for both conditions.

Files of photos you uploaded are not opened so for that I can not opine.

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Ilyas Patel (6 hours later)

Hi,
I have uploaded them in tiny pic. Please check. Thanks.

Answered by Dr. Ilyas Patel (32 hours later)

Brief Answer:
Uploaded pictures can’t be opened..no need to upload photos.

Detailed Answer:

Hello,

There is no need to see photos. Please follow my advice and take treatment under observation of dermatologist.

Regards,
Dr. Ilyas Patel MD

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Raju A.T